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Are hospitals becoming high reliability organizations?

Bagnara, Sebastiano and Parlangeli, Oronzo and Tartaglia, Riccardo (2010) Are hospitals becoming high reliability organizations? Applied Ergonomics, Vol. 41 (5), p. 713-718. eISSN 1872-9126. Article.

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DOI: 10.1016/j.apergo.2009.12.009


High Reliability Organizations (HROs) are complex systems in which many accidents and adverse events that could occur within those systems or at the interfaces with other systems are actually avoided or prevented. Many organizations in high-risk industries have successfully implemented HRO approaches. In recent years, initiatives have been undertaken aimed at transforming hospitals into HROs. Actually, despite some improvements, these initiatives have not shown the expected results. In this paper, we discuss the possible reasons for such outcomes. We will show that, when compared with traditional HROs, hospitals are undoubtedly high-risk organizations, but have specificities and experience systemic socio-organizational barriers that make them difficult to transform into HROs.

Item Type:Article
ID Code:5659
Uncontrolled Keywords:Hospitals, high reliability organizations, dynamic systems
Subjects:Area 11 - Scienze storiche, filosofiche, pedagogiche e psicologiche > M-PSI/01 Psicologia generale
Divisions:001 Università di Sassari > 01 Dipartimenti > Architettura e pianificazione
Publisher:Pergamon / Elsevier
Copyright Holders:© 2010 Published by Elsevier
Additional Information:Title of the issue: Human factors and ergonomics in patient safety, edited by Pascale Carayon and Peter Buckle.
Deposited On:08 Mar 2011 09:37

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