Now hear this from the BMJ: healthcare quality and culture are deeply linked.
Did you know already? I sure did. I've worked in organizations where quality initiatives were subverted or appropriated as a political weapon rather than being utilized to pursue true quality.
When culture is aligned for the organization's goals (like providing high-quality care to patients) it is adaptive and useful; when it's mis-aligned...ut-oh.
My hope is you've never experienced a culture that was mis-aligned with quality care!
Whether or not you have, take a look at these key take-aways from the BMJ on organizational quality and culture.
Key messages: Organisational culture represents the shared ways of thinking, feeling, and behaving in healthcare organisations. Healthcare organisations are best viewed as comprising multiple subcultures, which may be driving forces for change or may undermine quality improvement initiatives A growing body of evidence links cultures and quality, but we need a more nuanced and sophisticated understandings of cultural dynamics Although culture is often identified as the primary culprit in healthcare scandals, with cultural reform required to remedy failings, such simplistic diagnoses and prescriptions lack depth and specificity.