Laura D Pozzobon, Ashley Tattersall, Sarah Tosoni, AnnMarie Edward, Ann Heesters, Carole Garmaise, Michael W Caesar, Tara Marshman, Lucas B Chartier
{"title":"A balanced approach to using organizational patient safety incident data for research.","authors":"Laura D Pozzobon, Ashley Tattersall, Sarah Tosoni, AnnMarie Edward, Ann Heesters, Carole Garmaise, Michael W Caesar, Tara Marshman, Lucas B Chartier","doi":"10.1177/08404704251331179","DOIUrl":"10.1177/08404704251331179","url":null,"abstract":"<p><p>Reported patient safety incidents offer high-value perspectives on safety threats but can be an untapped source of learning due to their sensitive nature and the presence of potential data protected under Quality Assurance (QA) legislations. There are no published guidelines for leaders to enable ethical use of data protected under QA legislation in reported patient safety incidents within the Canadian context. Liberating this data requires understanding the appropriate purposes for use, which draws on ethical and privacy-related considerations. We describe the approach followed to balance the duty to protect relevant privacy interests with the moral obligation to conduct research, and the proactive prevention of patient harm at our Canadian multi-site academic health sciences centre. Overall, we developed guidelines and discovered leaders must commit to establishing connections between organizational governance, legal structures, and privacy experts to support research enabling learning from patient safety incidents.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"369-375"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How adaptive leadership can enhance healthcare ethics.","authors":"Angel Petropanagos, Jill Oliver, Paula Chidwick","doi":"10.1177/08404704251327667","DOIUrl":"10.1177/08404704251327667","url":null,"abstract":"<p><p>Ethical challenges persist throughout healthcare and, over the last 40 years, more organizations have hired ethicists or teams of ethicists to help identify and address them. Strategies and tools used by healthcare ethicists have evolved over this time. Most commonly capacity-building (education) and ethical frameworks are used to support ethical decision-making within organizations. In this article, we argue that traditional, technical tools (like frameworks and education) are insufficient for addressing ethical issues in healthcare and supporting the changes in behaviour that are required to make sustainable, widespread improvement. We maintain that many ethical issues in healthcare are inherently adaptive (rather than solely technical) issues and advocate for an ethics approach that uses adaptive leadership skills and strategies to help ethicists, clinicians, staff, and organizations to navigate complex ethical challenges and make sustainable behavioural and organizational change.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"290-294"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Denise Thomson, Gabrielle L Zimmermann, Bhavini Gohel
{"title":"Climate-resilient acute care clinical operations: A framework that informs how operations within acute care build climate-resilient health systems.","authors":"Denise Thomson, Gabrielle L Zimmermann, Bhavini Gohel","doi":"10.1177/08404704251334920","DOIUrl":"10.1177/08404704251334920","url":null,"abstract":"<p><p>Increasingly, health leaders recognize climate change as a crucial issue for healthcare operations, requiring a whole-of-system approach to mobilizing governance, leadership, and resources to respond appropriately. Granular-level guidance is needed to guide the operationalization of adaptation, resiliency, and mitigation strategies specific to acute-care clinical operations within Canadian health facilities. We present the Climate-Resilient Acute Care Clinical Operations Framework to guide the development, implementation, and evaluation of strategies within clinical operations to build more climate-resilient acute care systems. The experience of Alberta Health Services, which is currently the largest provider responsible for the delivery of acute care within Alberta, is highlighted as a case study to demonstrate the practical adoption of this framework. As more health systems adopt similar strategies, sharing data and insights generated will contribute to ongoing iterations and adaptations, ensuring the framework evolves to meet the dynamic needs of healthcare sustainability.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"323-330"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mending the gaps: A systems-focused rapid review on paediatric palliative care for health leaders.","authors":"Liana Bailey, Mattie Wright, Kira Goodman","doi":"10.1177/08404704251322481","DOIUrl":"10.1177/08404704251322481","url":null,"abstract":"<p><p>In Canada, the provision of Paediatric Palliative Care (PPC) services faces unique barriers due to a large geography and dispersed service population. This review identifies global challenges and strategies to inform efforts in strengthening Canadian PPC access and delivery. Utilizing a rapid review methodology, two databases were searched for publications between 2014 and 2024. Five hundred and ninety-five studies were imported, and 31 retained. Challenges identified in the literature included (i) uncertainty with team roles and responsibilities, (ii) lack of PPC familiarity, and (iii) navigating fragmented health systems. Recommendations included (i) enhancing education, (ii) streamlining access, and (iii) increasing awareness. Concerted effort between health leaders is essential to implement solutions towards a more integrated care system-one that considers the needs of all children. Prioritizing nationwide awareness, access, and capacity-building will ensure PPC meets the needs of all children and families, regardless of location.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"384-390"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Message from the Guest Editor.","authors":"","doi":"10.1177/08404704251343438","DOIUrl":"https://doi.org/10.1177/08404704251343438","url":null,"abstract":"","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"38 4","pages":"288-289"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retraction: Integrating Indigenous midwives into a comprehensive primary care setting.","authors":"","doi":"10.1177/08404704251334177","DOIUrl":"10.1177/08404704251334177","url":null,"abstract":"","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"404"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12359572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Javeed Sukhera, Tess M Atkinson, Uyen P Ta, Stephanie Knaak
{"title":"Structural stigma in healthcare: A novel eLearning course.","authors":"Javeed Sukhera, Tess M Atkinson, Uyen P Ta, Stephanie Knaak","doi":"10.1177/08404704251322872","DOIUrl":"10.1177/08404704251322872","url":null,"abstract":"<p><p>Discrimination against individuals with Mental Health and Substance Use (MHSU) challenges adversely influences healthcare. To address shortcomings of existing anti-stigma interventions, a novel eLearning course on dismantling structural stigma was co-designed, piloted, implemented, and evaluated with diverse partners. The course aimed to foster reflection and evidence-informed approaches to recognize and address structural forms of stigma in healthcare contexts. Participants included self-identified health system leaders, influencers, and healthcare professionals (n = 528). Descriptive statistics and paired t-tests on pre- and post-evaluation data suggest that the course was perceived as relevant and useful for participants while enhancing their knowledge and skills. Overall, a web-based interactive eLearning course designed to improve knowledge, skills, and attitudes about structural stigma while challenging, transforming, and enlightening learners' beliefs and assumptions is an accessible tool with potential to produce sustained educational and practice-based outcomes and improve equity for individuals with MHSU challenges.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"346-349"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jelena Atanackovic, Mary Bartram, Micheala Slipp, Sophia Myles, Ivy Lynn Bourgeault, Colby Fraser, Kathleen Leslie
{"title":"Policy options for a pan-Canadian mental health and substance use health workforce strategy.","authors":"Jelena Atanackovic, Mary Bartram, Micheala Slipp, Sophia Myles, Ivy Lynn Bourgeault, Colby Fraser, Kathleen Leslie","doi":"10.1177/08404704251329040","DOIUrl":"10.1177/08404704251329040","url":null,"abstract":"<p><p>Canada needs a systematically developed, fit-for-purpose Mental Health and Substance Use Health (MHSUH) workforce strategy to improve and coordinate planning across jurisdictions, provider types, and the public and private sectors. Guided by a pan-Canadian advisory committee, our project synthesized evidence and refined key priorities through a virtual policy dialogue. This article describes the insights generated at this dialogue and highlights the coordinated priority actions for a MHSUH workforce strategy for Canada. Specific actions are recommended under the following five priorities: (1) collect data for planning; (2) support the workforce; (3) target recruitment; (4) optimize and diversify roles; and (5) close policy gaps. This proposed strategy can inform effective workforce planning, foster the well-being of the MHSUH workforce, and facilitate retention and recruitment. Engagement from MHSUH system partners, including leaders from government, provider, and lived experience organizations, is essential to advancing this workforce strategy.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"376-383"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Policy nudges toward medicalizing death and their impact on planetary health.","authors":"Hayden P Nix, Myles Sergeant, Nabha Shetty","doi":"10.1177/08404704251348813","DOIUrl":"10.1177/08404704251348813","url":null,"abstract":"<p><p>Despite most Canadians preferring to die at home, over 50% die in hospitals, a setting often discordant with patient-centered end-of-life care and environmentally harmful. This article argues that healthcare policies unintentionally \"nudge\" patients and providers towards the medicalization of death, contributing to low-value care and significant greenhouse gas emissions. We analyze how inaccessibility to primary and palliative care, default \"full code\" status, overspecialization, and inadequate home-care supports perpetuate hospital deaths. Using an illustrative case, we demonstrate how these policies influence care trajectories from outpatient to hospital admission and disposition planning. Our aim is to highlight these underrecognized downstream effects to inform health leaders about opportunities to improve end-of-life care quality, align with patient preferences, and secondarily, benefit planetary health.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251348813"},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12534867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The ethical responsibility of psychological safety: Leadership at the intersection of safety culture.","authors":"Yanka Campbell","doi":"10.1177/08404704251348817","DOIUrl":"https://doi.org/10.1177/08404704251348817","url":null,"abstract":"<p><p>Psychological safety-the belief that one can speak up or report concerns without fear of retribution or humiliation-is a foundational element of highly reliable healthcare teams. While every industry and team can benefit from psychological safety, in healthcare, it is not just a \"nice-to-have\"-it can be life-saving. In the high-risk, emotionally charged context of cancer care, its importance is magnified. Oncology is one of the many extra high stress and high-stakes areas of medicine and patient care. There is also benefit from establishing a psychologically safe culture in these very well-known areas of healthcare, and that is they can serve as a model and beacon for other areas in healthcare. Conversely, a bad culture in a highly visible area can encourage bad behaviour elsewhere. Yet, while often framed as a quality or cultural issue, psychological safety is also an ethical imperative. Leaders in healthcare have a moral responsibility to cultivate environments where team members feel safe to raise concerns, challenge unsafe practices, and contribute to system learning. This article explores the ethical dimensions of psychological safety, how human factors influence speaking up, and how leadership practices can advance or inhibit a culture of safety. Drawing from safety science, organizational ethics, and the author's experience in oncology safety leadership, the argument is made that fostering psychological safety is not simply best practice-it is a moral obligation grounded in justice, trust, and the prevention of harm.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704251348817"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}