University of Twente Student Theses


The organization of safety management : implementing high reliability principles in hospitals

Erp, R.A.L. van (2015) The organization of safety management : implementing high reliability principles in hospitals.

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Abstract:Quality and safety in hospitals is an important recurring theme in health research. With an increasing number of stakeholders on quality and safety, such as the Health Care Inspectorate and patients, the assurance of quality is becoming more difficult. In this article we take a closer look at the principles of high reliability organizations in hospitals by studying the quality organization of five top clinical hospitals in the Netherlands. Thereby a focus is made on the topics structure, accountability and safety culture of the hospital quality and safety organization. As suggested in the literature, we find evidence for all hospitals under study, that the presence of (1) a clear mission and vision is needed to move the hospital towards a high reliability organization. In the participated hospitals active leadership of the Board of Directors Medical Staff and staff manager quality and safety is seen as crucial basis to improve quality and safety performance. (2) Clear responsibilities and accountability for projects and processes are essential. Thereby all the respondents indicated that the (3) responsibilities need to be decentralized as much as possible. The (4) safety culture is crucial for the functioning of the organization. Without a just and open culture is it impossible to create a high reliability organization. Parts of the principles of high reliability organizations are implemented in the participating hospitals. However, to become a high reliability organization, further improvements and implementations are needed.
Item Type:Essay (Master)
Medisch Spectrum Twente, Enschede, Nederland
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:71 sociology, 88 social and public administration
Programme:Public Administration MSc (60020)
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