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Assignment: Reciprocal Inhibition

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.

In this Assignment you will identify where reciprocal inhibition might be used to improve patient outcomes in quality and patient safety. You will also recommend steps that will foster a culture of quality and recommend at least one strategy for overcoming the challenges of achieving a culture of high reliability.

To prepare:

Review this Week’s Learning Resources related to creating a culture of high reliability

The Assignment:

This week’s reading suggests that reciprocal inhibition is a good strategy to change reinforcers in the health care system and that “culture eats strategy.”

Considering your organization, or a health care organization you are familiar with, write a 3- to 4-page paper that:

  • Describes how and where reciprocal inhibition might be used to improve patient outcomes in quality and improve patient safety.
  • 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.
  • Recommend 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. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct. This Assignment will be graded using this rubric: Week 8 Assignment Rubric (PDF). Your Assignment should show effective application of triangulation of content and resources in your conclusion and recommendations.

Assignment: Quality Improvement in a Medical Setting

Improvement in quality and safety should be considered a core organizational strategy. Leading that change is not always easy. A road map for change is helpful in managing organizational change. Kotter’s (1995, 1996; as cited in Joshi et al., 2014) model for change is a realistic framework to manage quality improvements. The eight steps of Kotter’s theory include 1) unfreezing the old culture; 2) forming a powerful guiding coalition; 3) developing a vision and strategy; 4) communicating a vision and strategy; 5) empowering employees to act on the vision and strategy; 6) generating short-term wins; 7) consolidating gains and producing more change; and 8) refreezing new approaches in the culture (Joshi, et.al, 2014, page numbers).

In this Assignment, you will analyze Emergency Department data and other resources to identify areas where the care and services provided are not up to state or national comparisons. You will also address how you would improve the substandard performance indicators.

To prepare:

Analyze the Emergency Department HCAHPS Data and other resources in the Learning Resources.

Emergency Department HCAHPS Data

The Assignment:

The HCAHPS data for the Emergency Department would indicate there are areas where the care and services are not up to par, as compared to state or national standards.

Using Kotter’s work as described in Chapter 16 of your text, and other change models from the reading, write a 3- to 4-page (excluding title page and references) analysis of the performance data for the Emergency Department, comparing the medical care and services to state and/or national standards. Provide recommendations for strategies to improve the Emergency Department substandard performance indicators.

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. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct. This Assignment will be graded using this rubric: Week 9 Assignment Rubric (PDF). Your Assignment should show effective application of triangulation of content and resources in your conclusion and recommendations.

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