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Management of Inappropriate Behaviors by Healthcare Risk Managers

机译：医疗保健风险管理人员对不当行为的管理

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摘要

Medical errors are the 3rd leading cause of death in the U.S. The problem is timely recognition and management of inappropriate healthcare worker behaviors that lead to intimidation and loss of staff focus, eventually leading to errors. The purpose of this qualitative modified Delphi study was to seek consensus among a panel of experts in hospital risk management practices on the practical methods for early detection of inappropriate behaviors among hospital staff, which may be used by hospital managers to considerably mitigate the risk of medical mishaps. High reliability theory guided the research process, utilizing the conceptual framework of fair and just culture patient safety model. A single research question asked what level of consensus exists among hospital risk management experts as to the practical methods for early detection of inappropriate behavior among hospital staff, which managers may use to ultimately mitigate the risk of preventable medical mishaps. This study included nonprobability purposive sampling (n=34) and 3 rounds of questionnaires. Consensus was reached on 8 factors: setting expectations, developing a culture of respect, holding staff accountable, enforcing a zero-tolerance policy, confidentiality of reporting, communicating expected behavior, open communication, and investigating inappropriate behaviors. The implications for positive social change include a better understanding of inappropriate behaviors among healthcare workers as well as the potential to minimize its negative impacts and improve patient safety in healthcare organizations.
机译：医疗错误是美国第三大死亡原因。问题在于及时识别和管理不当的医护人员行为，从而导致恐吓和失去工作人员专注力，最终导致错误。这项德尔福定性研究的目的是在医院风险管理实践的专家小组中就早期发现医院工作人员不当行为的实用方法寻求共识，医院管理人员可以使用这些方法来大大减轻医疗风险。不幸高可靠性理论利用公平公正的患者文化安全模型的概念框架指导了研究过程。有一个研究问题询问了医院风险管理专家之间关于在医院工作人员中早期发现不当行为的实际方法的共识程度，管理人员可以使用这些方法最终减轻可预防的医疗事故的风险。这项研究包括非概率目的抽样（n = 34）和3轮问卷调查。在以下8个因素上达成了共识：设定期望，建立尊重的文化，要求员工负责，执行零容忍政策，报告的机密性，传达预期的行为，公开交流以及调查不当行为。积极的社会变革的含义包括更好地了解医护人员之间的不当行为，以及最大程度地减少其负面影响并改善医疗机构中患者安全的潜力。

著录项

  • 作者

    Ebrahim Zadeh, Sahar.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Health care management.;Management.
  • 学位 Ph.D.
  • 年度 2018
  • 页码 194 p.
  • 总页数 194
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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