AORN Journal
Volume 90, Issue 4 , Pages 495-498 , October 2009

The OR and a “Just Culture”

  • Lois Hamlin, RN, OT Cert, IC Cert, BN, MN, DNurs, FRCNA (Senior lecturer and director, Postgraduate Programs)

References 

  1. Weiser TG , Regenbogen SE , Thompson KD , et al.   An estimation of the global volume of surgery: a modeling strategy based on available data . Lancet . 2008;372(9633):139–144 Epub June 24, 2008.
  2. Haynes AB , Weiser TG , Berry WR , et al.   A surgical safety checklist to reduce morbidity and mortality in a global population . N Engl J Med . 2009;360(5):491–499 Epub January 14, 2009.
  3. Gawande AA , Thomas EJ , Zinner MJ , Brennan TA . The incidence and nature of surgical adverse events in Colorado and Utah in 1992 . Surgery . 1999;126(1):66–75
  4. Kable AK , Gibberd RW , Spigelman AD . Adverse events in surgical patients in Australia . Int J Qual Health Care . 2002;14(4):269–276
  5. Wilson RM , Runciman WB , Gibberd RW , Harrison BT , Newby L , Hamilton JD . The Quality in Australian Health Care Study . Med J Aust . 1995;163(9):458–471
  6. Wilson RM , Harrison BT , Gibberd RW , Hamilton JD . An analysis of the causes of adverse events from the Quality in Australian Health Care Study . Med J Aust . 1999;170(9):411–415
  7. Australian Institute of Health and Welfare  , The Australian Commission for Safety and Quality in Healthcare  . Sentinel Events in Australian Public Hospitals 2004-05 . Canberra, ACT, Australia: Australian Institute of Health and Welfare; July 2007; http://www.aihw.gov.au/publications/hse/seiaph04-05/seiaph04-05.pdf Accessed July 24, 2009.
  8. Hamlin L . Standing on the Shoulders of Giants [The 2008 Judith Cornell Oration] . Adelaide, SA, Australia: ACORN; 2008;
  9. Bigony L , Lipke TG , Lundberg A , McGraw CA , Pagac GL , Rogers A . Lateral violence in the perioperative setting . AORN J . 2009;89(4):688–696
  10. Rosenstein AH , O'Daniel M . Impact and implications of disruptive behavior in the perioperative arena . J Am Coll Surg . 2006;203(1):96–105
  11. Marx D . Patient Safety and the “Just Culture”: A Primer for Health Care Executives . New York, NY: Columbia University; 2001; http://www.Mers-tm.org/support/Marx_Primer.pdf Accessed July 24, 2009.
  12. Garling P . Final Report of the Special Commission of Inquiry into Acute Care Services in NSW Public Hospitals . Sydney, NSW, Australia: NSW Health; 2008; http://www.lawlink.nsw.gov.au/lawlink/Special_Projects/ll_spclprojects.nsf/pages/acsi_finalreport Accessed July 24, 2009.
  13. World Health Organization  . WHO surgical safety checklist . http://www.who.int/patientsafety/safesurgery/ss_checklist/en Accessed July 24, 2009.

 Editor's note: For additional resources, access AORN's Just Culture Tool Kit at http://www.aorn.org/PracticeResources/ToolKits/JustCultureToolKit.

PII: S0001-2092(09)00621-8

doi: 10.1016/j.aorn.2009.09.003

AORN Journal
Volume 90, Issue 4 , Pages 495-498 , October 2009

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