Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

An irreplaceable safety culture.

Marta L Render1, Larry Hirschhorn

  • 1Department of Medicine, Division of Pulmonary/Critical Care, University of Cincinnati College of Medicine, 3200 Vine Street, Cincinnati, OH 45220, USA. marta.render@med.va.gov

Critical Care Clinics
|December 8, 2004
PubMed
Summary

Intensive care unit (ICU) clinicians can foster safety by managing competing goals and telling safety stories. A strong safety culture, driven by leadership and continuous learning, is essential for error acknowledgment and prevention.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Degree of Acute Kidney Injury before Dialysis Initiation and Hospital Mortality in Critically Ill Patients.

International journal of nephrology·2013
Same author

A hybrid Centers for Medicaid and Medicare service mortality model in 3 diagnoses.

Medical care·2012
Same author

Design is how it works (Steven Jobs).

Critical care medicine·2012
Same author

Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections.

The New England journal of medicine·2011
Same author

Variations in efficiency and the relationship to quality of care in the veterans health system.

Health affairs (Project Hope)·2011
Same author

Reduction of central line infections in Veterans Administration intensive care units: an observational cohort using a central infrastructure to support learning and improvement.

BMJ quality & safety·2011

Area of Science:

  • Healthcare Management
  • Patient Safety
  • Organizational Behavior

Background:

  • Intensive care units (ICUs) face challenges from complex technologies and high demand, impacting clinician performance and patient safety.
  • Clinicians in ICUs are recognized as both potential sources of error and crucial elements of resilience.
  • Traditional safety strategies, such as computerized tools and procedural implementation, are insufficient on their own.

Observation:

  • Effective patient care in ICUs relies on clinicians' ability to manage multiple objectives, maintain vigilance, and communicate safety narratives.
  • A pervasive organizational norm of "no harm no foul" hinders the development of a robust safety culture.
  • Leadership plays a pivotal role in establishing and sustaining a safety culture within the ICU environment.

Findings:

Related Experiment Videos

  • A comprehensive safety culture requires committed leadership, acceptance of error inevitability, effective reporting systems, and a commitment to continuous learning.
  • Campaign strategies, considering political, marketing, and military principles, can effectively disseminate safety practices.
  • Successful campaigns leverage existing pilot projects that exemplify moral ideals, simplify work, and enhance clinician control and feedback.

Implications:

  • ICU leaders should adopt strategic campaign approaches to promote safety practices and cultivate a resilient safety culture.
  • Recognizing the limitations of clinician time and attention is crucial for campaign design and implementation.
  • Engaging clinicians by simplifying work and providing greater control can unlock their passion, energy, and insights for safety initiatives.