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The normalization of deviance in healthcare delivery

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  • Banja, John

Abstract

Many serious medical adversities result from violations of recognized standards of practice. Over time, even egregious violations of standards of practice may become "normalized" in healthcare delivery systems. This article describes what leads to this normalization and explains why flagrant practice deviations can persist for years, despite the importance of the standards at issue. This article also provides recommendations to aid healthcare organizations in identifying and managing unsafe practice deviations before they become normalized and pose genuine risks to patient safety, quality care, and employee morale.

Suggested Citation

  • Banja, John, 2010. "The normalization of deviance in healthcare delivery," Business Horizons, Elsevier, vol. 53(2), pages 139-148, March.
    • Handle: RePEc:eee:bushor:v:53:y:2010:i:2:p:139-148
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    Cited by:

    1. Birgitte Lerbæk & Rikke Jørgensen & Andrea McCloughen, 2023. "“It’s Not Important”—The Social Constructing of Poor Physical Health as ‘Normal’ among People with Schizophrenia: Integrated Findings from an Ethnographic Study," IJERPH, MDPI, vol. 20(12), pages 1-15, June.
    2. Angela Jones & Megan‐Jane Johnstone & Maxine Duke, 2016. "Recognising and responding to ‘cutting corners’ when providing nursing care: a qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(15-16), pages 2126-2133, August.
    3. Dahlin, Kristina & Chuang, You-Ta & Roulet, Thomas J, 2018. "Opportunity, Motivation, and Ability to Learn from Failures and Errors: Review, Synthesis, and Ways to Move Forward," SocArXiv 4qwzh, Center for Open Science.
    4. Kristian Ringsby Odberg & Britt Sætre Hansen & Karina Aase & Sigrid Wangensteen, 2018. "Medication administration and interruptions in nursing homes: A qualitative observational study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1113-1124, March.
    5. David L B Schwappach & Katrin Gehring, 2014. "Silence That Can Be Dangerous: A Vignette Study to Assess Healthcare Professionals’ Likelihood of Speaking up about Safety Concerns," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-8, August.

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