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A written assignment, analyzing the managers role in initiating and /or maintaining patient safety, in a chosen health care sett - Essay Example

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Managers Role in Patient Safety Compare and Contrast High Reliability Theory and Normal Accident Theory Introduction Since the last century, the healthcare system in the United States has undergone a number of changes in regards to the creation of policies and models that are meant to improve safety in the healthcare system…
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Download file to see previous pages Although both theories target different aspects, they have been shown to work well when they are used together. The paper will attempt to compare and contrast high reliability theory and normal accident theory. High Reliability Theory High reliability theory suggests that intelligent organizational management and design can prevent serious errors when the following four factors incorporated in the system. These factors include safety as the main concern, high redundancy in both personnel and technical systems, well-established trial-and-error structural learning procedures, and decentralized operations. The main belief of this theory is that errors or accidents can be averted through good organizational management and design (Compton 2008, p77; Malloch 2009, p123). Redundancy improves safety as overlap and duplication can make a system reliable instead of unreliable. Continuous training, simulations, and evaluation further maintain and support high-reliability operations. In addition, trial-and-error learning accidents are thought to be necessary and effective (Malloch 2009, p123). The basic theory of organizational reliability is supposed to integrate the possibility of multiple forms of errors and must speak of the present debate between normal accident scholars and high reliability theorists. ...
Such commitment is very crucial in part since reliable management is a perpetual and an expensive goal (Heimann 2010, p8; Sagan 1993; Welzel 2012). Unless the organizational leaders make safety the priority, it is most likely that they will be motivated to use the funds for other purposes, and therefore, undermine the resource base that is important to the maintenance of reliable performance. Additionally, such an obligation by the organizational leaders is crucial in order to convey this effectively and clearly to the rest of the organization. It is essential to state that hierarchical control is not effective in the absence of a trustworthy commitment to the goals of the organization by the upper-level management (Heimann 2010, p9). The second crucial element of high reliability theory is the necessity for redundancy between and within organizations. When individuals operate in a redundant organization structure, their failings can be limited by the system. In this instance, duplication is an ancillary for perfect sections. Therefore, high reliability theorists state that using redundant organizational designs is a proper means for minimizing the likelihood of failure within the agency (Heimann 2010, p9). The third element of high reliability theory is the development of a culture of reliability in the organization. Appropriate socialization of subordinates can improve safety by encouraging proper and uniform responses by operators in the field. The socialization, in turn, permits the organization to decentralize authority to subordinates with the confidence that they will take proper action concerning safety issues. Because of such decentralization, the organization gets greater ...Download file to see next pagesRead More
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