Respond to the two student discussion post 1-2 paragraphs for each.

Week Three Discussion 1

Respond to at least two of your classmates' postings with EACH discussion question

Jasmeen Behniwal

In my opinion, the most important attribute at a high-reliability organization would be a preoccupation with errors. This signifies that every error or mistake is a learning opportunity to improve. The expectation of failure to occur rather than success is the main revolving point for work at a high-reliability organization (Joshi, et al., 2014, p.282). Therefore, searching for errors on various scales is the most important attribute. If the organization starts to focus on the errors earlier on before they become large-scaled, then there is a higher chance for improvement in quality of healthcare. An important aspect that should be focused on is discussing these errors in a highly transparent and effective way so there is more learning and less finger pointing. If employees start using this as an opportunity to blame others, instead of turning it into a learning opportunity then this could have negative impacts and other employees will become reluctant to report mistakes. Effective transparency would only be possible in a healthcare organization if leaders, healthcare staff, patients, patient’s families, organizations, and the community are able to see the activities involved in the learning process (Stultz, 2018). 

            As a future healthcare leader, I would use this attribute to improve the quality of care provided. As a leader, it would be my responsibility to implement a culture where there is less blaming and more utilization of learning opportunities. Then, after searching for the causative factors for those mistakes, corrective steps would be taken. In a healthcare organization, there are more precautions that need to be taken as it involves patients lives. 

            I believe a very common cause for errors made in a healthcare organization is burnout. Healthcare workers work very long hours and that is bound to cause mistakes. Extra precaution taken during those hours and seeing which department is experiencing the most mistakes would help reduce tons of medical errors. Hiring more staff and cutting long shift hours would cost less as compared to compensating for the medical errors already made. Even though it is a lengthy task to search for mistakes, it would be beneficial for the organization in the long term. 

 

Reference

Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S. B. (2014). ˜The� healthcare quality book. Health Administration Press. 

Stultz, J. (2018, July 10). High Reliability Organization Toolkit. MHA. https://web.mhanet.com/media-library/high-reliability-organization-toolkit/ 

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Ernst Mombrun

I struggle with this one a little bit. I had a hard deciding between a preoccupation with errors – every error or near miss is an opportunity to learn and improve and commitment to resilience. At the end of the day I chose commitment to resilience. I chose it because we all know mistakes are going to happen no matter how we prepare for them and identify them. They will happen sooner or later, but it is how you respond to them that can save someone life. I need to know that my healthcare team can quickly recover from their mistakes before a crisis happened and if a crisis occur they know how to properly respond to it or have the ability to get out of the crisis. Without a commitment to resilience medical errors will continue to be the third leading cause of death. Out of the 5 steps of HRO I believe commitment to resilience is the most important because it allows you to maintain an effective, adaptive, and a sustainable healthcare team. I also believe commitment to resilience is what makes or break your healthcare team because it allows you to see how your team recovers after an event.

As a future leader I have the ability to impact change when it comes to commitment to resilience. We can talk about resilience all day but how do we build it. I can help built it through effective communication with my healthcare staff. Good communication overall improves morale and confidence within the workforce. I can help my healthcare team grow from their experience. Can you imagine a doctor doing everything they can to save a life and they lose that person and move on to try to safe the next person. I have a role to help them cope with that as much as possible whether it is getting them to talk to a therapist, a vacation or some sort of healthcare. We cannot abuse our healthcare team and expect them to operate at their best. Burnout is real and it cost the medical world about 4.6 billion dollars a year. As a future healthcare leader my role may seem small but it is these small things that will make big impact on the patient and the healthcare team.

Robertson, H. D., Elliott, A. M., Burton, C., Iversen, L., Murchie, P., Porteous, T., & Matheson, C. (2016). Resilience of primary healthcare professionals: a systematic review. The British journal of general practice : the journal of the Royal College of General Practitioners, 66(647), e423–e433.  https://doi.org/10.3399/bjgp16X685261