KevinMD May 20, 2024
The hierarchy must be healthy to achieve critical outcomes in patient safety, patient experience, workforce health and wellbeing, and cost-effectiveness.
In a healthy hierarchy, staff must have the right skills, education, and experience to direct and carry out clinical and care-related tasks. Clear lines of communication, roles and responsibilities, policies and protocols, and scope of practice are all important. We can think of such things in terms of the structure. We should also consider the hierarchy in terms of process! This refers to how clinical and care decision-making is informed and carried out by the people involved. It is the more flexible part of a hierarchy that involves communication, relationships, teamwork, and culture. In order to appreciate this idea, we...
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