The 2018 Gosport Independent Panel report into deaths at the National Health Service’s Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes?

References

• Arnsdorf, I., J. Dawsey, and D. Lippman. 2016. “Will ‘Drain the Swamp’ Be Trump’s First Broken Promise?” December 22. Accessed 12 July 2018. https://www.politico.com/story/2016/12/trump-drain-swamp-promise-232938
   Google Scholar
• Bennett, S. A. 2011. “Human Factors for Maintenance Engineers and Others—A Prerequisite for Success.” In Encyclopedia of Aerospace Engineering, edited by R. Blockley and W. Shyy, 4703–4710. Chichester: Wiley.
   Google Scholar
• Bennett, S. A. 2017a. “Aviation’s Normal Operations Safety Audit: A Safety Management and Educational Tool for Health Care? Results of a Small-Scale Trial.” Risk Management and Healthcare Policy 10: 147–165.
   PubMed Web of Science ®Google Scholar
• Bennett, S. A. 2017b. “The March, 2011 Fukushima Daiichi Nuclear Power Plant Disaster – A Foreseeable System Accident?” In Asia/Pacific Security Challenges: Managing Black Swans and Persistent Threats, edited by A. J. Masys, 123–137. Cham: Springer International Publishing.
   Google Scholar
• Bowles, D., and C. Cooper. 2009. Employee Morale: Driving Performance in Challenging Times. London: Palgrave Macmillan.
   Google Scholar
• British Broadcasting Corporation. 2018. “Nurse Lucy Letby arrested over Chester Hospital baby deaths.” Accessed 12 July 2018. https://www.bbc.co.uk/news/uk-england-merseyside-44709766
   Google Scholar
• Canadian Institute for Health Information (CIHI). 2003. Health Care in Canada 2004 – A Focus on Safe Care. Toronto: Canadian Institute for Health Information.
   Google Scholar
• Challenger, R., C. W. Clegg, and M. Robinson. 2010. Understanding crowd behaviours, Vol. 1. Practical Guidance and Lessons Identified. London: Her Majesty’s Stationery Office.
   Google Scholar
• Dekker, S. W. A. 2014. The Field Guide to Understanding ‘Human Error’, 3rd ed. Farnham: Ashgate Publishing Ltd.
   Google Scholar
• Department of Health and Social Care. 2018. Learning from Gosport. The Government Response to the Report of the Gosport Independent Panel. London: Department of Health and Social Care.
   Google Scholar
• Fairlie, H. 1955. “Political Commentary.” The Spectator, September 23. http://archive.spectator.co.uk/article/23rd-september-1955/5/political-commentary
   Google Scholar
• Gaba, D. M., S. J. Singer, A. D. Sinaiko, J. D. Bowen, and A. P. Ciavarelli. 2003. “Differences in Safety Climate between Hospital Personnel and Naval Aviators.” Human Factors: The Journal of the Human Factors and Ergonomics Society 45 (2): 173–185. doi: 10.1518/hfes.45.2.175.27238.
   PubMed Web of Science ®Google Scholar
• Gagnon, L. 2004. “Medical error affects nearly 25% of Canadians, July 20.” Accessed 12 July 2018. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC450352/
   Google Scholar
• Gosport Independent Panel. 2018. Gosport War Memorial Hospital. The Report of the Gosport Independent Panel. London: Her Majesty’s Stationery Office.
   Google Scholar
• Healtheuropa 2018. “Sixth Annual World Patient Safety, Science and Technology Summit, 25th April.” Accessed 25 August 2018. https://www.healtheuropa.eu/6th-annual-world-patient-safety-science-technology-summit
   Google Scholar
• Helmreich, R. L., and A. Merritt. 2001. Culture at Work in Aviation and Medicine. Aldershot: Ashgate Publishing Ltd.
   Google Scholar
• Hollnagel, E. 2004. Barriers and Accident Prevention. Aldershot: Ashgate Publishing Ltd.
   Google Scholar
• Hollnagel, E., Braithwaite, J. and R.L. Wears, editors. 2013. Resilient Health Care. Farnham: Ashgate Publishing Ltd.
   Google Scholar
• House of Commons Public Administration and Constitutional Affairs Committee. 2016. PHSO Review: Quality of NHS Complaints Investigations. London: House of Commons.
   Google Scholar
• Janis, I. L. 1972. Victims of Groupthink: A Psychological Study of Foreign-Policy Decisions and Fiascoes. Boston: Houghton Mifflin.
   Google Scholar
• Johnson, S. 2016. “NHS Staff Lay Bare a Bullying Culture.” The Guardian, October 26. https://www.theguardian.com/society/2016/oct/26/nhs-staff-bullying-culture-guardian-survey
   Google Scholar
• Leyens, J. P., P. M. Paladino, R. Rodriguez-Torres, J. Vaes, S. Demoulin, A. Rodriguez-Perez, and R. Gaunt. 2000. “The Emotional Side of Prejudice: The Attribution of Secondary Emotions to Ingroups and Outgroups.” Personality and Social Psychology Review 4 (2): 186–187. doi: 10.1207/S15327957PSPR0402_06.
   Web of Science ®Google Scholar
• O’Connor, P., A. O'dea, S. Lydon, G. Offiah, J. Scott, A. Flannery, B. Lang, A. Hoban, C. Armstrong, and D. Byrne. 2016. “A Mixed-Methods Study of the Causes and Impact of Poor Teamwork between Junior Doctors and Nurses.” International Journal for Quality in Health Care 28 (3): 339–345. doi: 10.1093/intqhc/mzw036.
   PubMed Web of Science ®Google Scholar
• Parliamentary and Health Service Ombudsman. 2016. Learning from Mistakes. London: House of Commons.
   Google Scholar
• Perrow, C. 1984. Normal Accidents: Living with High-Risk Technologies. New York: Basic Books.
   Google Scholar
• Reason, J. T. 1990. Human Error. Cambridge: Cambridge University Press.
   Google Scholar
• Robertson, J. J., and B. Long. 2018. “Suffering in Silence: Medical Error and Its Impact on Health Care Providers.” Journal of Emergency Medicine 54 (4): 402–409. doi: 10.1016/j.jemermed.2017.12.001.
   PubMed Web of Science ®Google Scholar
• Rudgard, O., P. Sawer, E. Steafel, and F. Marshall. 2018. “Hampshire Police Hand Investigation into Gosport Hospital Deaths to Another Force after Admitting Failings.” The Daily Telegraph, June 21. https://www.telegraph.co.uk/news/2018/06/21/hampshire-police-hand-investigation-gosport-hospital-deaths/
   Google Scholar
• Soydemir, D., S. Seren Intepeler, and H. Mert. 2017. “Barriers to Medical Error Reporting for Physicians and Nurses.” Western Journal of Nursing Research 39 (10): 1348–1363.
   PubMed Web of Science ®Google Scholar
• Spendlove, Z. 2018. “Medical Revalidation as Professional Regulatory Reform: Challenging the Power of Enforceable Trust in the United Kingdom.” Social Science and Medicine 205: 64–71. doi: 10.1016/j.socscimed.2018.04.004.
   PubMed Web of Science ®Google Scholar
• Taylor, P., J. Richardson, A. Yeo, I. Marsh, K. Trobe, and A. Pilkington. 1995. Sociology in Focus. Ormskirk: Causeway Press.
   Google Scholar
• Triggle, N. 2018. “Shipman, Bristol, Stafford, Morecambe Bay - and now Gosport.” BBC, June 20. Accessed 12 July 2018. https://www.bbc.co.uk/news/health-44550913
   Google Scholar
• Turner, B. A. 1978. Man-Made Disasters, 1st ed. London: Wykeham Publications.
   Google Scholar
• Vaughan, D. 1996. The Challenger Launch Decision: Risky Technology, Culture and Deviance at NASA. Chicago: University of Chicago Press.
   Google Scholar
• Waterson, P., and K. Catchpole. 2016. “Human Factors in Healthcare: Welcome Progress, but Still Scratching the Surface.” BMJ Quality & Safety 25 (7): 480–484. doi: 10.1136/bmjqs-2015-005074.
   PubMed Web of Science ®Google Scholar