Reciprocal inhibition is a good strategy to change reinforcers in the health care system and that “culture eats strategy.”
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.
Considering your organization, or a health care organization you are familiar with, write a 3- to 4-page paper that:
1) Describes how and where reciprocal inhibition might be used to improve patient outcomes in quality and improve patient safety.
2) 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.
3) Recommends 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. The Assignment should show effective application of triangulation of content and resources in your conclusion and recommendations.
Resources:
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.
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.
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.
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.
Answer preview
Using reciprocal inhibition is one of the mechanisms health care organizations can use to foster a culture of quality. AmerisourceBergen has a large research and development department, tasked with developing high-quality pharmaceuticals. The company’s leaders can use this strategy to motivate employees working within this department to work harder to come up with drugs that are safe for patient consumption. When an employee successfully creates such a drug, the company should reward them for their performance. Doing this not only motivates the employee who came up with the drug to improve their performance, but it also sends a message
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