Successful healthcare environment

Think about a successful healthcare environment where you worked. Discuss in detail one or two habits of team leaders who used system thinking in the work environment. Do you think these habits improved the care that was delivered to patients and improved efficiency? Why or why not?
Support all responses using at least one scholarly source other than your textbook.
Use national guidelines and evidence-based research when applicable.
Students may enhance responses with an example, either from personal experience or from the media, which illustrates and supports ideas.

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Sample Answer

 

 

System Thinking Leadership in Action: Improving Patient Care and Efficiency

During my time working as a registered nurse at [Hospital Name], I witnessed firsthand the positive impact of system thinking employed by leadership. One particular habit that stood out was the use of regular interdisciplinary rounds involving doctors, nurses, social workers, therapists, and case managers.

Habit 1: Interdisciplinary Rounds and System Thinking

These interdisciplinary rounds fostered a collaborative environment where team leaders, acting as facilitators, encouraged information sharing and a holistic view of the patient’s situation. This approach aligns with system thinking principles, as described by [Senge, 1990], which emphasize understanding the interconnectedness of parts within a larger system. In the healthcare setting, the patient is the central element of the system, and all aspects of care delivery

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(nursing, medication, social support, etc.) are interconnected and impact the overall outcome.

Improved Patient Care:

By bringing together diverse perspectives, interdisciplinary rounds facilitated a more comprehensive understanding of the patient’s needs. For example, a social worker might identify a housing insecurity issue impacting a patient’s recovery, leading to earlier intervention and improved discharge planning. This collaboration ensures a more coordinated and patient-centered approach to care, as highlighted in a study by [The IHI Triple Aim Framework, 2008], which emphasizes the importance of patient experience alongside cost and population health outcomes.

Increased Efficiency:

Interdisciplinary rounds can also improve efficiency by identifying and addressing potential problems early on. For instance, discussing potential discharge barriers during rounds might lead to earlier social work intervention, preventing delays in the discharge process. This proactive approach aligns with the concept of “upstream thinking” within system thinking, where addressing root causes (e.g., social determinants of health) can prevent downstream issues (e.g., hospital readmission).

Example:

An illustrative example comes from a news report [NPR, All Things Considered, How Hospitals Reduce Readmissions By Looking Beyond Medicine, 2017] detailing a hospital that implemented interdisciplinary rounds with a focus on social determinants of health. The report highlights how early identification of social issues like food insecurity or lack of transportation can be addressed proactively, leading to a reduction in readmission rates. This demonstrates the effectiveness of system thinking in improving both patient care and efficiency.

Conclusion:

The habit of holding interdisciplinary rounds, reflecting a system thinking approach, demonstrably improved patient care at [Hospital Name] by fostering collaboration and a more comprehensive view of patient needs. Additionally, it contributed to increased efficiency by allowing for early identification and mitigation of potential problems. By adopting system thinking practices, healthcare leaders can create a more collaborative and effective environment, ultimately leading to better patient outcomes.

 

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