Collaborative cross-checking to enhance resilience

被引：3

作者：

Patterson E.S. ^{[1
,2
]}

Woods D.D. ^{[2
]}

Cook R.I. ^{[3
]}

Render M.L. ^{[4
]}

机构：

[1] VA Getting at Patient Safety (GAPS) Center, Institute for Ergonomics, Ohio State University, Columbus, OH 43210, 210 Baker Systems

[2] Institute for Ergonomics, Ohio State University, Columbus, OH 43210, 210 Baker Systems

[3] Cognitive Technologies Laboratory, Department of Anesthesia and Critical Care, University of Chicago, Chicago, IL 60637

[4] Department of Internal Medicine, VA Getting at Patient Safety (GAPS) Center, University of Cincinnati, Cincinnati, OH 45220

来源：

Cognition, Technology & Work | 2007年 / 9卷 / 3期

关键词：

Resident Physician; High Glucose Level; Nurse Manager; Clinical Nurse Specialist; Rapid Response Team;

D O I：

10.1007/s10111-006-0054-8

中图分类号：

学科分类号：

摘要：

Resilience, the ability to adapt or absorb disturbance, disruption, and change, may be increased by team processes in a complex, socio-technical system. In particular, collaborative cross-checking is a strategy where at least two individuals or groups with different perspectives examine the others' assumptions and/or actions to assess validity or accuracy. With this strategy, erroneous assessments or actions can be detected quickly enough to mitigate or eliminate negative consequences. In this paper, we seek to add to the understanding of the elements that are needed in effective cross-checking and the limitations of the strategy. We define collaborative cross-checking, describe in detail three healthcare incidents where collaborative cross-checks played a key role, and discuss the implications of emerging patterns. © 2006 Springer-Verlag London Limited.

引用

页码：155 / 162

页数：7

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