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The Effects of Conflict on
Quality, Retention, and Safety in Healthcare
Organizations
Association for Conflict Resolution National Conference
October 10, 2013
Developed by Care Full Conflict, LLC. All rights reserved.
Dennis M. Dennis, PhD, RN
Consulting Psychologist
Leanne Meier, RN, BSN
Conflict Coach & Trainer
Curt Micka, JD
Conflict Coach, Trainer & Mediator
Richard Sturgeon, MD
Physician Healthcare Executive
Dennis: Rationale, Model, Measures
& Methods
 Importance of Conflict in Healthcare – IOM Study
 Care Full Conflict: A model for healthy Q-R-S Outcomes
Caring - respectful of self and others
Full - concern for the interests of all affected individuals and groups
Careful – deliberate and skillful
 Supports Team STEPPS (DoD and HHS/AHRQ)
 Conflict Dynamics Model - Evidence-based foundation
www.carefullconflict.com
Conflict Skills
•Avoiding
•Yielding
•Hiding Emotions
•Self Criticizing
• Reflective Thinking
• Delay Responding
• Adapting
•Winning at All Costs
•Displaying Anger
•Demeaning Others
•Retaliating
• Perspective Taking
• Creating Solutions
• Expressing Emotions
• Reaching Out
Active
Constructive
Active
Destructive
Passive
Destructive
Passive
Constructive
Leanne
 Recruitment & retention
 Personalities attracted to medical
careers
 Conflict resolution skills
 Impact for the future of health care
and health care professions
www.leannemeiercoaching.com
Richard: Conflict and its natural
consequences in Healthcare
 Disruptive behavior; negative effect on patient
care/safety
 Bad for business; medical errors, patient
experience, ACO, turnover
 What can organizations do?
Richard Sturgeon, MD
Curt: Global Perspective
• International health care agencies often end up competing for limited resources
• Helping such organizations move from competition to collaboration for the
benefit of consumers is a daunting, yet possible, task.
• Collaboration requires both "external" skills (e.g., interest based negotiations) and
"internal" skills (e.g., emotional intelligence, including self awareness, mindfulness
and self-management).
• Staff at all levels need training to assure a shift towards collaboration.
www..conflictmanagementservices.com
Discussion
Care Full Conflict, LLC

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The Impact of Conflict Measured by the Quality, Results and Service (QRS) in Healthcare Organizations

  • 1. The Effects of Conflict on Quality, Retention, and Safety in Healthcare Organizations Association for Conflict Resolution National Conference October 10, 2013 Developed by Care Full Conflict, LLC. All rights reserved. Dennis M. Dennis, PhD, RN Consulting Psychologist Leanne Meier, RN, BSN Conflict Coach & Trainer Curt Micka, JD Conflict Coach, Trainer & Mediator Richard Sturgeon, MD Physician Healthcare Executive
  • 2. Dennis: Rationale, Model, Measures & Methods  Importance of Conflict in Healthcare – IOM Study  Care Full Conflict: A model for healthy Q-R-S Outcomes Caring - respectful of self and others Full - concern for the interests of all affected individuals and groups Careful – deliberate and skillful  Supports Team STEPPS (DoD and HHS/AHRQ)  Conflict Dynamics Model - Evidence-based foundation www.carefullconflict.com
  • 3. Conflict Skills •Avoiding •Yielding •Hiding Emotions •Self Criticizing • Reflective Thinking • Delay Responding • Adapting •Winning at All Costs •Displaying Anger •Demeaning Others •Retaliating • Perspective Taking • Creating Solutions • Expressing Emotions • Reaching Out Active Constructive Active Destructive Passive Destructive Passive Constructive
  • 4. Leanne  Recruitment & retention  Personalities attracted to medical careers  Conflict resolution skills  Impact for the future of health care and health care professions www.leannemeiercoaching.com
  • 5. Richard: Conflict and its natural consequences in Healthcare  Disruptive behavior; negative effect on patient care/safety  Bad for business; medical errors, patient experience, ACO, turnover  What can organizations do? Richard Sturgeon, MD
  • 6. Curt: Global Perspective • International health care agencies often end up competing for limited resources • Helping such organizations move from competition to collaboration for the benefit of consumers is a daunting, yet possible, task. • Collaboration requires both "external" skills (e.g., interest based negotiations) and "internal" skills (e.g., emotional intelligence, including self awareness, mindfulness and self-management). • Staff at all levels need training to assure a shift towards collaboration. www..conflictmanagementservices.com