Table 1.
Examples of patients’ contribution to mindful organizing
Element | Definition | Example of patient contribution |
---|---|---|
Preoccupation with failure | Being constantly aware of the potential for an unexpected event that could compromise patient safety | Querying the substitution of prescribed medication by a pharmacist |
Reluctance to simplify medication interpretations | Questioning assumptions and received wisdom to create a more complete and nuanced understanding of risks | Cross‐checking different sources of advice (eg doctor; medicines literature) |
Sensitivity to operations | On‐going interaction and information sharing about human and organizational factors that are influencing the current safety level | Highlighting specific communication needs and suggesting ways of providing for these needs |
Commitment to resilience | Maintaining a capability to detect, contain, recover and learn from an adverse event before it causes further harm | Identifying a medication error and discussing the error with health‐care professionals |
Deference to expertise | When dealing with a problem, allowing decisions to be made by those with the most expertise, regardless of formal role | Where capable, engaging in shared decision making about medication usage |
Definitions adapted from Vogus & Sutcliffe.12