Adapting systems thinking and safety reporting in high-consequence industries to healthcare.
Semin Perinatol
; 43(8): 151180, 2019 12.
Article
em En
| MEDLINE
| ID: mdl-31500844
ABSTRACT
This chapter uses a systems approach to represent the healthcare sector and positions safety reporting programs as feedback mechanisms to reactively, proactively, and predictively improve the overall reliability and safety of care practices. Drawing from the aviation sector, benefits and limitations of different safety reporting systems are explored and challenges to adapting such systems into healthcare are presented. Examples of successful adaptation and implementation in healthcare demonstrate that while adaptation is possible and could yield impressive outcomes, such programs remain susceptible to the natural tendency of the healthcare system to remain siloed and internally competitive, rather than holistic and team-oriented. Thus, one could conclude that in order for safety reporting programs to be self-sustaining, the systemic disincentives need to be examined carefully and intentionally removed, replacing them with meaningful incentives to collaboration and maximization of patient safety outcomes.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Análise de Sistemas
/
Atenção à Saúde
/
Segurança do Paciente
Tipo de estudo:
Prognostic_studies
Limite:
Humans
/
Newborn
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article