Describes how and where reciprocal inhibition might be used to improve patient outcomes

Learning Resources

Note: To access this week’s required library resources,
please click on the link to the Course Readings List, found in the Course
Materials section of your Syllabus.

Required Readings

Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S.
B. (Eds.). (2014). The healthcare quality book: Vision, strategy, and tools
(3rd ed.). Chicago, IL: Health Administration Press.

Chapter 10, “Dashboards and Scorecards: Tools for
Creating Alignment” (pp. 241–266)

Chapter 14, “Leadership for Quality” (pp. 355–372)

Edwards, M. T. (2013). A longitudinal study of clinical peer
review’s impact on quality and safety in U.S. hospitals. Journal of Healthcare
Management, 58(5), 369–385.

Note: Retrieved from the Walden Library databases.

Grintsova, O., Maier, W., & Mielck, A. (2014). Inequalities
in health care among patients with type 2 diabetes by individual socio-economic
status (SES) and regional deprivation: A systematic literature review.
International Journal for Equity in Health, 13, 43.

Note: Retrieved from the Walden Library databases.

Hall, W. J., Chapman, M. V., Lee, K. M., Merino, Y. M.,
Thomas, T. W., Payne, B. K., … Coyne-Beasley, T. (2015). Implicit
racial/ethnic bias among health care professionals and its influence on health
care outcomes: A systematic review. American Journal of Public Health, 105(12),
e60–e76. doi:10.2105/ajph.2015.302903.

Note: Retrieved from the Walden Library databases.

Kuo, R. N., & Lai, M-S. (2013). The influence of
socio-economic status and multimorbidity patterns on healthcare costs: A
six-year follow-up under a universal healthcare system. International Journal
for Equity in Health, 12, 69.

Note: Retrieved from the Walden Library databases.

Patel, J., Ahmed, K., Guru, K. A., Khan, F., Marsh, H.,
Shamim Khan, M., & Dasgupta, P. (2014). An overview of the use and
implementation of checklists in surgical specialties—A systematic review.
International Journal of Surgery, 12(12), 1317–1323.

Note: Retrieved from the Walden Library databases.

Skinner, L., Tripp, T. R., Scouler, D., & Pechacek, J.
M. (2015). Partnerships with aviation: Promoting a culture of safety in health
care. Creative Nursing, 21(3), 179–185.

Note: Retrieved from the Walden Library databases.

Solomon, B. (2015). Developing a robust safety culture.
Professional Safety, 60(8), 50–52.

Note: Retrieved from the Walden Library databases.

Yamada, T., Chen, C-C., Murata, C., Hirai, H., Ojima, T.,
Kondo, K., & Harris, J. R. (2015). Access disparity and health inequality
of the elderly: Unmet needs and delayed healthcare. International Journal of
Environmental Research and Public Health, 12(2), 1745–1772.

Note: Retrieved from the Walden Library databases.

Smith, E. A., Akusoba, I., Sabol, D. M., Stawicki, S. P.,
Granson, M. A., Ellison, E. C., & Moffatt-Bruce, S. D. (2015). Surgical
safety checklist: Productive, non-disruptive, and the “right thing to
do”. Journal of Postgraduate Medicine, 61(3), 214–215. Retrieved from
https://www.researchgate.net/publication/273781208_Surgical_safety_checklist_Productive_non-disruptive_and_the_right_thing_to_do

Surgical Safety Checklist: Productive, Nondisruptive, and
the “Right Thing to Do” by Smith, E.; Akusoda, I.; Sabol, D.;
Stawicki, S.; Granson, M.; Ellison, E., in Journal of Postgrad Medicine, Vol.
61/Issue 3. Copyright 2015 by Medknow Publications and Media PVT Ltd. Reprinted
by permission of Medknow Publications and Media PVT Ltd. via the Copyright
Clearance Center.

Gamble, M. (2013). 5 traits of high reliability
organizations: How to hardwire each in your organization. Retrieved from
http://www.beckershospitalreview.com/hospital-management-administration/5-traits-of-high-reliability-organizations-how-to-hardwire-each-in-your-organization.html

Porter, M. E., & Lee, T. H. (2013). The strategy that
will fix health care. Harvard Business Review. Retrieved from
https://cb.hbsp.harvard.edu/cbmp/pl/70682691/70682693/d7c9bdb115860f08a4dbb6f39eede822

Required Media

Bassett, M. (2015). Why your doctor should care about social
justice [Video file]. Retrieved from
https://www.ted.com/talks/mary_bassett_why_your_doctor_should_care_about_social_justice\

Note: The approximate length of this media piece is 14
minutes.

Roberts, D. (2015). The problem with race-based medicine
[Video file]. Retrieved from
https://www.ted.com/talks/dorothy_roberts_the_problem_with_race_based_medicine#t-127292\

Note: The approximate length of this media piece is 15
minutes.

Assignment: Reciprocal Inhibition

You can decrease the frequency of any behavior through
punishment, but why not give some thought to reciprocal inhibition? Reciprocal
inhibition is the process of defining the opposite of the undesirable behavior
and reinforcing the positive instead. Reciprocal inhibition can be useful for
leaders in helping change behaviors aiming for high reliability. For example,
instead of punishing errors, reward quality.

In this Assignment you will identify where reciprocal
inhibition might be used to improve patient outcomes in quality and patient
safety. You will also recommend steps that will foster a culture of quality and
recommend at least one strategy for overcoming the challenges of achieving a
culture of high reliability.

Describes how and where reciprocal inhibition might be used to improve patient outcomes

Describes how and where reciprocal inhibition might be used to improve patient outcomes

Describes how and where reciprocal inhibition might be used to improve patient outcomes

To prepare:

Review this Week’s Learning Resources related to creating a
culture of high reliability

The Assignment:

This week’s reading suggests that reciprocal inhibition is a
good strategy to change reinforcers in the health care system and that
“culture eats strategy.”

Considering your organization, or a health care organization
you are familiar with, write a 3- to 4-page paper that:

Describes how and where reciprocal inhibition might be used
to improve patient outcomes in quality and improve patient safety.

Explains how using reciprocal inhibition may be an
improvement in the culture of quality. Include any steps that will foster a
culture of quality in an organization to become a high-reliability
organization.

Recommend at least one strategy for overcoming the challenges
of fostering a culture of high reliability.

Note: Your Assignment must be written in standard edited
English. Be sure to support your work with at least five high-quality
references, including two from peer-reviewed journals. Refer to the Essential
Guide to APA Style for Walden Students to ensure that your in-text citations
and reference list are correct. This Assignment will be graded using this
rubric: Week 8 Assignment Rubric (PDF). Your Assignment should show effective
application of triangulation of content and resources in your conclusion and
recommendations.