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Sensitivity to Operations

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Sensitivity to operations acknowledges the complex nature of health care. Factors such as fatigue, distractions, and workload can contribute to unsafe conditions. In HROs, nursing leaders make rounds and talk to staff to look for weaknesses in the care delivery system that allow errors to occur. When weaknesses are identified, leaders allocate resources to prevent harm. For example, the automated medication dispensing system may be in a hallway on a medical surgical unit. When making rounds, the nurse leader may see that the nurse is interrupted by physicians, patients, visitors, and other staff while obtaining medications from the dispensing system. Nurses on the unit may express concern about this process, which interferes with their ability to concentrate on preparing the medications. The nursing leader may resolve the problem by allocating funds to create a small medication room to house the automated medication dispensing system and minimize distractions.

Kelly Vana's Nursing Leadership and Management

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