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Clinical Changemakers

Networks, Culture & Safety: How to Build Effective Healthcare Organizations | Prof. Ingrid Nembhard (Wharton School)

21 May 2025

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"We need to pay more attention to the networks that operate between people and the networks that operate between organisations.”Professor Ingrid Nembhard is an Organisational Behaviour expert in healthcare systems, based at the Wharton School of the University of Pennsylvania. Her research focuses on how characteristics of health care organisations, their leaders, and staff contribute to their ability to implement new practices, engage in continuous organisational learning, and ultimately improve quality of care.Key TakeawaysRelationships and networks drive outcomes: The connections between people and organisations significantly impact healthcare delivery. Traditional structural changes often fail because they ignore these relational dimensions.Psychological safety is essential: Creating environments where people can take interpersonal risks—raising concerns, offering suggestions, sharing half-formed ideas—enables both innovation and problem-solving. This requires relationships built on trust and respect.Standardisation and creativity complement each other: Rather than being opposed, standardisation helps identify where creativity is needed, and creative solutions can become new standards. Healthcare requires both standardised processes and customised approaches.COVID revealed organisational potential: The pandemic demonstrated healthcare's capacity for creative problem-solving and adaptability. Organisations should maintain the communication channels and cross-functional collaboration that emerged during this crisis.Where to Find Professor Ingrid Nembhard* LinkedInIn This Episode00:01 - Introduction00:34 - Is healthcare truly different from other industries?03:16 - The growing recognition of organisational factors in healthcare05:31 - How organisational skills should be incorporated into clinical education10:20 - Learning the broader healthcare context vs. operational skills14:25 - Understanding networks in healthcare organisations18:47 - How to map and leverage relationships within organisations22:48 - Building networks prospectively rather than retrospectively26:26 - Creating psychological safety in healthcare teams31:24 - Practical steps for leaders to implement psychological safety36:40 - How standardisation and creativity can complement each other42:51 - Lessons from COVID-19 for healthcare managementReferenced* Integrating network theory into the study of integrated healthcare (Paper)* NEJM: Responding to Covid-19: Lessons from Management Research (Paper)* COVID-19 Inspired Creativity In Health Care: Lessons For Management And Policy (Article)ContactContact Information: If you have any feedback, questions or if you'd like to get in touch, reach out at [email protected]👋 Hey there - Jono here. If you enjoy this episode, please share it with a friend. Thanks for the support! This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.clinicalchangemakers.com

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