Title: On cognitive reliability of hospital organisational environment and work performance

Authors: Genki Murakami, Takayasu Inoue, Murako Saito

Addresses: Graduate School of Medicine, Dept. of Healthcare Economics and Quality Management, School of Public Health, Kyoto University, Kyoto, Japan. ' Dept. of Industrial and Management Systems Engineering, School of Science and Engineering, Waseda University, Tokyo, Japan. ' Health Care Technology Management Research Centre, Institute on the Future Policy of Healthcare, Waseda University, Tokyo, Japan

Abstract: Hospital organisational environment has been required to change into knowledge or intelligent organisation and each profession is able to take strategic action in coping with changing environment. Accuracy of human action is not merely acquired by avoiding erroneous behaviours, rather it is ascertained by evaluating the relationship between cognitive reliability and action. The focus of this paper is to identify the relationship between cognitive reliability and action. The incidence rate and pattern, and also perceptual differences on working conditions were analysed by applying the questionnaires of the Common Performance Conditions (CPC), the Team Member Exchange (TMX) and some other questionnaires newly prepared. The results suggested that cognitive reliability on working environments played critical roles in determining efficiency and effectiveness of organisational performance. The importance to improve organisational performance is to keep perceptual level of organisational environment higher and to improve team coherence.

Keywords: cognitive reliability; organisational control mode; team coherence; work performance; organisational performance; teamwork; knowledge-based organisations; intelligent organisations; healthcare management; healthcare technology.

DOI: 10.1504/IJHTM.2007.013170

International Journal of Healthcare Technology and Management, 2007 Vol.8 No.3/4, pp.388 - 398

Published online: 11 Apr 2007 *

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