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Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff
Author(s) -
Zadeh Sahar Ebrahim,
Haussmann Robert,
Barton Craig D.
Publication year - 2018
Publication title -
journal of healthcare risk management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.221
H-Index - 16
eISSN - 2040-0861
pISSN - 1074-4797
DOI - 10.1002/jhrm.21349
Subject(s) - risk management , confidentiality , delphi method , nonprobability sampling , health care , patient safety , nursing , psychology , medicine , medical emergency , business , computer security , environmental health , political science , population , statistics , mathematics , finance , computer science , law
Abstract Medical errors are the third‐leading cause of death in the United States. One of the problems is timely recognition and management of inappropriate health care worker behaviors that lead to intimidation and loss of staff focus, eventually leading to errors. The purpose of this qualitative modified Delphi study was to seek consensus among a panel of experts in hospital risk management practices on the practical methods for early detection of inappropriate behaviors among hospital staff, which may be used by hospital managers to considerably mitigate the risk of medical mishaps. High reliability theory guided the research process, utilizing the conceptual framework of the fair and just culture patient safety model. A single research question asked what level of consensus exists among hospital risk management experts as to the practical methods for early detection of inappropriate behavior among hospital staff, which managers may use to ultimately mitigate the risk of preventable medical mishaps. This study included nonprobability purposive sampling ( n = 34) and three rounds of questionnaires. Consensus was reached on 8 factors: setting expectations, developing a culture of respect, holding staff accountable, enforcing a zero‐tolerance policy, confidentiality of reporting, communicating expected behavior, open communication, and investigating inappropriate behaviors.