MMHA 6900 Reciprocal Inhibition

MMHA 6900 Reciprocal Inhibition
  • Description


You can decrease the frequency of any behavior through punishment, but why not give some thought to reciprocal inhibition? Reciprocal inhibition is the process of defining the opposite of the undesirable behavior and reinforcing the positive instead. Reciprocal inhibition can be useful for leaders in helping change behaviors aiming for high reliability. For example, instead of punishing errors, reward quality.

In this Assignment you will identify where reciprocal inhibition might be used to improve patient outcomes in quality and patient safety. You will also recommend steps that will foster a culture of quality and recommend at least one strategy for overcoming the challenges of achieving a culture of high reliability.

To prepare:

Review this Week’s Learning Resources related to creating a culture of high reliability

The Assignment:

This week’s reading suggests that reciprocal inhibition is a good strategy to change reinforcers in the health care system and that “culture eats strategy.”

Considering your organization, or a health care organization you are familiar with, write a 3- to 4-page paper that:

  • Describes how and where reciprocal inhibition might be used to improve patient outcomes in quality and improve patient safety.
  • Explains how using reciprocal inhibition may be an improvement in the culture of quality. Include any steps that will foster a culture of quality in an organization to become a high-reliability organization.
  • Recommend at least one strategy for overcoming the challenges of fostering a culture of high reliability.

Note: Your Assignment must be written in standard edited English. Be sure to support your work with at least five high-quality references, including two from peer-reviewed journals. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct. This Assignment will be graded using this rubric: Week 8 Assignment Rubric (PDF). Your Assignment should show effective application of triangulation of content and resources in your conclusion and recommendations.

Learning Resources that we can use for assignment

Required Readings

Nash, D. B., Joshi, M. S., & Ransom, E. R., & Ransom, S. B., (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Chicago, IL: Health Administration Press.

  • Chapter 12, “Creating Alignment: Quality Measures and Leadership: (pp. 301-326)

Edwards, M. T. (2013). A longitudinal study of clinical peer review’s impact on quality and safety in U.S. hospitals. Journal of Healthcare Management, 58(5), 369–385.


Grintsova, O., Maier, W., & Mielck, A. (2014). Inequalities in health care among patients with type 2 diabetes by individual socio-economic status (SES) and regional deprivation: A systematic literature review. International Journal for Equity in Health, 13, 43.


Hall, W. J., Chapman, M. V., Lee, K. M., Merino, Y. M., Thomas, T. W., Payne, B. K., … Coyne-Beasley, T. (2015). Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: A systematic review. American Journal of Public Health, 105(12), e60–e76.


Kuo, R. N., & Lai, M-S. (2013). The influence of socio-economic status and multimorbidity patterns on healthcare costs: A six-year follow-up under a universal healthcare system. International Journal for Equity in Health, 12, 69.


Patel, J., Ahmed, K., Guru, K. A., Khan, F., Marsh, H., Shamim Khan, M., & Dasgupta, P. (2014). An overview of the use and implementation of checklists in surgical specialties—A systematic review. International Journal of Surgery, 12(12), 1317–1323.


Skinner, L., Tripp, T. R., Scouler, D., & Pechacek, J. M. (2015). Partnerships with aviation: Promoting a culture of safety in health care. Creative Nursing, 21(3), 179–185.


Solomon, B. (2015). Developing a robust safety culture. Professional Safety, 60(8), 50–52.


Yamada, T., Chen, C-C., Murata, C., Hirai, H., Ojima, T., Kondo, K., & Harris, J. R. (2015). Access disparity and health inequality of the elderly: Unmet needs and delayed healthcare. International Journal of Environmental Research and Public Health, 12(2), 1745–1772.


Smith, E. A., Akusoba, I., Sabol, D. M., Stawicki, S. P., Granson, M. A., Ellison, E. C., & Moffatt-Bruce, S. D. (2015). Surgical safety checklist: Productive, non-disruptive, and the “right thing to do”. Journal of Postgraduate Medicine, 61(3), 214–215. Retrieved from

Surgical Safety Checklist: Productive, Nondisruptive, and the “Right Thing to Do” by Smith, E.; Akusoda, I.; Sabol, D.; Stawicki, S.; Granson, M.; Ellison, E., in Journal of Postgrad Medicine, Vol. 61/Issue 3. Copyright 2015 by Medknow Publications and Media PVT Ltd. Reprinted by permission of Medknow Publications and Media PVT Ltd. via the Copyright Clearance Center.

Gamble, M. (2013). 5 traits of high reliability organizations: How to hardwire each in your organization. Retrieved from

Porter, M. E., & Lee, T. H. (2013). The strategy that will fix health care. Harvard Business Review. Retrieved from

Required Media

Bassett, M. (2015). Why your doctor should care about social justice [Video file]. Retrieved from\

Note: The approximate length of this media piece is 14 minutes.

Roberts, D. (2015). The problem with race-based medicine [Video file]. Retrieved from\

Note: The approximate length of this media piece is 15 minutes.


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