Question

Lists several barriers to institutional and physician commitment to patient safety. Why are these considered barriers to safety? Can they be overcome? If so, how?

Explain how good HRO practices generate increasingly safer and stable structures.

Answer 1

answer-

1- Lists several barriers to institutional and physician commitment to patient safety. Why are these considered barriers to safety? Can they be overcome? If so, how?

the barriers are-

• poor error reporting & disclosure
• institutional culture
• poor communication
• lack of team work etc.

these above points are considered as barriers to patient safety because they hinders the quality care & effcetive communication among the institution & its members.the error in reporting or any other disclosure of patient information can lead to problem for the safety which physician gave commitment to provide quality safety care.

for example- there is system of reporting errors in medical treatment to doctors & pateint but cause of fear of mistakes in the report person would blame others or try to hide the error in reports which is unethical as well as risk to saftey of the patient.

another example is poor communication & culture in the institution in which nureses or staff members do not have cooperation & coordination among each other which can create an environement of conflict & risk to pateint safety.

yes these barriers can be overcome by adopting following-

• use knwoledge based system in which reports & information would help the physicians & others to make effective decisions in pateint safety.
• clear roles & responsibilties means person should be responsible for thier roles & not try to hide thier mistakes.
• integrate quality care standards into medical practices.
• technological system can aid error reporting & disclosure which would improve patient safety reports
• good team work & coordination between the team members of the institution.
• good organizational culture can limit mistakes to happens. etc.

2- Explain how good HRO practices generate increasingly safer and stable structures

high reliability organization practices uses following traits to increase safer & stable structures-

• improving standards of ICU patient care.
• they are resilient means they respond to failures & errors & try to find new sollutions
• they provide equal chance because it does not mean that only experts & leaders has the solution for the problem sometimes people with less age can provide new solution to the problem.
• they do not adpot simple routes instead they try to explore the every aspects of the problem so that solutions can be effective.

* as EA, i can answer one out of mutiple questions but i tried to answer all for your help.hope these answer would help you.good luck.