APPLYING EI TO CHANGE THE CULTURE OF PATIENT SAFETY

Changing a culture prone to medical error is one of the most difficult
obstacles to improving patient safety. In the traditional safety culture, blame
and judgment undermine reporting and systems improvement. A “fix-theproblem-not-the-blame” approach is at least articulated if not
operationalized in most healthcare organizations.
However, simply identifying risk management and quality improvement as a
no-blame system is not enough to change a culture deeply ingrained in
healthcare providers. The EIPS model may offer a way to change the
blame culture (see Figure 13.5). For example, in the story presented,
several clinical culture issues predisposed the unit to the error. Using
Reason’s model, the culture created holes that made the flow from error to
patient harm more likely, especially with the new employee orientation to
the clinical unit.
EI/Patient Safety (EIPS) Model.
In this model, good communication skills improve EI skills and
good EI skills improve communication. These two skill sets are in a positive
feedback loop. If communication skills are poor, EI abilities can improve
them. If communication is poor, safety is compromised, but as EI ability
improves communication, this negative influence is mitigated
via EI abilities.
Using the EIPS Model, diagram a patient safety procedure on your unit that
has an emotional or interpersonal “hole” in it. Describe in one paragraph
how one EI ability could be used to ameliorate that hole.

 

 

Sample Solution

Patient safety procedure with an emotional or interpersonal “hole”:

Procedure: Handoff communication

Emotional or interpersonal “hole”:

  • Healthcare professionals are often under pressure and may feel rushed during handoffs.
  • This can lead to poor communication and missed information.
  • Additionally, healthcare professionals may be reluctant to ask questions or admit mistakes for fear of being judged or blamed.

How to ameliorate the hole using emotional intelligence (EI):

One EI ability that can be used to ameliorate the hole in the handoff communication procedure is self-awareness. Self-awareness is the ability to understand and recognize your own emotions and how they may be affecting your behavior. By being aware of your own emotions, you can better manage them and communicate more effectively.

For example, if you are feeling rushed during a handoff, you can take a deep breath and remind yourself to slow down and communicate clearly. You can also ask the person you are handing off to if they have any questions or concerns.

Additionally, if you make a mistake during a handoff, it is important to be honest and transparent about it. Do not try to cover up your mistake or blame it on someone else. Instead, take responsibility for your mistake and learn from it.

Here is a specific example of how a healthcare professional can use self-awareness to ameliorate the hole in the handoff communication procedure:

A nurse is feeling rushed during a handoff. They have a lot of patients and they need to get to their next shift. The nurse begins to hand off their patients to the oncoming nurse, but they are not communicating clearly. They are talking quickly and they are not giving the oncoming nurse enough time to ask questions.

The nurse realizes that they are feeling rushed and that this is affecting their communication. They take a deep breath and remind themselves to slow down. They then apologize to the oncoming nurse and start the handoff over again. This time, the nurse is more clear and concise in their communication. They also give the oncoming nurse time to ask questions.

By using self-awareness to manage their emotions, the nurse was able to communicate more effectively and reduce the risk of a medical error.

2000-Word Paper

In a 2000-word paper on the EIPS model, you could expand on the above information by:

  • Providing a more detailed discussion of the EIPS model and its components.
  • Discussing the importance of EI in patient safety.
  • Providing examples of how EI can be used to improve patient safety in different clinical settings.
  • Discussing the challenges of implementing the EIPS model and how to overcome them.
  • Developing a plan for implementing the EIPS model on your unit.

You could also include a case study to illustrate how the EIPS model has been used to improve patient safety in a real-world setting.

Conclusion

The EIPS model is a promising approach for improving patient safety by addressing the underlying cultural issues that contribute to medical error. By developing their EI skills, healthcare professionals can improve communication and reduce the likelihood of errors.

 

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