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Decreasing medical malpractice: toward an organizational systems approach
1Graduate Program in Public Administration, Pennsylvania State University, Harrisburg.
Health Care Management Review
|January 1, 1989
Summary
This study presents a systems model to reduce malpractice by addressing technical, structural, psychosocial, managerial, and cultural aspects within healthcare organizations. Implementing these strategies can improve patient safety and organizational performance.
Area of Science:
- Healthcare Management
- Patient Safety
- Systems Engineering
Background:
- Medical malpractice poses significant risks to patient safety and healthcare costs.
- Existing malpractice reduction strategies often lack a holistic organizational approach.
Purpose of the Study:
- To develop and present a comprehensive systems model for malpractice reduction.
- To identify actionable strategies across key organizational subsystems.
Main Methods:
- A systems model framework was utilized.
- Analysis focused on five organizational subsystems: technical, structural, psychosocial, managerial, and cultural (goals and values).
Main Results:
- The study outlines specific malpractice reduction strategies tailored to each of the five subsystems.
- The model provides a structured approach to identifying and mitigating malpractice risks.
Conclusions:
- A systems-based approach is effective for comprehensive malpractice reduction.
- Targeting technical, structural, psychosocial, managerial, and cultural subsystems can enhance patient safety and organizational integrity.