Leading High-Reliability Organizations in Healthcare

Leading High-Reliability Organizations in Healthcare
Author: Richard Morrow
Publisher: CRC Press
Total Pages: 246
Release: 2016-03-15
Genre: Business & Economics
ISBN: 1466594896

This book details the attributes and practices that help high-reliability organizations (HROs) excel in the service they provide to their customers. Explaining what it takes to achieve high reliability in healthcare settings, it presents proven tools and concepts that leading healthcare organizations are using to improve safety and quality. The book identifies the necessary infrastructure, methods, and analytics required to achieve and sustain higher reliability. It also includes case studies that illustrate success stories and failures, so readers can avoid making the same mistakes.

Building a High-Reliability Organization

Building a High-Reliability Organization
Author: Gary L. Sculli
Publisher: Hcpro, a Division of Simplify Compliance
Total Pages: 0
Release: 2015-08-28
Genre:
ISBN: 9781556452994

Building a High-Reliability Organization: A Toolkit for Success Gary Sculli, RN, MSN, ATP Douglas E. Paull, MD, FACS, FCCP, CHSE Building a High-Reliability Organization: A Toolkit for Success is a practical guide to becoming a high-reliability organization (HRO). HROs practice the highest standards of patient quality and prevent never events before they occur. In this first-of-its-kind book, written for real-world healthcare professionals on the front lines of patient safety, authors Gary L. Sculli, RN, MSN, ATP, and Douglas E. Paull, MD, FACS, FCCP, CHSE, take the concept of an HRO and break down what it means at the point of care. Through step-by-step instructions and a practical, straightforward approach, they demonstrate how your organization can ensure safe patient care, every day, for every patient. After reading this book, you will: Possess a clear understanding of what constitutes high-reliability healthcare Be able to promote evidence-based, reliable methods to improve safety, including team training, fatigue management systems, and investment in patient safety infrastructure and technology Understand which elements and behaviors must be included in an overall plan to achieve high reliability at the front lines of care Become a transformational leader in your healthcare organization Be able to apply the principles of a fair and just culture to promote the reporting, discussion, and disclosure of adverse events Table of Contents: Preface and Precepts Chapter 1: Situational Awareness Is Fundamental to High Reliability Chapter 2: Situational Awareness Countermeasures Chapter 3: Everyone on the Same Sheet of Music Chapter 4: Yes--You Need to Use the Checklist! Chapter 5: Preoccupation With Failure--It's an Attitude Chapter 6: Recognizing That the Expert Is Not Always the Person in Charge Chapter 7: Lab Coats and Scrubs, Meet Suits and Ties--Sensitivity to Frontline Operations Chapter 8: Just Response to Human Error: A Necessary Component of High-Reliability Organizations Chapter 9: Standardize Communication and Processes to Create Equivalent Actors Chapter 10: Ensuring Technical and Non-Technical Competence

Managing the Unexpected

Managing the Unexpected
Author: Karl E. Weick
Publisher: John Wiley & Sons
Total Pages: 212
Release: 2011-01-06
Genre: Business & Economics
ISBN: 0470534230

Since the first edition of Managing the Unexpected was published in 2001, the unexpected has become a growing part of our everyday lives. The unexpected is often dramatic, as with hurricanes or terrorist attacks. But the unexpected can also come in more subtle forms, such as a small organizational lapse that leads to a major blunder, or an unexamined assumption that costs lives in a crisis. Why are some organizations better able than others to maintain function and structure in the face of unanticipated change? Authors Karl Weick and Kathleen Sutcliffe answer this question by pointing to high reliability organizations (HROs), such as emergency rooms in hospitals, flight operations of aircraft carriers, and firefighting units, as models to follow. These organizations have developed ways of acting and styles of learning that enable them to manage the unexpected better than other organizations. Thoroughly revised and updated, the second edition of the groundbreaking book Managing the Unexpected uses HROs as a template for any institution that wants to better organize for high reliability.

Managing the Unexpected

Managing the Unexpected
Author: Karl E. Weick
Publisher: John Wiley & Sons
Total Pages: 231
Release: 2015-09-15
Genre: Business & Economics
ISBN: 1118862414

Improve your company's ability to avoid or manage crises Managing the Unexpected, Third Edition is a thoroughly revised text that offers an updated look at the groundbreaking ideas explored in the first and second editions. Revised to reflect events emblematic of the unique challenges that organizations have faced in recent years, including bank failures, intelligence failures, quality failures, and other organizational misfortunes, often sparked by organizational actions, this critical book focuses on why some organizations are better able to sustain high performance in the face of unanticipated change. High reliability organizations (HROs), including commercial aviation, emergency rooms, aircraft carrier flight operations, and firefighting units, are looked to as models of exceptional organizational preparedness. This essential text explains the development of unexpected events and guides you in improving your organization for more reliable performance. "Expect the unexpected" is a popular mantra for a reason: it's rooted in experience. Since the dawn of civilization, organizations have been rocked by natural disasters, civil unrest, international conflict, and other unexpected crises that impact their ability to function. Understanding how to maintain function when catastrophe strikes is key to keeping your organization afloat. Explore the many different kinds of unexpected events that your organization may face Consider updated case studies and research Discuss how highly reliable organizations are able to maintain control during unexpected events Discover tactics that may bolster your organization's ability to face the unexpected with confidence Managing the Unexpected, Third Edition offers updated, valuable content to professionals who want to strengthen the preparedness of their organizations—and confidently face unexpected challenges.

Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare

Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare
Author: Craig Clapper
Publisher: McGraw Hill Professional
Total Pages: 341
Release: 2018-11-09
Genre: Business & Economics
ISBN: 1260440931

From the nation’s leading experts in healthcare safety—the first comprehensive guide to delivering care that ensures the safety of patients and staff alike.One of the primary tenets among healthcare professionals is, “First, do no harm.” Achieving this goal means ensuring the safety of both patient and caregiver. Every year in the United States alone, an estimated 4.8 million hospital patients suffer serious harm that is preventable. To address this industry-wide problem—and provide evidence-based solutions—a team of award-winning safety specialists from Press Ganey/Healthcare Performance Improvement have applied their decades of experience and research to the subject of patient and workforce safety. Their mission is to achieve zero harm in the healthcare industry, a lofty goal that some hospitals have already accomplished—which you can, too.Combining the latest advances in safety science, data technology, and high reliability solutions, this step-by-step guide shows you how to implement 6 simple principles in your workplace. 1. Commit to the goal of zero harm.2. Become more patient-centric.3. Recognize the interdependency of safety, quality, and patient-centricity.4. Adopt good data and analytics.5. Transform culture and leadership.6. Focus on accountability and execution.In Zero Harm, the world’s leading safety experts share practical, day-to-day solutions that combine the latest tools and technologies in healthcare today with the best safety practices from high-risk, yet high-reliability industries, such as aviation, nuclear power, and the United States military. Using these field-tested methods, you can develop new leadership initiatives, educate workers on the universal skills that can save lives, organize and train safety action teams, implement reliability management systems, and create long-term, transformational change. You’ll read case studies and success stories from your industry colleagues—and discover the most effective ways to utilize patient data, information sharing, and other up-to-the-minute technologies. It’s a complete workplace-ready program that’s proven to reduce preventable errors and produce measurable results—by putting the patient, and safety, first.

High Reliability for a Highly Unreliable World

High Reliability for a Highly Unreliable World
Author: Daved van Stralen
Publisher:
Total Pages: 0
Release: 2017
Genre: Organizational effectiveness
ISBN: 9781974506378

Authors Daved van Stralen, MD, FAAP; Spencer L. Byrum; and Bahadir Inozu, PhD, are experts in the art and science of High Reliability Organizing (HRO). They have, in their diverse and successful careers, applied the fundamentals of the HRO system to aviation, healthcare, public safety, manufacturing, and a multitude of other industries. Among these industries, HRO's applications in healthcare have been garnering the most attention recently. In this new guide to the principles of HRO, the authors explore its uses in healthcare and list the many ways industry leadership can benefit from its implementation. In addition to HRO's many benefits, this new guide also explores the five HRO principles, HRO in healthcare environments, the problems HRO solves, Boyd's OODA loop, decision making in healthcare, threat responses, leadership models, organization culture, and many other important fundamentals. HRO is an effective way an organization can respond to crisis, chaos, and adversity. It gives leadership, management, and all levels of the organization a way of processing challenges and overcoming them as a single unit. With the help of these industry experts, discover how HRO helps you learn and grow as team member, manager, and leader.

Best Care at Lower Cost

Best Care at Lower Cost
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 437
Release: 2013-05-10
Genre: Medical
ISBN: 0309282810

America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

The Safety Playbook

The Safety Playbook
Author: John Byrnes
Publisher: ACHE Management
Total Pages: 0
Release: 2018
Genre: Medical
ISBN: 9781567939453

Each year, more than 200,000 patients die as a result of medical errors--the third leading cause of death in the United States. Although the numbers are staggering and the challenges great, this national healthcare crisis is solvable--and fixing it has become a personal mission for John Byrnes, MD, and Susan Teman, RN. Byrnes and Teman have a proven track record in helping hospitals and health systems transform into high-reliability organizations that aim to deliver error-free care at an affordable cost. In The Safety Playbook: A Healthcare Leader's Guide to Building a High-Reliability Organization, they lay out their process for building a safety program that can eradicate preventable medical errors. Written in a clear, conversational style, the book applies to all types of healthcare organizations and speaks to leaders across the spectrum--from board members and C-suite executives to clinical leaders; managers; and staff of quality, safety, and risk management departments. Readers of The Safety Playbook will: - Review the current rate of medical errors and explore proven solutions, including high reliability - Discover how transparency about errors and their causes makes a successful safety program possible - Learn how developing internal safety experts saves time and money - Examine safety tools and practices used effectively in high-reliability industries - Understand why communication is the top cause of medical errors and how to improve it - Explore guidelines used in other healthcare organizations that create a culture of safety - Study a sample project plan and timeline for implementing a safety program Filled with compelling case studies and practical tools and strategies, this groundbreaking book can be a catalyst for transforming an organization's culture, delivering safer care to patients, and ultimately saving lives. The American College of Healthcare Executives and the Institute for Healthcare Improvement/National Patient Safety Foundation's Lucian Leape Institute (IHI/NPSF LLI) have partnered to collaborate with some of the most progressive healthcare organizations and globally renowned experts in leadership, safety, and culture to develop Leading a Culture of Safety: A Blueprint for Success. This document is an evidence-based, practical resource with tools and proven strategies to help senior leaders in healthcare create a culture of safety--an essential foundation for achieving zero harm. The guide, freely downloadable from the IHI/NPSF website, is an excellent complement to The Safety Playbook. With both high-level strategies and practical tactics, the guide can be used to help determine the current state of an organization's journey, inform dialogue with its board and leadership team, and help its leaders set priorities. Whether an organization is just beginning the journey to a culture of safety or is working to sustain its safety culture, Leading a Culture of Safety can serve as a useful guide for directing efforts and evaluating an organizati

Leading Reliable Healthcare

Leading Reliable Healthcare
Author: Bandar Abdulmohsen Al Knawy
Publisher: Taylor & Francis
Total Pages: 312
Release: 2017-12-15
Genre: Business & Economics
ISBN: 135199977X

Leading Reliable Healthcare describes ‘state of the art’ healthcare management systems. The key focus of the publication is ‘reliable’; describing how leadership can ensure never less than reliable standards of care for patients and how excellence can be achieved. The focus throughout is on ensuring that patients and their families can depend on a reliable healthcare system for their needs, fulfilling their expectations that hospitals are trustworthy, stable and capable of dealing with their health, from the simplest to the most complex illnesses. Each of the chapters focuses on a different aspect of building a reliable healthcare system, concentrating on the leadership necessary to deliver and manage the different component elements of the healthcare system. The nominated contributors for this book are recognized leaders from various healthcare systems around the globe, including the UK, USA, Canada and South Korea/Singapore. The contributors have been selected to ensure a wide perspective of healthcare management, building on diverse approaches, practices and experiences, and are currently practicing healthcare management in their respective systems. The book aims to focus on the pragmatic rather than theoretical and will provide a series of practical methodologies and case studies to help improve decision making in healthcare management. With contributions by: Sallie J. Weaver, PhD, MHS, Associate Professor, Armstrong Institute for Patient Safety and Quality and Dept. of Anesthesiology & Critical Care Medicine, John Hopkins University School of Medicine Susan Mascitelli, Senior Vice President, Patient Services & Liaison to the Board of Trustees, New York-Presbyterian Hospital Dr. Sandra Fenwick, Chief Executive Officer, Boston Children’s Hospital Martin A. Makary, MD, MPH, Professor of Surgery, Johns Hopkins University School of Medicine; Professor of Health Policy and Management, John Hopkins Bloomberg School of Public Health Frank Federico, RPh, Vice President, Institute for Healthcare Improvement Dr. Hanan Edrees, Manager, Quality Management, KAMC-Riyadh Dr. Hee Hwang, CIO and Associate Professor; Seoul National University Bundang Hospital, Department of Pediatrics, Division of pediatric Neurology, Center of Medical Informatics Dr. M. Andrew Padmos, Chief Executive Officer, The Royal College of Physicians and Surgeons of Canada Professor Richard Hobbs, Professor of Primary Care Health Sciences, Director, NIHR English School for Primary Care Research, Nuffield Department of Primary Care Health Sciences, University of Oxford Ms. Jules Martin, Managing Director, Central London Clinical Commissioning Group Dr. Bruno Holthof, Chief Executive Officer, Oxford University Hospitals Tara Donnelly, Chief Executive, Health Innovation Network, South London Göran Henriks, Chief Executive of Learning and Innovation, Qulturum, County Council of Jönköping, Sweden