The tragic 1996 Everest expedition: a tale of error culture

2009 ◽  
Vol 65 (1) ◽  
pp. 22-34 ◽  
Author(s):  
Cathy van Dyck
Keyword(s):  
Error Culture

What We Really can Learn From Aviation: Checklist-based Team Time-Out in Conjunction With Interpersonal Competence Training for the Daily Management of a Surgical Department

2021 ◽  
pp. 155335062110184
Author(s):  
Christoph Hirche ◽  
Ulrich Kneser
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Organizational Factors ◽  
Interpersonal Competence ◽  
Daily Work ◽  
Surgical Department ◽  
Error Culture ◽  
Time Out ◽  
Team Time Out ◽  
Competence Training

Objective. Aviation and affiliated training concepts have gained a pioneering role in the establishment of interpersonal competence training for physicians and in particular for surgical disciplines. Strengthening interpersonal competence in conjunction with standardized processes and tools aims at implementing safety and error culture in the clinical surroundings while improving patient safety. In a surgical center, safety culture starts with decisive day-to-day management, continues with WHO team time-out and optimal surroundings for the operation, and goes beyond mortality and morbidity conferences and reevaluation of the daily work. Nevertheless, operational day-to-day management has been only little in the focus of security and error culture in surgical literature yet. Method. Interpersonal competence training has been introduced in the hospital group. In 2017, a checklist-based team time-out was implemented to optimize day-to-day management so that conflicts and collisions can be identified timely. Results. The daily completed checklist addresses changes in staff and resource availability, patient-relevant, and other organizational factors. The introduction has provided a significant level of stability and proven itself as part of the safety culture and exemplary leadership beyond the “classical” fields in surgery. Conclusion. This “simple” instrument from the aviation toolbox in conjunction with interpersonal competence training can be recommended to improve the management and safety culture in a surgical clinic to streamline operations and positively affect patient safety and staff development as well as employee satisfaction. Nevertheless, it is not sufficient to implement standard operation procedures templates and checklists, and they have to be lived daily and by everyone.

scholarly journals Diversity Composition and Team Learning: The Moderating Role of Error Culture

2019 ◽  
Vol 28 (4) ◽  
pp. 695-722 ◽  
Author(s):  
Joyce Rupert ◽  
Astrid C. Homan ◽  
Karen A. Jehn ◽  
Robert Jan Blomme
Keyword(s):  
Team Learning ◽  
Error Culture ◽  
Moderating Role

scholarly journals Sim baby: expensive play station or training to error culture in pediatric emergency?

2007 ◽  
Vol 3 (3) ◽  
pp. 38
Author(s):  
Fabio Pederzini ◽  
Gerson Conrad ◽  
Marco Comploi ◽  
Georg Rammlmaier ◽  
Andrea Pettenazzo ◽  
...  
Keyword(s):  
Pediatric Emergency ◽  
Error Culture

Team cohesion and error culture in risky work environments

2014 ◽  
Vol 65 ◽  
pp. 20-27 ◽  
Author(s):  
Laura Sophie Fruhen ◽  
Nina Keith
Keyword(s):  
Team Cohesion ◽  
Work Environments ◽  
Error Culture

From Quality-I to Quality-II: cultivating an error culture to support lean thinking and rework mitigation in infrastructure projects

2021 ◽  
pp. 1-18
Author(s):  
Peter E. D. Love ◽  
Jane Matthews ◽  
Lavagnon A. Ika ◽  
Pauline Teo ◽  
Weili Fang ◽  
...  
Keyword(s):  
Infrastructure Projects ◽  
Lean Thinking ◽  
Error Culture
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