"Managing up" can improve teamwork in the OR.

Area of Science:

• Healthcare Management
• Patient Safety
• Professional Accountability

Background:

• Professional conduct and policy adherence are crucial in perioperative settings.
• Accountability traditionally rests with management but can be a shared responsibility.
• A supportive environment is needed for staff to address negative behaviors.

Purpose of the Study:

• To explore the concept of "managing up" in perioperative settings.
• To emphasize shared accountability among all team members.
• To identify factors enabling a culture of mutual accountability.

Main Methods:

• Conceptual analysis of workplace accountability in healthcare.
• Discussion of the "managing up" phenomenon.
• Identification of necessary components for fostering this culture.

Main Results:

• Shared accountability enhances professional behavior and policy adherence.
• "Managing up" involves respectful communication and constructive correction.
• Empowerment requires education, management support, and staff assertiveness.

Conclusions:

• Individual accountability and teamwork are vital for patient safety.
• A culture of "managing up" improves patient care delivery.
• Shared responsibility strengthens the perioperative work environment.