High Reliability Organization Reference List

High Reliability Organization Reference List

High Reliability Organization Reference List Agency for Healthcare Research and Quality (AHRQ) Patient Safety Network. (2012). Patient Safety Primers - Systems Approach. Retrieved from https://psnet.ahrq.gov/primers/primer/21 AHRQ Morbidity and Mortality Rounds https://www.ahrq.gov/cpi/about/otherwebsites/webmm.ahrq.gov/index.html Air Florida Flight 90. (2014, November 25). In Wikipedia, the Free Encyclopedia online. Retrieved from http://en.wikipedia.org/wiki/Air_Florida_Flight_90#Cockpit_crew Air France Flight 296. (n.d.). In Wikipedia, the free encyclopedia. Retrieved from http://en.wikipedia.org/wiki/Air_France_Flight_296 Amalberti, R., Auroy, Y., Berwick, D., & Barach, P. (2005). Five system barriers to achieving ultrasafe health care. Annals of Internal Medicine, 142(9), 756-764. https://www.acpjournals.org/doi/pdf/10.7326/0003-4819-142-9-200505030-00012 Ambrose, K. (2012, January 13). The 30 year anniversary of the crash of Air Florida Flight 90. The Washington Post. Retrieved from http://www.washingtonpost.com/blogs/capital-weather- gang/post/the-30-year-anniversary-of-the-crash-of-air-florida-flight- 90/2012/01/11/gIQAEVH4tP_blog.html Arriaga, A. F., Bader, A. M., Wong, J. M., Lipsitz, S. R., Berry, W. R., Ziewacz, J. E., . Gawande, A. A. (2013). Simulation-Based Trial of Surgical-Crisis Checklists. New England Journal of Medicine, 368, 246- 253. https://www.nejm.org/doi/pdf/10.1056/NEJMsa1204720 Ayers, Keith E. (2014, January 29). Are you leading like a dictator? Six signs your management style is toxic. Corporate Wellness Magazine. The official magazine of Corporate Health and Wellness Association. Retrieved from (page not found) https://www.corporatewellnessmagazine.com/article/six-signs-your-management-style-is-toxic Beck, J. (Interviewer) & Sculli, G. L. (Interviewee). (2011). Ask the expert: Task load division for nursing care [Nurse Leader Insider, Interview Question and Answer]. Retrieved from http://www.hcpro.com/NRS-266207-868/Ask-the-expert-Task-load-division-for-nursing-care.html Blake, R. R., & Mouton, J. S. (1978). The new managerial grid. Houston, TX: Gulf Publishing Co. https://www.amazon.com/New-Managerial-Grid-Robert-Blake/dp/0872014738 Brady, A. M., Malone, A. M., & Fleming, S. (2009). A literature review of the individual and systems factors that contribute to medication errors in nursing practice. Journal of Nursing Management, 17(6), 679-697. https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2834.2009.00995.x Bush, G., Whalen, P. J., Rosen, B. R., Jenike, M. A., McInerney, S. C., & Rauch, S. L. (1998). The counting stroop: An interference task specialized for functional neuroimaging—validation study with functional MRI. Human Brain Mapping, 6, 270–282. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6873370/ Carney, B. T., West, P., Neily, J., Mills, P. D., & Bagian, J. P. (2010). Differences in nurse and surgeon perceptions of teamwork: implications for use of a briefing checklist in the OR. Association of Perioperative Registered Nurses (AORN) Journal, 91(6), 722-729. https://aornjournal.onlinelibrary.wiley.com/doi/epdf/10.1016/j.aorn.2009.11.066 Cherry, K. (n.d.). The Kanizsa triangle illusion: understanding the Kanizsa triangle. About.com Psychology. Retrieved from http://psychology.about.com/od/sensationandperception/ig/Optical- Illusions/Kanizsa-Triangle-Illusion.htm#step-heading Chidester, T.R., Kenki, B.G., Foushes, H. C., Dickenson, C.L., & Bowles, S. B. (1990) Personality factors in flight operations. Volume I. Leader characteristics and crew performance in a full mission. (Air Transport Simulation). Moffett Field, CA: NASA Ames Research Center. https://ntrs.nasa.gov/archive/nasa/casi.ntrs.nasa.gov/19900014054.pdf Chidester, T. R., Helmreich, R. L., Gregorich, S. E., & Geis, C. E. (1991). Pilot personality and crew coordination: implications for training and selection. International Journal of Aviation Psychology, 1(1), 25-44. http://search.ebscohost.com/login.aspx?direct=true&db=pbh&AN=7367577&site=ehost-live Cohen, J. D., Dunbar, K., & McClelland, J. L. (1990). On the control of automatic processes: a parallel distributed processing account of the Stroop effect. Psychological Review, 97(3), 332-361. http://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=1990-27437-001&site=ehost-live De Young, R. (2014). Using the Stroop effect to test our capacity to direct attention: A tool for navigating urgent transitions. Retrieved from http://www.snre.umich.edu/eplab/demos/st0/stroopdesc.html Dekker, S. W. (2002). Reconstructing human contributions to accidents: the new view on error and performance. Journal of Safety Research, 33(3), 371-385 http://sidneydekker.com/wp- content/uploads/2013/01/SafetyResearch.pdf Dekker, S. W. (2017). Just Culture. Restoring Trust and Accountability in Your Organization. 3rd Edition. CRC Press. Boca Raton, FL. http://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1062212&site=ehost-live Delta Airlines. Rules of the Road. [pdf file] Retrieved from http://www.delta.com/content/dam/delta- www/pdfs/policy/delta-rules-of-the-road.pdf Deziel, D. J., Millikan, K. W., Economou, S. G., Doolas, A., Ko, S. T., & Airan, M. C. (1993). Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77,604 cases. American Journal of Surgery, 165(1), 9-14. https://reader.elsevier.com/reader/sd/pii/S1015958411600183?token=0B5E7D50A7DFB1733A059A14E 847E00DCE1BA90A4F4E2E88970168D86E64DB50AAA450BF16468C65CD855C3E1FBA5A56 Dr. Robert. C. Ginnett – Dissertation work Yale University “First Encounters of the Close Kind” https://apps.dtic.mil/dtic/tr/fulltext/u2/a187977.pdf Endsley, M. R. (2013). Situation awareness. In J. D. Lee & A. Kirlik (Eds.), The Oxford Handbook of Cognitive Engineering (pp. 88-108). New York, NY: Oxford University Press. http://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780199757183.001.0001/oxfordhb- 9780199757183-e-5 Endsley, M.R.: Toward a Theory of Situation Awareness in Dynamic Systems. Human Factors Journal 37(1), 32-64. F-16 Fighting Falcon News (2004, January 22). Thunderbird accident report released. [Web log report by jetech] Retrieved from http://www.f-16.net/f-16-news-article968.html Fielkow, B. (2014, August 4). War and other crises: how companies can build a culture of safety and prevention. Chief Executive. Retrieved from http://chiefexecutive.net/war-and-other-crises-how- companies-can-build-a-culture-of-safety-and-prevention Fore, A. M., & Sculli, G. L. (2013). A concept analysis of situational awareness in nursing. Journal of Advanced Nursing, 69(12), 2613-2621. https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.12130 Fore, A. M., Sculli, G. L., Albee, D., & Neily, J. (2013). Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project. Journal of Nursing Management, 21(1), 106-111. https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1365-2834.2012.01410.x Forrester, J. W. “The Beginning of System Dynamics.” International Meeting of the System Dynamics Society, Stuttgart, Germany. 13 July 1989. Speech. Retrieved from http://web.mit.edu/sysdyn/sd- intro/D-4165-1.pdf Forrester, J. W. (1991). System dynamics and the lessons of 35 years. In K. B. Wainrib (Ed.), The Systemic Basis of Policy Making in the 1990s. Retrieved from http://clexchange.org/ftp/documents/system- dynamics/SD1991-04SDandLessonsof35Years.pdf Fruhen, L.S., Flin, R. & McLeod, R. (2014). Chronic unease for safety in managers - a conceptualisation. Journal of Risk Research, 11, 969-979L.s. https://www.tandfonline.com/doi/abs/10.1080/13669877.2013.822924 Gaffney, A., Gaffney, F. A., Harden, S. W, & Seddon, R. (2005). Crew resource management: the flight plan for lasting change in patient safety. Danvers, MA: HCPro, Inc. https://books.google.com/books/about/Crew_Resource_Management.html?id=NJMb4_HmewUC Gordon D. Schiff, MD; Omar Hasan, MD; Seijeoung Kim, RN, PhD; et al, Diagnostic Error in Medicine, Analysis of 583 Physician-Reported Errors, Arch Intern Med .1887- 1881:)20(169;2009 . doi:10.1001/archinternmed.2009.333 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/1108559 Halsey, A. III (2012, January 12). 30 years after Air Florida crash, skies safer than ever. The Washington Post. Retrieved from http://www.washingtonpost.com/local/30-years-after-air-florida-crash-skies-safer- than-ever/2012/01/05/gIQAW0GwtP_story.html Hartgerink, J. M., Cramm, J.M., de Vos, A. J., Bakker, T. J., Steyerberg, E. W., Mackenbach, J. P., & Nieboer, A. P. (2014). Situational awareness, relational coordination and integrated care delivery to hospitalized elderly in the Netherlands: a comparison between hospitals. BMC Geriatrics, 14(3). Retrieved from http://www.biomedcentral.com/content/pdf/1471-2318-14-3.pdf Health and Safety Executive in United Kingdom. (n.d.). [Health and Safety Diagnostic Tool (HSDT) Kit]. The seven steps of leadership and worker involvement. Step 6: how your team can carry it out. Retrieved from http://www.hse.gov.uk/construction/lwit/step6.htm Helmreich, R. L., Chidester, T. R., Foushee, H. C., Gregorich, S., & Wilhelm, J. A. (1990). How effective is cockpit resource management training? Exploring issues in evaluating the impact of programs to enhance crew coordination. Flight Safety Digest, 9(5), 1-17. https://www.researchgate.net/publication/11808765_How_effective_is_cockpit_resource_managemen t_training_Exploring_issues_in_evaluating_the_impact_of_programs_to_enhance_crew_coordination Helmreich, R. L., Klinect, J. R., & Wilhelm,

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