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Patient safety has attained a higher profile since the Institute of Medicine's report, To Err Is Human: Building a Safer Health System , was distributed in 2000 1 . This report suggested that many hospital errors were related to flaws within the health-care delivery system. Many organizations—aviation, nuclear power, the military, and some industries—have realized that safe systems are essential for creating a barrier between human errors and adverse events 2 . Organizations with systems designed to minimize errors, prevent adverse events, and produce reliable outcomes despite intrinsic risks have been termed highly reliable organizations 2 , 3 . Health-care institutions are now being challenged by both internal and external forces to become highly reliable organizations by applying systems-based approaches to address patient safety. One of the key factors in the transformation of health-care institutions into patient-safety-focused, highly reliable organizations is the development and maintenance of a positive patient safety climate within the institution. In a systematic review of the literature, safety climate has been defined as “the surface features of the safety culture discerned from the workforce's attitudes and perceptions at a given point in time. … It is a snapshot of the state of safety providing
Journal of Bone and Joint Surgery – Wolters Kluwer Health
Published: Jun 1, 2011
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