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Phase 1 and 2: In Detail
location:
Main Learning
from Errors Phase
1 and 2: In Detail
Phase 1 Procedures
- In Fall 2005, we conducted 10 focus groups in
5 acute care hospitals in Ontario. A typology of Patient Safety Events
emerged from this work. [see Publications
page]
- In Spring 2006, we organized an expert panel
consisting of practitioners and academics to discuss and develop a typology
of learning behavior and responses for these types of events. [see
Publications page]
- This work was used to help structure the phase
2 survey.
Phase 2 Procedures
- In phase 2 we used cross-sectional surveys to
test a model of the factors that influence learning from safety failures.
The model is rooted in literature from organizational learning, organization
theory, and healthcare quality and safety.
- The model was tested using surveys of approximately
3,000 front-line staff, managers, and patient safety officers in acute
hospitals in Ontario, complemented by secondary data on organizational
characteristics from the Ontario Hospital Reporting System (OHRS) dataset.
- All acute care hospitals in Ontario were invited
to participate in the survey and 65% agreed to participate.
- The Phase 2 model is illustrated below:
This page was updated on March 01 2010.
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