Abstract

http://ssrn.com/abstract=1904620
 
 

Citations (2)



 


 



Doing No Harm: Enabling, Enacting, and Elaborating a Culture of Safety in Health Care


Tim Vogus


Vanderbilt University - Organizational Behavior

Karl E. Weick


University of Michigan - Stephen M. Ross School of Business

Kathleen M. Sutcliffe


University of Michigan - Stephen M. Ross School of Business

November 1, 2010


Abstract:     
Medical error has reached epidemic proportions, and researchers have developed insufficiently sophisticated models of safety culture to match the complexity of the challenge of safety in health care. This has left providers and researchers with an inadequate conceptual toolkit for improving safety. To rectify the resulting crisis we consolidate fragments of management research into a comprehensive and integrative framework of how patient safety is produced and sustained through safety culture. Safety culture involves actions that single out and focus safety-relevant premises and cultural practices that reduce harm. This entails (a) enabling, which consolidates the premises for a safety culture; (b) enacting, which translates consolidated premises into concrete practices that prioritize safety; and (c) elaborating, which enlarges and refines the consolidation and translation. We close by discussing the implications of our framework for future research on key issues such as efficiency-safety trade-offs, interactions among components of the framework and feedback loops.

Number of Pages in PDF File: 18

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Date posted: August 3, 2011  

Suggested Citation

Vogus, Tim and Weick, Karl E. and Sutcliffe, Kathleen M., Doing No Harm: Enabling, Enacting, and Elaborating a Culture of Safety in Health Care (November 1, 2010). Available at SSRN: http://ssrn.com/abstract=1904620 or http://dx.doi.org/10.2139/ssrn.1904620

Contact Information

Tim Vogus (Contact Author)
Vanderbilt University - Organizational Behavior ( email )
Nashville, TN 37203
United States

Karl E. Weick
University of Michigan - Stephen M. Ross School of Business ( email )
701 Tappan Street
Ann Arbor, MI MI 48109
United States
Kathleen M. Sutcliffe
University of Michigan - Stephen M. Ross School of Business ( email )
701 Tappan Street
Ann Arbor, MI MI 48109
United States
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