References
- Antonsen, S. 2009. “Safety Culture and the Issue of Power.” Safety Science 47 (2): 183–191. doi:https://doi.org/10.1016/j.ssci.2008.02.004.
- Argyris, C. 1976. “Single-Loop and Double-Loop Models in Research on Decision Making.” Administrative Science Quarterly 21 (3): 363–375. doi:https://doi.org/10.2307/2391848.
- Armitage, G., S. Moore, C. Reynolds, P.-A. Laloë, C. Coulson, R. McEachan, R. Lawton, I. Watt, J. Wright, and J. O’Hara. 2018. “Patient-Reported Safety Incidents as a New Source of Patient Safety Data: An Exploratory Comparative Study in an Acute Hospital in England.” Journal of Health Services Research & Policy 23 (1): 36–43. doi:https://doi.org/10.1177/1355819617727563.
- Attride-Stirling, J. 2001. “Thematic Networks: An Analytic Tool for Qualitative Research.” Qualitative Research 1 (3): 385–405. doi:https://doi.org/10.1177/146879410100100307.
- Bazzoli, A, and M. Curcuruto. 2020. “Safety Leadership and Safety Voices: Exploring the Mediation Role of Proactive Motivations.” Journal of Risk Research 24: 1–20.
- Bazzoli, A., M. Curcuruto, J. I. Morgan, M. Brondino, and M. Pasini. 2020. “Speaking up about Workplace Safety: An Experimental Study on Safety Leadership.” Sustainability 12 (18): 7458. doi:https://doi.org/10.3390/su12187458.
- Beus, J. M., M. A. McCord, and D. Zohar. 2016. “Workplace Safety: A Review and Research Synthesis.” Organizational Psychology Review 6 (4): 352–381. doi:https://doi.org/10.1177/2041386615626243.
- Bienefeld, N, and G. Grote. 2014. “Speaking up in Ad Hoc Multiteam Systems: Individual-Level Effects of Psychological Safety, Status, and Leadership within and across Teams.” European Journal of Work and Organizational Psychology 23 (6): 930–945. doi:https://doi.org/10.1080/1359432X.2013.808398.
- Bisbey, T. M., M. P. Kilcullen, E. J. Thomas, M. J. Ottosen, K. Tsao, and E. Salas. 2020. “Safety Culture: An Integration of Existing Models and a Framework for Understanding Its Development.” Human Factors 63: 88–110.
- Braun, V, and V. Clarke. 2006. “Using
- Chilton, S., J. Covey, L. Hopkins, M. Jones-Lee, G. Loomes, N. Pidgeon, and A. Spencer. 2002. “Public Perceptions of Risk and Preference-Based Values of Safety.” Journal of Risk and Uncertainty 25 (3): 211–232. doi:https://doi.org/10.1023/A:1020962104810.
- Cigularov, K. P., P. Y. Chen, and J. Rosecrance. 2010. “The Effects of Error Management Climate and Safety Communication on Safety: A Multi-Level Study.” Accident; Analysis and Prevention 42 (5): 1498–1506. doi:https://doi.org/10.1016/j.aap.2010.01.003.
- Conchie, S. M., P. J. Taylor, and I. J. Donald. 2012. “Promoting Safety Voice with Safety-Specific Transformational Leadership: The Mediating Role of Two Dimensions of Trust.” Journal of Occupational Health Psychology 17 (1): 105–115.
- Corbin, J, and A. Strauss. 2014. Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Thousand Oaks, CA: Sage publications.
- Crabtree, B, and W. Miller. 1999. Doing Qualitative Research. Thousand Oaks, CA: Sage Publications.
- Curcuruto, M, and M. A. Griffin. 2018. “Prosocial and Proactive “Safety Citizenship Behaviour” (SCB): The Mediating Role of Affective Commitment and Psychological Ownership.” Safety Science 104: 29–38. doi:https://doi.org/10.1016/j.ssci.2017.12.010.
- Curcuruto, M., K. Strauss, C. Axtell, and M. A. Griffin. 2020. “Voicing for Safety in the Workplace: A Proactive Goal-Regulation Perspective.” Safety Science 131: 104902. doi:https://doi.org/10.1016/j.ssci.2020.104902.
- Donaldson, L. J., S. S. Panesar, and A. Darzi. 2014. “Patient-safety-related hospital deaths in England: Thematic analysis of incidents reported to a national database, 2010–2012.” PLoS Medicine 11 (6): e1001667. doi:https://doi.org/10.1371/journal.pmed.1001667.
- Dugan, J. R., and D. R. Breda. 1991. “Complaints about Police Officers: A Comparison among Types and Agencies.” Journal of Criminal Justice 19 (2): 165–171. doi:https://doi.org/10.1016/0047-2352(91)90050-6.
- Edmondson, A. C. 2018. The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. New Jersey: John Wiley & Sons.
- Eisenhardt, K. M. 1989. “Building Theories from Case Study Research.” The Academy of Management Review 14 (4): 532–550. doi:https://doi.org/10.2307/258557.
- Entwistle, V. A., D. McCaughan, I. S. Watt, Y. Birks, J. Hall, M. Peat, B. Williams, and J. Wright. 2010. “Speaking up about Safety Concerns: Multi-Setting Qualitative Study of Patients’ Views and Experiences.” Quality and Safety in Health Care 19 (6): e33–e33.
- Francis, R. 2010. Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust January 2005–March 2009 (Vol. 375). London: The Stationery Office. https://www.gov.uk/government/publications/independent-inquiry-into-care-provided-by-mid-staffordshire-nhs-foundation-trust-january-2001-to-march-2009.
- Francis, R. 2013. Report of the mid-Staffordshire NHS Foundation Trust Public Inquiry. https://www.gov.uk/government/publications/report-of-the-mid-staffordshire-nhs-foundation-trust-public-inquiry
- Freeman, R. E. 1984. Strategic Management: A Stakeholder Approach. Boston: Pitman.
- Gillespie, A. 2020. “Disruption, Self-Presentation, and Defensive Tactics at the Threshold of Learning.” Review of General Psychology 24 (4): 382–396. doi:https://doi.org/10.1177/1089268020914258.
- Gillespie, A, and T. Reader. 2018. “Patient-Centered Insights: Using Healthcare Complaints to Reveal Hotspots and Blindspots in Quality and Safety.” The Milbank Quarterly 96 (3): 530–567. doi:https://doi.org/10.1111/1468-0009.12338.
- Griffin, M. A., J. Cordery, and C. Soo. 2016. “Dynamic Safety Capability: How Organizations Proactively Change Core Safety Systems.” Organizational Psychology Review 6 (3): 248–272. doi:https://doi.org/10.1177/2041386615590679.
- Griffin, M. A., and A. Neal. 2000. “Perceptions of Safety at Work: A Framework for Linking Safety Climate to Safety Performance, Knowledge, and Motivation.” Journal of Occupational Health Psychology 5 (3): 347–358.
- Hald, E. J., A. Gillespie, and T. W. Reader. 2021. “Causal and Corrective Organisational Culture: A Systematic Review of Case Studies of Institutional Failure.” Journal of Business Ethics 174: 457–483.
- He, G., A. P. Mol, L. Zhang, and Y. Lu. 2014. “Nuclear Power in China after Fukushima: Understanding Public Knowledge, Attitudes, and Trust.” Journal of Risk Research 17 (4): 435–451. doi:https://doi.org/10.1080/13669877.2012.726251.
- Hofmann, D. A., and A. Stetzer. 1998. “The Role of Safety Climate and Communication in Accident Interpretation: Implications for Learning from Negative Events.” Academy of Management Journal 41 (6): 644–657.
- Howell, A.-M., E. M. Burns, G. Bouras, L. J. Donaldson, T. Athanasiou, and A. Darzi. 2015. “Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? Results from a Quantitative Analysis of the English National Reporting and Learning System Data.” Plos ONE 10 (12): e0144107. doi:https://doi.org/10.1371/journal.pone.0144107.
- Johnson, B. B. 1999. “Exploring Dimensionality in the Origins of Hazard-Related Trust.” Journal of Risk Research 2 (4): 325–354. doi:https://doi.org/10.1080/136698799376763.
- Lawton, Rebecca., Jane Kathryn. O’Hara, Laura. Sheard, Gerry. Armitage, Kim. Cocks, Hannah. Buckley, Belen. Corbacho, et al. 2017. “Can Patient Involvement Improve Patient Safety? A Cluster Randomised Control Trial of the Patient Reporting and Action for a Safe Environment (PRASE) Intervention.” BMJ Quality & Safety 26 (8): 622–631. doi:https://doi.org/10.1136/bmjqs-2016-005570.
- Levtzion-Korach, Osnat., Allan. Frankel, Hanna. Alcalai, Carol. Keohane, John. Orav, Erin. Graydon-Baker, Janet. Barnes, et al. 2010. “Integrating Incident Data from Five Reporting Systems to Assess Patient Safety: Making Sense of the Elephant.” Joint Commission Journal on Quality and Patient Safety 36 (9): 402–410.
- MacLeod, G. 2018. “The Grenfell Tower Atrocity: Exposing Urban Worlds of Inequality, Injustice, and an Impaired Democracy.” City 22 (4): 460–489. doi:https://doi.org/10.1080/13604813.2018.1507099.
- Macnamara, J. 2018. “Toward a Theory and Practice of Organizational Listening.” International Journal of Listening 32 (1): 1–23. doi:https://doi.org/10.1080/10904018.2017.1375076.
- Macrae, C. 2009. “Making Risks Visible: Identifying and Interpreting Threats to Airline Flight Safety.” Journal of Occupational and Organizational Psychology 82 (2): 273–293. doi:https://doi.org/10.1348/096317908X314045.
- Macrae, C. 2014a. Close Calls: Managing Risk and Resilience in Airline Flight Safety. London: Palgrave.
- Macrae, C. 2014b. “Early Warnings, Weak Signals and Learning from Healthcare Disasters.” BMJ Quality & Safety 23 (6): 440–445. doi:https://doi.org/10.1136/bmjqs-2013-002685.
- Mannion, R, and H. T. Davies. 2015. “Cultures of Silence and Cultures of Voice: The Role of Whistleblowing in Healthcare Organisations.” International Journal of Health Policy and Management 4 (8): 503–505.
- Martínez-Córcoles, M, and T. J. Vogus. 2020. “Mindful Organizing for Safety.” Safety Science 124: e104614–e104614. doi:https://doi.org/10.1016/j.ssci.2020.104614.
- Miceli, M. P. J. P. Near, and T. M. Dworkin. 2008. Whistle-Blowing in Organizations. New York: Lexington.
- Morrison, E. W. 2014. “Employee Voice and Silence.” Annual Review of Organizational Psychology and Organizational Behavior 1 (1): 173–197. doi:https://doi.org/10.1146/annurev-orgpsych-031413-091328.
- Nembhard, I, and A. C. Edmondson. 2006. “Making It Safe: The Effects of Leader Inclusiveness and Professional Status on Psychological Safety and Improvement Efforts in Health Care Teams.” Journal of Organizational Behavior 27 (7): 941–966. doi:https://doi.org/10.1002/job.413.
- Noort, M. C., T. W. Reader, and A. Gillespie. 2019. “Speaking up to Prevent Harm: A Systematic Review of the Safety Voice Literature.” Safety Science 117: 375–387. doi:https://doi.org/10.1016/j.ssci.2019.04.039.
- Noort, M. C., T. W. Reader, and A. Gillespie. 2021. “Safety Voice and Safety Listening during Aviation Accidents: Cockpit Voice Recordings Reveal That Speaking-up to Power is Not Enough.” Safety Science 139: 105260. doi:https://doi.org/10.1016/j.ssci.2021.105260.
- Nowell, L. S., J. M. Norris, D. E. White, and N. J. Moules. 2017. “Thematic Analysis: Striving to Meet the Trustworthiness Criteria.” International Journal of Qualitative Methods 16 (1): 160940691773384–160940691773313. doi:https://doi.org/10.1177/1609406917733847.
- O’Hara, Jane K., Caroline. Reynolds, Sally. Moore, Gerry. Armitage, Laura. Sheard, Claire. Marsh, Ian. Watt, John. Wright, and Rebecca. Lawton. 2018. “What Can Patients Tell us about the Quality and Safety of Hospital Care? Findings from a UK Multicentre Survey Study.” BMJ Quality & Safety 27 (9): 673–682.
- Reader, T. W., and A. Gillespie. 2021. “Stakeholders in Safety: Patient Reports on Unsafe Clinical Behaviors Distinguish Hospital Mortality Rates.” The Journal of Applied Psychology 106 (3): 439–451.
- Research in Psychology 3 (2): 77–101. [Database] doi:https://doi.org/10.1191/1478088706qp063oa.
- Schiffinger, M., M. Latzke, and J. Steyrer. 2016. “Two Sides of the Safety Coin?: How Patient Engagement and Safety Climate Jointly Affect Error Occurrence in Hospital Units.” Health Care Management Review 41 (4): 356–367.
- Schwappach, D. L. 2010. “Review: Engaging Patients as Vigilant Partners in Safety: A Systematic Review.” Medical Care Research and Review: MCRR 67 (2): 119–148. doi:https://doi.org/10.1177/1077558709342254.
- Tucker, S, and N. Turner. 2015. “Sometimes It Hurts When Supervisors Don’t Listen: The Antecedents and Consequences of Safety Voice among Young Workers.” Journal of Occupational Health Psychology 20 (1): 72–81.
- Turner, B. A. 1976. “The Organizational and Interorganizational Development of Disasters.” Administrative Science Quarterly 21 (3): 378–397. doi:https://doi.org/10.2307/2391850.
- Turner, B. A., and N. F. Pidgeon. 1997. Man-Made Disasters. London: Butterworth-Heinemann.
- Vincent, C. 2011. Patient Safety. London: John Wiley & Sons.
- Waring, J. J. 2005. “Beyond Blame: Cultural Barriers to Medical Incident Reporting.” Social Science & Medicine (1982) 60 (9): 1927–1935. doi:https://doi.org/10.1016/j.socscimed.2004.08.055.
- Weick, K. E., and K. M. Sutcliffe. 2007. Managing the Unexpected: Resilient Performance in an Age of Uncertainty. San Francisco, CA: Jossey-Bass.
- Westrum, R. 2004. “A Typology of Organisational Cultures.” Quality and Safety in Health Care 13 (suppl_2): ii22–ii27. doi:https://doi.org/10.1136/qshc.2003.009522.
- Westrum, R. 2014. “The Study of Information Flow: A Personal Journey.” Safety Science 67: 58–63. doi:https://doi.org/10.1016/j.ssci.2014.01.009.