Normalization of Deviance: Antithesis of Safety

Recorded On: 05/06/2020

Normalization of deviance was first described in 1969 in the context of NASA failure(s). Deviant behavior is a fundamental cause of serious safety events in healthcare today.  Persistent non-compliance with rules and standards of care becomes the accepted norm and staff become unaware of the potential impact on patient safety, quality of care, and employee morale. This lesson on normalization of deviance is presented by a nurse with over 40 years of experience as a clinician, leader, and a consultant. Real-life examples will be shared and tactics for managing instances of deviance will be explored.  

Learning Outcomes: At the end of this presentation, the participant will be able to:

o Contrast deviant behavior with innovation
o Relate persistent deviance to the culture of safety
o Describe 3 approaches for managing deviance

​Maureen Burger MSN, RN, CPHQ, FACHE

Chief Nursing Officer, Visante Inc.

Maureen Burger MSN, RN, CPHQ, FACHE, is the Chief Nursing Officer for Visante Inc., a medication management consulting firm. She has a long career in positions of progressive responsibility, both in nursing and hospital administration. Most recently, Maureen has served as Vice President of Quality, Safety, Risk, Accreditation, and Infection Control for Indiana University Health. As a consultant, she is thrilled to be able to focus her research, writing, and consulting on medication safety, especially when it involves IV push medications and drug diversion in healthcare. Ms. Burger obtained a master’s degree in Critical Care Nursing from Case Western Reserve University. She is certified in Healthcare Quality and is recognized as a Fellow by the American College of Healthcare Executives. When she is not advocating for patients and safety, Maureen, and her husband breed and race thoroughbred horses. Maureen lives in Indianapolis, IN. 

CRNI® RUs: This session has been approved for 1 CRNI® recertification unit and meets the non INS Meeting criteria.

Contact Hours: This session has been approved for 1 contact hour

Expiration date for receipt of contact hours: May 6, 2023

To receive contact hours for this educational activity, you are required to attend the entire educational activity and complete the evaluation.

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