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Deference to Expertise: Making Care Safer
Creative Nursing
|February 16, 2017
Summary
High-reliability organizations (HROs) enhance patient safety by fostering a culture where all healthcare staff feel empowered to voice concerns. This promotes quality improvement and safer patient care delivery.
Area of Science:
- Healthcare Quality Improvement
- Patient Safety Research
- Organizational Psychology in Healthcare
Background:
- The Institute of Medicine's 1999 report, 'To Err Is Human,' highlighted critical patient safety issues.
- Healthcare organizations have since focused on improving patient care safety and quality.
- High-reliability organizations (HROs) represent a key strategy to enhance safety initiatives.
Purpose of the Study:
- To explore the concept of deference to expertise within HROs.
- To describe structural elements that empower healthcare personnel to speak up.
- To provide practical, evidence-based tools for encouraging open communication in healthcare teams.
Main Methods:
- Literature review on high-reliability organizations and patient safety.
- Analysis of organizational structures supporting staff voice.
- Identification and description of practical tools for promoting open communication.
Main Results:
- Deference to expertise is a crucial element of HROs.
- Specific structural supports enable nurses and other staff to voice concerns effectively.
- Evidence-based tools can be implemented to foster a speak-up culture.
Conclusions:
- Implementing HRO principles, particularly deference to expertise, is vital for patient safety.
- Creating supportive structures encourages healthcare professionals to speak up, improving care quality.
- Practical tools can facilitate the adoption of a culture of open communication and safety.
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