Shifting The Burden

This systems archetype describes the tension between short-term, quick fixes versus long-term, deep fixes. Under various pressures, the organization adopts quick fixes to relieve the symptoms. The apparent relief of symptoms gives the organization the sense that it complies with standards. In the long run, it neglects the long-term, fundamental fixes that require more time and more resources.

This systems archetype describes the tension between short-term, quick fixes versus long-term, deep fixes. Under various pressures, the organization adopts quick fixes to relieve the symptoms. The apparent relief of symptoms gives the organization the sense that it complies with standards. In the long run, it neglects the long-term, fundamental fixes that require more time and more resources.
Organizations which are cited by TJC for not being compliant with certain standards try to fix the issue of noncomplicance, such as adopting ISMP list of LASA and attaching it at the medication cabinet and hastily labeling medications. This quick fix temporarily fulfills the evidence of compliance. The side effect of this quick fix gives the organization the sense of being complied with the standards. The more fundamental fix requires a thorough look out of its medications which it stores, dispenses or prescribes., including sample medications. A training of nursing staff and providers takes time. And the implementation of the measures to avoid errors with LASA require good design, patience, and monitoring

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