Leading Change When “ Change ” Isn ’ t the Norm

“If there is one thing that will definitely change about our complex healthcare system, practices and behaviors aren’t one of these” One comment I get whenever I talk about “learning organization” as a way for healthcare institutions to adapt to the new normal is this- “I really like the change concepts your saying, but what else can I do if many in my organization doesn’t embrace that change philosophy?” Rina is a new resident physician assisting more senior residents attending and treating fractures at one healthcare institution. Yet to learn the finer details of cast application and monitoring, her team leader instructed her to apply cast on a young patient who had recently incurred a forearm fracture after a fall from a height. The senior resident added that she “read about techniques of applying and monitoring cast” from the recommended textbook. When an emergent call from ER summoned her senior to attend to another patient, Rina eagerly went on applying the cast to the patient’s forearm alone and unsupervised, with only her recently “acquired” cast application techniques, and a single experience of seeing one senior resident applying a cast in their last team duty. She sent home the patient after advising the parent about cast monitoring she learned from the book she read. Less than two hours after, the patient was brought back to the ER in pain and crying. “My arm hurts! like...
Source: The Orthopedic Logbook - Category: Orthopaedics Authors: Tags: Healthcare Policy Leadership & Management Learning & Development Medicine change change leadership healthcare leadership leading change tranformational leadership Source Type: blogs