A comprehensive approach to identifying intervention targets for patient-safety improvement in a hospital setting

Details

• Personal Author:
  Cunningham, Thomas R. ; Geller ES
• Description:
  Despite differences in approaches to organizational problem solving, healthcare managers and organizational behavior management (OBM) practitioners share a number of practices, and connecting healthcare management with OBM may lead to improvements in patient safety. A broad needs-assessment methodology was applied to identify patient-safety intervention targets in a large rural medical center. This included a content analysis of descriptions of managers' follow-up actions to error reports for nine types of the most frequently occurring errors. Follow-up actions were coded according to the taxonomy of behavioral intervention components developed by Geller et al. (1990). Two error types were identified as targets for intervention, and the outcome of this assessment process indicated a clear need to apply OBM interventions at the management level and thus have a hospital-wide benefit to patient safety. Future implications for using a system-wide approach to identifying and classifying responses to medical error are discussed. [Description provided by NIOSH]
• Subjects:
  Behavior Delivery Of Health Care Health Care Facilities Workforce And Services Health Personnel Occupational Health Safety Safety Management
• Keywords:
  Administration Author Keywords: Patient Safety Behavior-patterns Health-care Health-care-facilities Health-care-personnel Management-personnel Medical-care Medical-facilities Medical Error Organizational Behavior Management Safety-climate Safety-education Safety-measures Safety-practices Work-operations Work-organization Work-practices

  More +
• ISSN:
  0160-8061
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Ohio ; OSHA Region 3 ; OSHA Region 5 ; Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  EID - Education and Information Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  194-220
• Volume:
  32
• Issue:
  3
• NIOSHTIC Number:
  nn:20041617
• Citation:
  J Organ Behav Manage 2012 Jul; 32(3):194-220
• Email:
  tcunningham@cdc.gov
• Federal Fiscal Year:
  2012
• NORA Priority Area:
  Healthcare and Social Assistance
• Peer Reviewed:
  True
• Source Full Name:
  Journal of Organizational Behavior Management
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f248bcdb6dbb86558439f753ed7b458229bc09ef9f81f620b4c004a540758f04d86415b24b4a7a20ed3aa2d5bd85ea8be147a48fa8343096cc830d4e7916ffcd
• Download URL:
  https://stacks.cdc.gov/view/cdc/194127/cdc_194127_DS1.pdf
• File Type:
  [PDF - 184.67 KB ]