Administrative Harm.

Abstract

Administrative harm (AH) refers to the adverse consequences of administrative decisions in health care and directly influences patient care, workforce, and organizational outcomes. It is pervasive and comes from all organizational decision-makers, including formal and informal leaders. Organizations often lack mechanisms for identification, measurement, and feedback related to AH. Proposed solutions include developing a definition and understanding of AH, collaborative cultures and psychological safety, structures and processes to support optimal decision-making, measurement and data strategies for AH, and reporting and learning systems. These approaches aim to mitigate administrative harm and improve health care delivery and outcomes.