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Assessment of Stress Effects on Cognitive Flexibility using an Operant Strategy Shifting Paradigm
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Seizing opportunities for change at the operational level.

Diana Restrepo1, Julie Charron-Latour1, Hugo Pourmonet1

  • 1Department of Industrial Engineering, Polytechnique Montreal, Montreal, Canada.

International Journal of Health Care Quality Assurance
|April 28, 2016
PubMed
Summary

Healthcare floor staff can now improve daily work with a new method. This approach significantly increased idea generation and reduced action times, empowering teams and enhancing communication.

Keywords:
Continuous quality improvementEmployee involvementEvidence-based practiceOrganizational change

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Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Organizational Behavior

Background:

  • Healthcare institutions face numerous incidents and accidents annually, placing a significant burden on floor staff.
  • Existing literature highlights challenges in addressing everyday improvement opportunities within healthcare settings.
  • The need for effective methods to support frontline staff in problem-solving is critical.

Purpose of the Study:

  • To introduce and evaluate a novel method for empowering healthcare floor staff to manage daily improvement opportunities.
  • To increase the visibility of challenges faced by frontline staff in healthcare quality improvement.
  • To provide better support for healthcare employees in addressing workplace improvements.

Main Methods:

  • A literature review identified existing organizational issues related to improvement initiatives.
  • A new method was developed and proposed based on identified gaps.
  • The method was piloted in an internal medicine unit at Centre Hospitalier de l'Université de Montréal over three months.

Main Results:

  • The proposed method resulted in a 68% increase in ideas generated per person per week compared to a reference study.
  • The average time to close actions was reduced by 41% compared to the reference case.
  • Employee empowerment, operationalization of continuous improvement, and strengthened team communication were observed.

Conclusions:

  • The developed method offers a practical and effective approach for frontline healthcare staff to drive continuous improvement.
  • The study demonstrates the potential for significant gains in idea generation and efficiency through staff empowerment.
  • Further research with a longer duration is recommended to gather more comprehensive data.