Exploring production pressure and normalization of deviance and their relationship to poor patient outcomes

Marjorie Geisz Everson, Bryan A. Wilbanks, Rebecca R. Boust

Research output: Contribution to journalArticlepeer-review

Abstract

Production pressure and/or normalization of deviance contribute to poor patient outcomes. The purpose of this study was to explore the relationship between production pressure and normalization of deviance to poor patient outcomes. A team of experienced qualitative researchers conducted a metasynthesis of all qualitative closed claims studies that used the American Association of Nurse Anesthetists (AANA) Foundation Closed Claims database and were accepted for publication at the time of the study. Three central concepts emerged from the analysis: (1) impaired culture of safety, (2) violations of standards of care, and (3) impaired patient safety and outcomes. It is imperative that anesthesia providers support a culture of safety and follow AANA Standards for Nurse Anesthesia Practice.

Original languageEnglish (US)
Pages (from-to)365-371
Number of pages7
JournalAANA journal
Volume88
Issue number5
StatePublished - Oct 1 2020

Keywords

  • Normalization of deviance
  • Patient outcomes
  • Production pressure

ASJC Scopus subject areas

  • Medical–Surgical
  • Advanced and Specialized Nursing
  • Anesthesiology and Pain Medicine

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