Performance Improvement in Healthcare: Integrating Gilbert's Behavior Engineering Model Within a Just Culture

Performance Improvement in Healthcare: Integrating Gilbert's Behavior Engineering Model Within a Just Culture

Candice Freeman (Old Dominion University, USA) and Jill Erin Stefaniak (University of Georgia, USA)
DOI: 10.4018/978-1-7998-5092-2.ch010
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Abstract

Healthcare leadership and department management personnel are tasked with the responsibility of ensuring safe, high-quality patient care delivered by competent and proficient staff. This responsibility often comes in the form of identification of discrepant and erroneous practices that result in subsequent employee disciplinary action process improvement discussions and implementation. This case study presents an example of a sentinel event and how Gilbert's Behavior Engineering Model (BEM) was utilized in the context of a Just Culture to ensure both processes and personnel were adequately supported to meet expected task outcomes.
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Case Description

On Friday morning, Alec gathered the morning round labels, which were generated at 02:45 am and began to organize them based on his planned collection route. Alec always starts his rounds in the intensive care unit, moving to the obstetric unit, and finally wraps up his collection round in the medical/surgical unit; however, this morning, a nurse in obstetrics requested that her patients be collected first, preferably by no later than 5:00 am. Alec collected the unit as requested.

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