Saint’s research focuses on enhancing patient safety by preventing. Arbor VA Medical Center/University of Michigan Patient Safety Enhancement Program. Patient Safety Enhancement Program, Ann Arbor, Michigan. PSEP is a multi-disciplinary program jointly supported by the University of Michigan. Patient Safety Enhancement Program. Links; Contact; Home. Michigan Hospital Medicine Safety (HMS). The University of Michigan is both a participating site as.

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Active resistance to changes in practice by attending physicians, resident physicians, or nurses. Hospitals used the following strategies to overcome active resistance:. They collected data and provided feedback to physicians, presenting local data and comparing it with national rates. Physicians who didn't think they needed to follow practices eventually did when guidelines had the strong support of the medical director or ICU physician on call. Physician leaders made compliance mandatory. Organizations selected an appropriate champion who could ‘speak the language' of the staff they are trying to sway. Hospitals incorporated collaborative efforts aimed at preventing infection and used strategies that made it more difficult for resisters not to comply, such as packaging together in kits or carts the components required to promote maximum sterile barrier use.

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The study also found the presence of ‘organizational constipators.' These were mid- to high-level executives who prevented or delayed certain actions without active resistance thereby acting as insidious barriers to change by increasing the work required to implement changes. Once leadership recognized the negative effect on staff, the following techniques were used to overcome them:. Hospitals included the person early in group discussions in order to improve communication and obtain buy-in. They worked around the individual, realizing that this was likely a short-term solution. They terminated the person's employment. Took advantage of turnover opportunities and hired new people who were more likely to facilitate changes that were aligned with the organizational mission.

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