Respiratory diseases associated with finger clubbing include chronic obstructive pulmonary disease (COPD), lung cancer, cystic fibrosis (thick mucus in the throat and digestive tract), and bronchiectasis (destruction of the large airways).
Safety culture is fundamentally a local problem, in that wide variations in the perception of safety culture can exist within a single organization. The perception of safety culture might be high in one unit within a hospital and low in another unit, or high among management and low among frontline workers. Research also shows that individual provider burnout negatively affects safety culture perception.
A robust safety coach program is believed to be key in reinforcing error prevention behaviors throughout the medical center. Changing behavior is a fundamental step in developing a culture of high reliability. One key outcome of a culture of high reliability is reduction in serious safety events. Serious safety events result when deviation from best practice care causes significant harm to a patient.