Highly reliable behaviors

Israel Journal of Health Policy Research

Erin S. DuPree¹ 

[1]Joint Commission Center for Transforming Healthcare, 1 Renaissance Blvd, Oakbrook Terrace 60181, IL, USA

关键词: High reliability;    Disruptive behavior;    Nurse-physician conflicts;    Safety culture;   

Others  :  1230016
DOI  :  10.1186/s13584-015-0048-1

 received in 2015-09-21, accepted in 2015-09-21,  发布年份 2015

【 摘 要 】

A lack of respect between nursing and medical disciplines can lead to a lack of trust and disruptive behaviors that are a significant part of the culture of health care today. In order to ensure the best care for all patients, a systematic approach to defining desired and undesired behaviors is a place to begin. A systems view requires an appreciation of local culture and operations. Understanding the underlying root causes in different departments and specialties allows for the development and implementation of sustainable solutions which will ultimately change and transform an organization. Leadership action and commitment at the highest strategic level is essential for this to occur.

【 授权许可】

   
2015 DuPree.

【 参考文献 】

• [1]“disruptive.” Roget’s 21st Century Thesaurus, Third Edition. Philip Lief Group 2009. 23 Aug. 2015. Thesaurus.com. http://www. thesaurus.com/browse/disruptive webcite
• [2]Berman-Kishony T, Shvarts S. Universal versus tailored solutions for alleviating disruptive behavior in hospitals. Isr J Health Policy Res. 2015; 4:26. BioMed Central Full Text
• [3]The Joint Commission. Patient Safety Systems Chapter. Hospital Accreditation manual; 2015. Available at: http://www.jointcommission.org/assets/1/6/PSC_for_Web.pdf (Accessed on August 23, 2015).
• [4]The Joint Commission. Sentinel Event Alert, Issue 40: Behaviors that Undermine a Culture of Safety; 2010. Available at: http://www.jointcommission.org/sentinel_event_alert_issue_40_behaviors_that_undermine_a_culture_of_safety/ (Accessed August 23, 20150.
• [5]Agency for Healthcare Research and Quality. “Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report: Executive Summary.” March 2014. Available at http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/2014/hosp14summ.html. (Accessed on August 23, 2015).
• [6]Institute for Safe Medication Practices, Acute Care Medication Safe Practices Alert. “Unresolved disrespectful behavior in healthcare practitioners speak up (again)-Part I.” October 2013. https://www.ismp.org/newsletters/acutecare/showarticle.aspx?id=60. (Accessed on August 23, 2015).
• [7]Felblinger DM. Bullying, incivility, and disruptive behaviors in the health care setting: identification, impact, and intervention. Front Health Serv Manag. 2009; 25(4):13-23.
• [8]Hickson GB, Pichert JW, Webb LE, Gabbe SG. A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. Acad Med. 2007; 82:1040-8.
• [9]Weick K, Sutcliffe K. Managing the unexpected: resilient performance in an age of uncertainty. 2nd ed. Wiley, San Francisco; 2007.
• [10]Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Jt Comm J Qual Saf. 2015; 41(1):4-12.