Latent risk assessment tool for health care leaders

Lori A. Paine, Christine G. Holzmueller, Robert Elliott, Eileen Kasda, Peter J. Pronovost, Sallie Weaver, Kathleen Sutcliffe, Simon Mathews

Research output: Contribution to journalArticle

Abstract

Efforts to improve quality of care and patient safety have concentrated on provider practice and frontline care processes. Little attention has focused on understanding the role that leadership decisions play in creating risk within a health care system. The framework and tool described in this article builds on Reason's construct of latent organizational failure, by assessing the latent risks of leadership decisions, and identifying appropriate mitigation strategies before the implementation of a change. Stakeholders who will be involved in or impacted by the change are engaged in the assessment to more thoroughly explore both technical and cultural risks.

Original languageEnglish (US)
Pages (from-to)36-46
Number of pages11
JournalJournal of healthcare risk management : the journal of the American Society for Healthcare Risk Management
Volume38
Issue number2
DOIs
StatePublished - Oct 1 2018

Fingerprint

Delivery of Health Care
Quality of Health Care
Patient Safety

Keywords

  • latent error
  • leadership
  • patient safety
  • risk assessment

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Latent risk assessment tool for health care leaders. / Paine, Lori A.; Holzmueller, Christine G.; Elliott, Robert; Kasda, Eileen; Pronovost, Peter J.; Weaver, Sallie; Sutcliffe, Kathleen; Mathews, Simon.

In: Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management, Vol. 38, No. 2, 01.10.2018, p. 36-46.

Research output: Contribution to journalArticle

Paine, Lori A. ; Holzmueller, Christine G. ; Elliott, Robert ; Kasda, Eileen ; Pronovost, Peter J. ; Weaver, Sallie ; Sutcliffe, Kathleen ; Mathews, Simon. / Latent risk assessment tool for health care leaders. In: Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management. 2018 ; Vol. 38, No. 2. pp. 36-46.
@article{1692d72011604f26badd70bbfcf82e0b,
title = "Latent risk assessment tool for health care leaders",
abstract = "Efforts to improve quality of care and patient safety have concentrated on provider practice and frontline care processes. Little attention has focused on understanding the role that leadership decisions play in creating risk within a health care system. The framework and tool described in this article builds on Reason's construct of latent organizational failure, by assessing the latent risks of leadership decisions, and identifying appropriate mitigation strategies before the implementation of a change. Stakeholders who will be involved in or impacted by the change are engaged in the assessment to more thoroughly explore both technical and cultural risks.",
keywords = "latent error, leadership, patient safety, risk assessment",
author = "Paine, {Lori A.} and Holzmueller, {Christine G.} and Robert Elliott and Eileen Kasda and Pronovost, {Peter J.} and Sallie Weaver and Kathleen Sutcliffe and Simon Mathews",
year = "2018",
month = "10",
day = "1",
doi = "10.1002/jhrm.21316",
language = "English (US)",
volume = "38",
pages = "36--46",
journal = "Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management",
issn = "1074-4797",
publisher = "American Hospital Association",
number = "2",

}

TY - JOUR

T1 - Latent risk assessment tool for health care leaders

AU - Paine, Lori A.

AU - Holzmueller, Christine G.

AU - Elliott, Robert

AU - Kasda, Eileen

AU - Pronovost, Peter J.

AU - Weaver, Sallie

AU - Sutcliffe, Kathleen

AU - Mathews, Simon

PY - 2018/10/1

Y1 - 2018/10/1

N2 - Efforts to improve quality of care and patient safety have concentrated on provider practice and frontline care processes. Little attention has focused on understanding the role that leadership decisions play in creating risk within a health care system. The framework and tool described in this article builds on Reason's construct of latent organizational failure, by assessing the latent risks of leadership decisions, and identifying appropriate mitigation strategies before the implementation of a change. Stakeholders who will be involved in or impacted by the change are engaged in the assessment to more thoroughly explore both technical and cultural risks.

AB - Efforts to improve quality of care and patient safety have concentrated on provider practice and frontline care processes. Little attention has focused on understanding the role that leadership decisions play in creating risk within a health care system. The framework and tool described in this article builds on Reason's construct of latent organizational failure, by assessing the latent risks of leadership decisions, and identifying appropriate mitigation strategies before the implementation of a change. Stakeholders who will be involved in or impacted by the change are engaged in the assessment to more thoroughly explore both technical and cultural risks.

KW - latent error

KW - leadership

KW - patient safety

KW - risk assessment

UR - http://www.scopus.com/inward/record.url?scp=85054778573&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054778573&partnerID=8YFLogxK

U2 - 10.1002/jhrm.21316

DO - 10.1002/jhrm.21316

M3 - Article

VL - 38

SP - 36

EP - 46

JO - Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management

JF - Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management

SN - 1074-4797

IS - 2

ER -