Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model.

Peter Dodek; Hubert Wong; Danny Jaswal; Daren K Heyland; Deborah J Cook; Graeme M Rocker; Demetrios J Kutsogiannis; Craig Dale; Robert A Fowler; Najib Ayas

Study

Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model.

April 25, 2012

Dodek P, Wong H, Jaswal D, et al. J Crit Care. 2012;27(1):11-7.

View more articles from the same authors.

This survey of Canadian intensive care units found that larger units and units directed by full-time intensivists had more positive safety culture scores.

PubMed citation

Available at

Related Resources From the Same Author(s)

The relationship between organizational culture and family satisfaction in critical care.

May 9, 2012

Incidence of medication errors and adverse drug events in the ICU: a systematic review.

September 15, 2010

The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study.

March 3, 2010

Moral distress in intensive care unit personnel is not consistently associated with adverse medication events and other adverse events

October 16, 2019

The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study.

November 25, 2015

Failure to engage hospitalized elderly patients and their families in advance care planning.

April 10, 2013

Restricting resident work hours: the good, the bad, and the ugly.

March 21, 2012

Impact of nighttime rapid response team activation on outcomes of hospitalized patients with acute deterioration.

June 6, 2018

Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits.

September 6, 2006

Extended work duration and the risk of self-reported percutaneous injuries in interns.

September 6, 2006

Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.

December 13, 2006

Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante.

May 25, 2005

Use of a daily goals checklist for morning ICU rounds: a mixed-methods study.

April 30, 2014

Effective implementation of work-hour limits and systemic improvements.

November 28, 2007

Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards.

August 8, 2007

Real-time automated paging and decision support for critical laboratory abnormalities.

August 17, 2011

Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial.

April 14, 2010

In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.

May 3, 2006

Knowledge translation in critical care: factors associated with prescription of commonly recommended best practices for critically ill patients.

August 22, 2007

Medication safety initiative in reducing medication errors.

July 7, 2010

Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort.

July 15, 2015

Adverse events after transition from ICU to hospital ward: a multicenter cohort study.

May 20, 2020

Development of medical checklists for improved quality of patient care.

January 9, 2008

Studying the technical work of emergency care.

October 31, 2007

The role of automation in complex system failures.

May 11, 2005

National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use.

February 1, 2017

Evaluation of safety in a radiation oncology setting using failure mode and effects analysis.

July 1, 2009

Electronic medical record availability and primary care depression treatment.

September 26, 2012

Outcomes after out-of-hospital endotracheal intubation errors.

February 18, 2009

Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit.

May 3, 2006

Safety skills training for surgeons: a half-day intervention improves knowledge, attitudes and awareness of patient safety.

May 9, 2012

Frequency and clinical importance of pages sent to the wrong physician.

June 17, 2009

Human factors and error prevention in emergency medicine.

June 15, 2011

Non-Luer connectors: are we nearly there yet?

May 9, 2012

Bar-code technology for medication administration: medication errors and nurse satisfaction.

May 27, 2009

The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.

February 13, 2013

Minimising medication errors in children.

February 25, 2009

Patient safety in North America: beyond "operate through your initials" and "sign your site."

June 24, 2009

Inappropriate trust in technology: implications for critical care nurses.

March 30, 2011

"Going solid": a model of system dynamics and consequences for patient safety.

April 21, 2005

Resilience and resilience engineering in health care.

July 30, 2014

Achieving dialysis safety: the critical role of higher-functioning teams.

April 17, 2019

Spinal surgery and patient safety: a systems approach.

May 10, 2006

Safety Climate Survey: reliability of results from a multicenter ICU survey.

August 17, 2005

A multicenter trial of aviation-style training for surgical teams.

September 15, 2010

Adapting to new technologies in the operating room.

March 27, 2005

Electronic health record challenges, workarounds, and solutions observed in practices integrating behavioral health and primary care.

October 21, 2015

The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.

April 15, 2009

The evolution of error: error management, cognitive constraints, and adaptive decision-making biases.

July 24, 2013

High reliability of care in orthopedic surgery: are we there yet?

November 16, 2016

Disclosing harmful mammography errors to patients.

December 16, 2009

Situational awareness—what it means for clinicians, its recognition and importance in patient safety.

August 24, 2016

Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013.

June 3, 2015

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting.

July 17, 2019

Pharmacist medication assessments in a surgical preadmission clinic.

June 13, 2007

Sensemaking, safety, and cooperative work in the intensive care unit.

August 8, 2007

Computerised provider order entry and residency education in an academic medical centre.

August 1, 2012

Can we make airway management (even) safer?—lessons from national audit.

February 8, 2012

Impact of duty hour limits on resident training in otolaryngology.

June 15, 2005

Management reasoning: beyond the diagnosis.

May 23, 2018

September 2, 2009

November 4, 2009

Gaps in the continuity of care and progress on patient safety.

March 6, 2005

Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015.

November 9, 2016

Improving patient safety by identifying latent failures in successful operations.

August 1, 2007

Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff.

September 26, 2018

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

March 14, 2007

Improving patient safety by identifying side effects from introducing bar coding in medication administration.

October 19, 2005

To err is human: quality and safety issues in spine care.

May 30, 2007

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

October 6, 2010

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003.

February 6, 2008

Workplace empowerment and magnet hospital characteristics as predictors of patient safety climate.

June 25, 2008

The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff.

September 21, 2016

Are they safe in there? Patient safety and trainees in the practice.

February 8, 2012

Medication reconciliation at hospital discharge: evaluating discrepancies.

October 15, 2008

Interventions to reduce medication errors in adult intensive care: a systematic review.

September 26, 2012

Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors.

April 11, 2018

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

August 9, 2006

Peripheral vision: expertise in real world contexts.

May 18, 2005

Quality improvement in medical education: current state and future directions.

January 18, 2012

Paediatric dosing errors before and after electronic prescribing.

August 18, 2010

Resident duty-hour reform associated with increased morbidity following hip fracture.

October 7, 2009

Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries.

September 24, 2008

Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients.

May 2, 2012

Racial and ethnic differences in emergency department pain management of children with fractures.

April 22, 2020

Complications and death at the start of the new academic year: is there a July phenomenon?

February 24, 2010

Clostridium Difficile infection in the United States: a national study assessing preventive practices used and perceptions of practice evidence.

May 20, 2015

What US hospitals are currently doing to prevent common device-associated infections: results from a national survey.

May 8, 2019

Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist.

February 13, 2008

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015.

September 14, 2016

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017.

October 31, 2018

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016.

September 20, 2017

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010.

June 6, 2012

ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2009.

June 13, 2012

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

May 9, 2012

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014.

August 12, 2015

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013.

July 23, 2014

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.

May 20, 2009

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007.

June 4, 2008

Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions.

March 7, 2018

Related Resources

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

The Leapfrog Hospital Survey.

March 14, 2023

Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs.

January 11, 2023

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.

November 9, 2022

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

Patient Safety Innovations

The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department

April 7, 2022

Increased mortality and costs associated with adverse events in intensive care unit patients.

April 6, 2022

Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.

February 2, 2022

Critical care simulation education program during the COVID-19 pandemic.

November 10, 2021

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit.

May 19, 2021

Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study.

February 10, 2021

Adverse events after transition from ICU to hospital ward: a multicenter cohort study.

May 20, 2020

New persistent opioid use after postoperative intensive care in US veterans.

June 19, 2019

Exploring the human factors of prescribing errors in paediatric intensive care units.

March 27, 2019

Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety.

October 24, 2018

Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study.

August 29, 2018

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.

March 7, 2018

A qualitative study of speaking out about patient safety concerns in intensive care units.

October 25, 2017

Errors, omissions, and outliers in hourly vital signs measurements in intensive care.

October 26, 2016

Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program.

November 11, 2015

Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort.

July 15, 2015

Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial.

March 18, 2015

Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project.

March 18, 2015

The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture.

February 4, 2015

Factors associated with post-intensive care unit adverse events: a clinical validation study.

October 29, 2014

Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study.

September 3, 2014

Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.

May 21, 2014

Failure events in transition of care for surgical patients.

March 5, 2014

Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis.

February 12, 2014

See More About The Topic

Intensive Care Units

Risk Managers

Quality and Safety Professionals

Critical Care

Epidemiology of Errors and Adverse Events

Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site