This Harvard Medical School Continuing Education video examines the question: how does culture influence outcomes in health care?
Dr. Jo Shapiro, MD, an associate professor of otolaryngology—head and neck surgery at Harvard Medical School, identifies culture as an important driver of health care. Patterns of behavior and how they support or undermine psychological safety in the workplace is discussed.
View the playlist: 
• Clinical Errors and Building a Safety...
This video was peer reviewed by Dr. Martina McGrath, MB, BCh, FRCPI, PGDip Med Ed, Associate Physician, Brigham and Women’s Hospital, Instructor of Medicine, Harvard Medical School, to validate the quality and accuracy of the content.
References for playlist: Clinical Errors and Building a Safety Culture with Dr. Jo Shapiro:
Davenport DL, Henderson WG, Mosca CL, Khuri SF, Mentzer RM Jr. Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. J Am Coll Surg. 2007;205(6):778-784. https://doi:10.1016/j.jamcollsurg.2007.07.039
Edmondson A. Psychological Safety and Learning Behavior in Work Teams. Administrative Science Quarterly, 44 (1999): 354. https://doi.org/10.2307/2666999
Higgins, Monica & Weiner, Jennie. (2014). Weathering the Storm: Effects of Psychological Safety and Accountability on Performance. Academy of Management Proceedings. 2014. 12561-12561. 10.5465/AMBPP.2014.12561abstract.
Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-685. https://doi:10.1016/j.amjsurg.2008.03.002
Pavlidis I, Zavlin D, Khatri AR, Wesley A, Panagopoulos G, Echo A. Absence of Stressful Conditions Accelerates Dexterous Skill Acquisition in Surgery. Sci Rep. 2019;9(1):1747. Published 2019 Feb 11. https://doi:10.1038/s41598-019-38727-z
Shanafelt TD, Gorringe G, Menaker R, et al. Impact of organizational leadership on physician burnout and satisfaction. Mayo Clin Proc. 2015;90(4):432-440. https://doi:10.1016/j.mayocp.2015.01.012
• Clinical Errors and Building a Safety...
This video was peer reviewed by Dr. Martina McGrath, MB, BCh, FRCPI, PGDip Med Ed, Associate Physician, Brigham and Women’s Hospital, Instructor of Medicine, Harvard Medical School, to validate the quality and accuracy of the content.
References for playlist: Clinical Errors and Building a Safety Culture with Dr. Jo Shapiro:
Davenport DL, Henderson WG, Mosca CL, Khuri SF, Mentzer RM Jr. Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. J Am Coll Surg. 2007;205(6):778-784. https://doi:10.1016/j.jamcollsurg.2007.07.039
Edmondson A. Psychological Safety and Learning Behavior in Work Teams. Administrative Science Quarterly, 44 (1999): 354. https://doi.org/10.2307/2666999
Higgins, Monica & Weiner, Jennie. (2014). Weathering the Storm: Effects of Psychological Safety and Accountability on Performance. Academy of Management Proceedings. 2014. 12561-12561. 10.5465/AMBPP.2014.12561abstract.
Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-685. https://doi:10.1016/j.amjsurg.2008.03.002
Pavlidis I, Zavlin D, Khatri AR, Wesley A, Panagopoulos G, Echo A. Absence of Stressful Conditions Accelerates Dexterous Skill Acquisition in Surgery. Sci Rep. 2019;9(1):1747. Published 2019 Feb 11. https://doi:10.1038/s41598-019-38727-z
Shanafelt TD, Gorringe G, Menaker R, et al. Impact of organizational leadership on physician burnout and satisfaction. Mayo Clin Proc. 2015;90(4):432-440. https://doi:10.1016/j.mayocp.2015.01.012
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