Highly reliable behaviors.

Erin S Dupree

doi:10.1186/s13584-015-0048-1

Abstract

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.

Highlights

In a recent IJHPR article, authors Berman-Kishony, et al [2] make a significant contribution to the understanding of behaviors in health care delivery
The everyday culture in health care continues to be rampant with incivility [7], even with policies in place
Berman-Kishony’s work takes an important step in understanding different departments and specialties. This analysis is important for the development and implementation of interventions (Improve) that will eliminate disruptive behaviors

Summary

Introduction

The everyday culture in health care continues to be rampant with incivility [7], even with policies in place. Given the prevalence of these behaviors in health care, lack of substantial progress, and growing body of evidence that links poor behaviors with poor patient outcomes, leaders can work to determine the root causes that continue to produce unacceptable behaviors in order to change the system. Effective process improvement includes both a leadership commitment and the engagement of front line staff that know the operations of a unit the best.

Results

Conclusion