Open Access. Powered by Scholars. Published by Universities.®
- Keyword
-
- Patient Safety (3)
- Risk Management (3)
- Complexity theory (2)
- Health Information Technology (2)
- Human factors (2)
-
- Organizational development (2)
- Patient safety (2)
- Quality Management (2)
- Adverse event (1)
- Attribution Theory (1)
- Attribution theory; patient safety; just culture; punitive culture; safety culture; cynacism; learned helplessness; blame; organizational inertia; complexity theory; complex adaptive system; leadership; organizational behavior; organizational development; human resource management; sentinel event; adverse event; error; medical error; mistake; Institute of Medicine; To err is human; James Reason. (1)
- Change management (1)
- Charles Perrow (1)
- Complex adaptive system (1)
- Complex adaptive systems (1)
- Complexity Science (1)
- Diffusion of Innovation (1)
- Diffusion of innovation theory (1)
- Error (1)
- Errors (1)
- Failure mode effect analysis (1)
- Health information technology (1)
- Healthcare (1)
- Healthcare; health information technology; computerized physician order entry; decision support system; bar coding; patient safety; complexity theory; complex adaptive systems; medical error; adverse event; sentinel event; innovation; technology; risk management; failure mode effect analysis; root cause analysis; Medical Nemesis; Ivan Illich; Rogers; diffusion of innovation. (1)
- High reliability theory (1)
- Human resource management (1)
- Iatrogenesis (1)
- Institute of Medicine (1)
- Ivan illich (1)
- James Reason. (1)
Articles 1 - 5 of 5
Full-Text Articles in Education
Technological Iatrogenesis: The Manifestation Of Inadequate Organizational Planning And The Integration Of Health Information Technology., Patrick Albert Palmieri
Technological Iatrogenesis: The Manifestation Of Inadequate Organizational Planning And The Integration Of Health Information Technology., Patrick Albert Palmieri
Patrick Albert Palmieri
The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and cost effective health services. However, HIT presents the proverbial double-edged sword in generating solutions to improve system performance while facilitating the genesis of novel iatrogenic problems. Incongruent organizational processes give rise to technological iatrogenesis or the unintended consequences to system integrity and the resulting organizational outcomes potentiated by incongruent organizational–technological interfaces. HIT is a disruptive innovation for health services organizations but remains an overlooked organizational development (OD) concern. Recognizing the technology–organizational misalignments that result from HIT adoption is …
Safety Culture As A Contemporary Healthcare Construct: Theoretical Review And Research Assessment, Patrick Albert Palmieri
Safety Culture As A Contemporary Healthcare Construct: Theoretical Review And Research Assessment, Patrick Albert Palmieri
Patrick Albert Palmieri
GOAL. To analyze the theoretical underpinnings of safety culture and to provide an assessment about the state of safety culture research in healthcare. METHODS. First, we reviewed the concept of safety culture, including its origination, disciplinary influences, and associated theoretical tenets. By describing the literature and discussing the interchangeable use of the terms “safety attitude,” “safety climate,” and “safety culture,” we are able to present the conceptual attributes associated with safety culture and present a definition of safety culture. Then, we discuss the psychometric properties for the most widely used instruments in healthcare. The article concludes with a discussion of …
Safety Culture As A Contemporary Healthcare Construct: Theoretical Review, Research Assessment, And Translation To Human Resource Management., Patrick Albert Palmieri
Safety Culture As A Contemporary Healthcare Construct: Theoretical Review, Research Assessment, And Translation To Human Resource Management., Patrick Albert Palmieri
Patrick Albert Palmieri
Through a number of comprehensive reviews, the Institute of Medicine (IOM) has recommended that healthcare organizations develop safety cultures in order to align delivery system processes with the workforce requirements to improve patient outcomes. Until health systems can provide safer care environments, patients remain at risk for suboptimal care and adverse outcomes. Health science researchers have begun to explore how safety cultures might act as an essential system feature to improve organizational outcomes. Since safety cultures are established via modification in employee safety perspective and work behavior, human resource professionals need to contribute to this developing organizational domain. The IOM …
Attribution Theory And Healthcare Culture: Translational Management Science Contributes A Framework To Identify The Etiology Of Punitive Clinical Environments, Patrick Albert Palmieri
Attribution Theory And Healthcare Culture: Translational Management Science Contributes A Framework To Identify The Etiology Of Punitive Clinical Environments, Patrick Albert Palmieri
Patrick Albert Palmieri
The Institute of Medicine’s seminal report, To err is human: Building a safer health system, established the national patient safety framework and initiated interest in changing the traditionally punitive healthcare culture. This paper reviews a multidisciplinary literature and offers an attribution framework to explicate the organizational processes that contribute to an industry-wide culture where clinicians are routinely blamed for adverse patient events. Attribution theory is concerned with the manner in which people explain the behaviors of others or themselves by assigning causality for events. To date, attribution theory, though well established in the management literature, has yet to be translated …
Technological Iatrogenesis: New Risks Force Heightened Management Awareness, Patrick Albert Palmieri
Technological Iatrogenesis: New Risks Force Heightened Management Awareness, Patrick Albert Palmieri
Patrick Albert Palmieri
Iatrogenesis is a term typically reserved to express the state of ill health or the adverse outcome resulting from a medical intervention, or lack thereof. Three types of iatrogenesis are described in the literature: clinical, social and cultural. This paper introduces a fourth type, technological iatrogenesis, or emerging errors stimulated by the infusion of technological innovations into complex healthcare systems. While health information technologies (HIT) have helped to make healthcare safer, this has also produced contemporary varieties of iatrogenic errors and events. The potential pitfalls of technological innovations and risk management solutions to address these concerns are discussed. Specifically, failure …