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Success in Academic Surgery: Health Services Research pp 101–108Cite as

Understanding and Changing Organizational Culture in Surgery

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Part of the book series: Success in Academic Surgery ((SIAS))

Abstract

Culture is about using a “similarity of approach, outlook, and priorities” to reach a common goal. That universal goal in healthcare and surgery is clear—provide quality, safe, efficient, patient-centered care. How best to achieve this goal, however, remains unclear. This chapter will outline the differences between organizational climate and culture, the current methods for measuring safety climate and culture, and finally ways to expand our current understanding of this vital facet of surgical care in order to ultimately enact change.

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References

  1. Weick KE, Sutcliffe KM. Managing the unexpected: resilient performance in an age of uncertainty. 2nd ed. San Francisco: Jossey-Bass; 2007.

    Google Scholar 

  2. Turner BA, Pidgeon NF. Man-made disasters. 2nd ed. Boston: Butterworth-Heinemann; 1997.

    Google Scholar 

  3. Hofmann DA, Stetzer A. A cross-level investigation of factors influencing unsafe behaviors and accidents. Pers Psychol. 1996;49(2):307–39.

    Article  Google Scholar 

  4. Wiegmann DA, Zhang H, Von Thaden TL, Sharma G, Gibbons AM. Safety culture: an integrative review. Int J Aviat Psychol. 2004;14(2):117–34.

    Article  Google Scholar 

  5. Zohar D, Tenne-Gazit O. Transformational leadership and group interaction as climate antecedents: a social network analysis. J Appl Psychol. 2008;93(4):744.

    Article  PubMed  Google Scholar 

  6. Palmieri PA, Peterson LT, Pesta BJ, Flit MA, Saettone DM. Safety culture as a contemporary healthcare construct: theoretical review, research assessment, and translation to human resource management. Adv Health Care Manage. 2010;9:97–133.

    Article  Google Scholar 

  7. Zohar D. A group-level model of safety climate: testing the effect of group climate on microaccidents in manufacturing jobs. J Appl Psychol. 2000;85:587–96.

    Article  CAS  PubMed  Google Scholar 

  8. Varonen U, Mattila M. The safety climate and its relationship to safety practices, safety of the work environment and occupational accidents in eight wood-processing companies. Accid Anal Prev. 2000;32:761–9.

    Article  CAS  PubMed  Google Scholar 

  9. Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system, vol. 627. Washington, DC: National Academies Press; 2000.

    Google Scholar 

  10. Colla JB, Bracken AC, Kinney LM, Weeks WB. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14:364–6.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Lee T. Assessment of safety culture at a nuclear reprocessing plant. Work & Stress. 1998;12:217–37.

    Article  Google Scholar 

  12. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. A report of the Committee on Quality of Health Care in America, Institute of Medicine. Washington, DC: National Academy Press; 2000.

    Google Scholar 

  13. Weick KE. The reduction of medical errors through mindful interdependence. Medical error: what do we know. 2002:177–99.

    Google Scholar 

  14. Page AE, editor. Keeping patients safe: transforming the work environment of nurses. Washington, DC: National Academies Press; 2004.

    Google Scholar 

  15. DeRosier J, Stalhandske E, Bagian JP, Nudell T. Using health care failure mode and effect analysis: the VA National Center for Patient Safety’s Prospective Risk Analysis System. J Comm J Qual Patient Saf. 2002;28:248–67.

    Google Scholar 

  16. Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361:1368–75.

    Article  CAS  PubMed  Google Scholar 

  17. Ghaferi AA, Birkmeyer JD, Dimick JB. Complications, failure to rescue, and mortality with major inpatient surgery in medicare patients. Ann Surg. 2009;250:1029–34.

    Article  PubMed  Google Scholar 

  18. Ghaferi AA, Osborne NH, Birkmeyer JD, Dimick JB. Hospital characteristics associated with failure to rescue from complications after pancreatectomy. J Am Coll Surg. 2010;211:325–30.

    Article  PubMed  Google Scholar 

  19. Ghaferi AA, Birkmeyer JD, Dimick JB. Hospital volume and failure to rescue with high-risk surgery. Med Care. 2011;49:1076–81.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Center for Healthcare Outcomes and Policy, University of Michigan, 2800 Plymouth Road, NCRC B016/Rm167-C, Ann Arbor, MI, 48109, USA

    Amir A. Ghaferi M.D., M.S.

Authors
  1. Amir A. Ghaferi M.D., M.S.
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Corresponding author

Correspondence to Amir A. Ghaferi M.D., M.S. .

Editor information

Editors and Affiliations

  1. Associate Chair for Faculty Development, Department of Surgery, Henry King Ransom Professor of Surgery Chief, Division of Minimally Invasive Surgery, University of Michigan, Ann Arbor, Michigan, USA

    Justin B. Dimick

  2. Associate Professor of Surgery, WARF Professor of Surgical Research Director, Wisconsin Surgical Outcomes Research (WiSOR), Department of Surgery, University of Wisconsin, Madison, Wisconsin, USA

    Caprice C. Greenberg

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© 2014 Springer-Verlag London

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Ghaferi, A.A. (2014). Understanding and Changing Organizational Culture in Surgery. In: Dimick, J., Greenberg, C. (eds) Success in Academic Surgery: Health Services Research. Success in Academic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4718-3_9

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  • DOI: https://doi.org/10.1007/978-1-4471-4718-3_9

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4717-6

  • Online ISBN: 978-1-4471-4718-3

  • eBook Packages: MedicineMedicine (R0)

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