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).
Abstract:
Preoccupation with failure is a foundational component of high reliability organizations. However, this can work in opposition to a simultaneous and arguably conflicting priority, the promotion of self-efficacy, which is linked to healthcare worker satisfaction, performance and wellness. This commentary posits that focusing on failures can undermine self-efficacy, which may lead to decreased task performance. This results in today's healthcare quality and safety leaders facing a catch-22 and a preoccupation with failure-wellness paradox. We propose that institutional quality improvement initiatives, when well-structured with appropriate training and focused resources, can serve as a buffer between the preoccupation with failure and a confident, engaged, and productive workforce.
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