PT  - JOURNAL ARTICLE
AU  - Raghunathan, Karthik
TI  - Checklists, safety, my culture and me
AID  - 10.1136/bmjqs-2011-000608
DP  - 2012 Jul 01
TA  - BMJ Quality & Safety
PG  - 617--620
VI  - 21
IP  - 7
4099  - http://qualitysafety.bmj.com/content/21/7/617.short
4100  - http://qualitysafety.bmj.com/content/21/7/617.full
SO  - BMJ Qual Saf2012 Jul 01; 21
AB  - The world is not flat. Hierarchy is a fact of life in society and in healthcare institutions. National, specialty-specific and institutional cultures may play an important role in shaping today's patient -safety climate. The influence of power distance on safety interventions is under-studied. Checklists may make power distance-hampered negotiations easier by providing a standardised aviation-like framework for communications and by democratising the environment. By using surveys and simulation, we might discover patterns of potentially hidden yet problematic interactions that might foster maintenance of the error swamp. We need to understand how people interact as members of a group as this is crucial for the development of generalisable safety interventions.