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New Developments in Health Care Organisational Management

Brian H. Kleiner

Evangeline G. Thweatt and Brian H. Kleiner are at the Department of Management, College of Business and Economics, California State University, Fullerton, CA 92834, USA.

Since 1999 quality care issues have become a primary concern for health care organisational management. During this year, the Institute of Medicine (IOM) released a report that indicated that 98,000 preventable deaths occur each year in the US. Additionally, the report revealed that the individual competence of the practitioner is not the primary source of blame. Rather, it was the faulty system in place. This report was shocking and caused many organisational leaders to evaluate their systems of care delivery. The heightened con-cern for patient safety remains a top priority for health care leaders. The IOM (2001) re-ported specific aims to help guide the organisational changes needed to address the problems associated with patient safety. Each aim is dealt with in detail, and examples of case stud-ies are discussed to give meaning to the strategies outlined by the IOM. The challenges to the implementation of the IOM's strategies also are covered to provide adequate information concerning the challenges the organisational leader faces. The focus for the organisational leader is leading the change towards a ‘culture of safety’.

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