S1) Quality and Safety in Healthcare: Systems Thinking
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According to first order problem solving, there are two implicit strategies when one encounters a problem. What are they?
• Do what it takes to continue patient care task, no more no less • Ask for help from people who are socially close rather than those who are best equipped to correct the problem
What are the benefits of ‘doing what it takes to continue patient care task, no more no less’ in first order problem solving?
• Meets immediate needs • Minimises time away from patient care
What are the benefits of ‘asking for help from those who are socially close rather than those who are best equipped’ in first order problem solving?
• Preserves reputation • Minimises difficult encounters
What are the 3 reasons for not learning from failures?
Organisations emphasise: • Individual vigilance i.e. personal responsibility to resolve problems to immediate tasks • Unit efficiency i.e. unit’s throughput efficiency • Worker empowerment i.e. delegation to workers who have little influence on external factors
According to tort law, what are the four elements of civil negligence?
• The defendant owed a duty of care • The defendant was in breach of that duty • The breach of duty caused damage • The damage was foreseeable
What are the positive consequences for workers and organisations if action is successful to prevent problem from recurring?
• Higher productivity • Greater customer satisfaction • More content workers • More committed workers