Reconsidering the application of systems thinking in healthcare: the RaDonda Vaught case

A Call to Action Following the RaDonda Vaught Case

“…Notably, the senior author on this executive brief published an executive brief in 2005 that included some of the same topics discussed by this panel (Burke, 2005). Although we typically blame individuals and focus most interventions at the individual level, nursing must strive to focus on effective system-level improvements, embracing systems thinking that is needed for change (Dolansky & Moore, 2013; Lusk et al, 2022; Waterson & Catchpole, 2016). In addition, we need to enact policies to ensure a fair and just culture and address the barriers to healthcare professionals reporting errors (Paradiso & Sweeney, 2019; Vrbnjak et al, 2016; Woo & Avery, 2021).…”