Becoming an Organization That Values Learning Over Blaming

Utilising a Plan, Do, Study, Act (PDSA) approach to adverse events allows healthcare organisations to narrow their approach to problem solving.

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When adverse events arise within healthcare organisations, they bring with them the possibility of serious consequences.

For patients dealing with chronic illnesses and sensitive health conditions, the slightest harm or impediment in their treatment can have devastating results, which is why, each year in the United States alone, an estimated 250,000 patients are killed due to medical error.

With the stakes this high, it is not unreasonable to assume that an adverse event can quickly change the landscape of a healthcare organisation. Often, staff become combative, blaming one another for oversights in fear of serious repercussions. This sort of fear-based blaming is inevitable in organisations that have not established methods for avoiding dissension and can quickly worsen the impact to patients’ health while inhibiting the analysis necessary for preventing similar events from occurring in the future.

Establishing Step-By-Step Practices for Evaluating Safety Incidents

To avoid blaming among staff and ensure thorough examinations of safety incidents, it is essential that a method be established for bypassing disagreements and focusing the overall attention on the matter at hand.

Utilising a Plan, Do, Study, Act (PDSA) approach to adverse events allows healthcare organisations to narrow their approach to problem solving and guarantee that every effort put forward is considered. By making every voice as valid as the next and creating a forum in which not a single employee is made to feel squeamish about his or her contribution, PDSA greatly improves the likelihood of discovering root causes.

Introducing Datix Toolkits

Through Datix Toolkits, healthcare providers can adhere to a cyclical and well-structured process for capturing, evaluating, strategising, implementing, and assessing all adverse events. Known as the Quality Improvement Loop, this process works by placing the weight of each step on the preceding and subsequent steps. This overlap ensures that every bit of data collected and analysed is investigate to the utmost extent, and that the final result is, without argument, the best possible outcome.

Fostering Cooperation and Workplace Cohesion

When left without an outlet for constructive reasoning, staff members can easily fall prey to the trappings of disagreements. When not kept in check, these disagreements spread throughout healthcare organisations, acting as a cancer to attack the constructive and effective parts of the workforce. Eventually this leads to more mistakes, with patients feeling the brunt of their effects.

By taking the proper precautions, however, and investing in methods designed to negate adverse events and promote cooperation among staff, patients can experience healthier outcomes and improved care. And healthcare organisations can take value in learning from mistakes instead of trying to place the blame on specific employees.