administrative harm

Introduction

• negative consequences of administrative health care decisions impacting structure, processes, & programs of health care work
  • derives from all levels of leadership & from multiple sources within health care systems
  • absence of psychological safety, workplace cultures, & ambiguity in who owns a decision
  • organizational pressures contribute to administrative harm

Epidemiology

• pervasive, widespread

Management

• no mechanism to identify or fix problem

More general terms

• harm