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.

Patient safety and quality of care are critical concerns of healthcare consumers, payers, providers, organizations, health systems, and governments. Although a strong body of knowledge shows that high reliability methods enable the most efficient, safe, and effective care, these methods have yet to be completely implemented across healthcare. According to authors Cynthia Oster and Jane Braaten, nurses—who are on the frontline of providing safe and effective care—are ideally situated to drive high reliability. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality, Second Edition, equips nurses and healthcare professionals with the tools necessary to establish an error detection and prevention system. This new edition builds on the foundation of the first book with best practices, relevant exemplars, and important discussions about cultural aspects essential to sustainability. New material focuses on: · High reliability performance during a pandemic · Organizational learning and tiered safety huddles · High reliability in infection prevention and ambulatory care · The emerging field of human factors engineering within healthcare · Creating a virtual resource toolkit for frontline staff

Patient safety and quality are an ever-increasing concern to consumers, payers, providers, organizations, and governments. However, high reliability methods and science that can provide efficient and effective care have still not been totally implemented into our healthcare culture. Nurses, representing the majority of healthcare workers, are on the front line of the delivery and provision of safe and effective care and are ideally situated to drive the mission to achieve high reliability in healthcare. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality presents practical examples of HRO principles in order to establish a system that detects and prevents errors from happening even in the most difficult, high risk conditions. Authors Cynthia Oster and Jane Braaten provide healthcare professionals with tools and best practices that will improve and enhance patient safety and quality outcomes. This book provides: - An overview of HRO science as an organizing framework for quality and patient safety - Practical applications of HRO science, focusing on quality and patient safety - Knowledge and tools that can be applied to current quality and safety practices - Real-world examples of HRO principles employed in a variety of patient care areas -- Provided by publisher.

Equips nurses and healthcare professionals with the tools necessary to establish an error detection and prevention system. Includes Instructor's Guide and Student Workbook.

Hospitals, urgent care units, outpatient clinics, and long-term care facilities constantly keep tightening their safety measures by adopting new interventions. As a result of these efforts, nowadays, fewer patients injure or die from accidental injections, medication errors, falls, or serious healthcare-acquired infections. Yet, many service providers still frequently find themselves at the center of criticism by the media and advocacy groups for their inefficacy in making drastic systematic changes that last. More recent advancements in the field have called for the emulation of the principles of High-Reliability Organizations (HROs) for creating safer services through more radical changes. Building upon this research and juxtaposing it with the leadership literature, our study takes this call one step further by introducing and conceptualizing a leadership style which we call high-reliability leadership style. The chapter also provides a starting point for the advancement of research and practice in healthcare by providing an in-depth exploration of the characteristics of high-reliability leaders. Healthcare organizations can use the findings presented in this chapter for selecting and developing individuals into leadership roles capable of ensuring the sustainable reliability of their care delivery systems.

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

Updated to incorporate a leadership and management and interprofessional focus This second edition of Introduction to Quality and Safety Education for Nurses has been thoroughly updated with a leadership and management perspective while retaining core content that unpacks the knowledge and skills required of entry-level nurses in each of the six Quality and Safety Education for Nurses (QSEN) domains. After heart disease and cancer, patient safety errors rank as the third-leading cause of death in the U.S. As patients’ needs have increased in complexity and inter-professional teamwork and collaboration has become essential, only strong leadership skills can ensure high-quality and safe care. Nurses, largest group of health care professionals that spend the most time with patients, are uniquely suited to lead through effective management and communication in this dynamic environment. With contributions from nurses, physicians, pharmacists, librarians, attorney, and other health care professionals throughout the U.S. and beyond, Introduction to Quality and Safety Education for Nurses, Second Edition underscores the inter-professional focus grounding health care practice today. The updated edition includes five new chapters on implementing quality and safety initiatives from a leadership and management perspective, and state-of-the-art information on quality improvement. Each chapter contains learning objectives, opening scenarios, case studies, interviews, critical thinking exercises, key concepts, clinical discussion points, review activities, NCLEX-style questions, and web resources. New to the Second Edition: Increased focus on leadership and management aspects of Quality and Safety Updated information from national and state health care and nursing organizations An evolving clinical case study for application of concepts throughout the text Additional patient care cases and real-life examples Interviews with a myriad of health care professionals such as educators, library scientists, lawyers, psychologists, risk managers, and many others Five new chapters addressing nurse leadership and management of high-quality care, legal and ethical aspects of quality and safety, delegating patient care and setting priorities, tools of quality improvement, and quality improvement project management Key Features: Helps nursing schools to fulfill accreditation standards for quality and safety curricula Maps the QSEN competencies for knowledge, skills and attitudes(KSA’s) for each chapter Includes objectives, critical thinking exercises, case studies, interviews, NCLEX-style questions, photos, tables, suggested readings, and more in each chapter Provides instructor package with PowerPoint slides, Q&A, answers for case study and critical thinking exercises, and more Provides knowledge for Nursing Education QSEN-specific courses KSAs throughout chapters

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.