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Essay / Research Paper Abstract
This 7 page paper discusses what it is like to work in a health-care setting that does not seek to place blame for errors, but instead looks at the entire process as responsible when an error occurs. Bibliography lists 4 sources.
Page Count:
7 pages (~225 words per page)
File: KV32_HVnopnsh.rtf
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Unformatted sample text from the term paper:
non-punitive healthcare setting, and how the focus has shifted from individual error to process improvement. Discussion Its probably fair to say that medical professionals strive to do their best for
their patients in all situations. They have extensive training and have taken an oath to do their very best to help those in their care. Their profession demands diligence, skill
and understanding because mistakes are so costly. However, it is because mistakes can be so awful that that there may be a tendency to create a work environment in which
people feel that they are constantly under suspicion, even if nothing has gone wrong. In addition, the setting can be chaotic and confusing, leading to mistakes. If people are blamed
for errors and nothing is done, the potential remains for the errors to recur because the underlying mechanism will not be fixed. One article describes the situation at Missouri Baptist
Medical Center in St. Louis, which has had great success in implementing a patient safety culture. First, employees at MBMC are part of a culture that is open and honest,
even about medical mistakes: "... employees feel free to discuss actual and potential errors" (Trust thrives in an open environment: Developing a patient safety culture; hereafter "Trust thrives"). The culture
is based on understanding and trust, and is further supported by a system "that readily implements procedures to improve the safety and quality of care provided" (Trust thrives). The
article points out a fact that shows why developing a non-punitive workplace is difficult: in order to fix something, people first have to admit its broken, and that is difficult
particularly in health care (Trust thrives). But it must be done, and the entire culture has to change, "if patient safety programs are to succeed" (Trust thrives). In order to
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