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Could Preoccupation With Failure Lead Us to Fail?

Sarah Tosoni1, Kathleen A Sheehan, Lucas B Chartier

  • 1Author Affiliations: University Health Network, Toronto, Ontario, Canada (Drs Tosoni, Sheehan, and Chartier).

Quality Management in Health Care
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Summary

High reliability organizations face a paradox: focusing on failure can decrease healthcare worker self-efficacy and performance. Well-structured quality improvement initiatives can mitigate this by supporting a confident workforce.

Keywords:
high reliability organizationpreoccupation with failurequality improvementwellness

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Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Patient Safety

Background:

  • Preoccupation with failure is key for high reliability organizations.
  • Promoting self-efficacy is crucial for healthcare worker satisfaction, performance, and wellness.
  • These two priorities may conflict, creating a paradox.

Purpose of the Study:

  • To examine the conflict between preoccupation with failure and self-efficacy promotion in healthcare.
  • To propose solutions for mitigating the negative impact of failure focus on healthcare workers.

Main Methods:

  • This is a commentary discussing theoretical concepts.
  • It analyzes the relationship between organizational priorities and individual psychological states.
  • It proposes a framework for quality improvement initiatives.

Main Results:

  • Focusing on failure can undermine self-efficacy, potentially decreasing task performance.
  • This creates a "preoccupation with failure-wellness paradox" for healthcare leaders.
  • Structured quality improvement initiatives can buffer this negative effect.

Conclusions:

  • Healthcare quality and safety leaders face a significant challenge balancing failure focus and worker well-being.
  • Well-structured quality improvement initiatives with adequate training and resources can foster a confident and productive workforce.
  • These initiatives can reconcile the preoccupation with failure and the need for a supported workforce.