Volume 41 | Number 4p2 | August 2006
Public Policy and Research Agenda
Organizational Silence and Hidden Threats to Patient Safety
Kerm Henriksen, Elizabeth Dayton
Sensemaking of Patient Safety Risks and Hazards
James B. Battles, Nancy M. Dixon, Robert J. Borotkanics, Barbara Rabin‐Fastmen, Harold S. Kaplan
Teamwork as an Essential Component of High‐Reliability Organizations
David P. Baker, Rachel Day, Eduardo Salas
Creating High Reliability in Health Care Organizations
Peter J. Pronovost, Sean M. Berenholtz, Christine A. Goeschel, Dale M. Needham, J. Bryan Sexton, David A. Thompson, Lisa H. Lubomski, Jill A. Marsteller, Martin A. Makary, Elizabeth Hunt
Patterns, Culture, and Reliability
Struggling to Invent High‐Reliability Organizations in Health Care Settings: Insights from the Field
Nancy M. Dixon, Marjorie Shofer
Enhancing Patient Safety through Organizational Learning: Are Patient Safety Indicators a Step in the Right Direction?
Peter E. Rivard, Amy K. Rosen Ph.D., John S. Carroll
Improving Patient Safety in Hospitals: Contributions of High‐Reliability Theory and Normal Accident Theory
Michal Tamuz, Michael I. Harrison
Practical Applications of Reliability Theory
Making Noncatastrophic Health Care Processes Reliable: Learning to Walk before Running in Creating High‐Reliability Organizations
Roger K. Resar
Fair and Just Culture, Team Behavior, and Leadership Engagement: The Tools to Achieve High Reliability
Allan S. Frankel, Michael W. Leonard, Charles R. Denham