HRO's
These organizations operate in high risk environments like hospitals but manage to avoid mistakes and accidents:
High-Reliability Organization HRO
This outlines who is accountable and responsible for the work in an organization; helps define working relationships
Organizational structure
I, directly and indirectly, influence nursing practice
I am developed and implemented by state local and federal governments
I can affect the quality of patient care, workplace environment, and availability of resources
What am I?
Regulations
Alcohol abuse, Drug use, Inappropriate relationships with patients, and Working without a license are examples of what?
Reasons new grads lose their job within the first year
Creating systems, processes, and a culture that minimizes the chances of failure and responds effectively when things go wrong. Describe what?
A formal line of authority from the top to bottom (or bottom to top) of an organization.
Chain of command
I ensure Healthcare organizations meet certain national quality standards
I ensure that the organization has met Medicare and Medicaid certification standards
I am required by Medicare, Medicaid, and most insurance companies
What am I?
Accreditation
( ) Future is what MAY OCCUR based on current and projected trends
Plausable
Consistent awareness of what happening in the organization using a big-picture approach known as systems thinking to keep safety a top priority and staying alert to potential problems describes?
What High-reliability Organizations develop
Each individual employee is accountable to only one manager with expectations clearly defined and well-understood
Unity of command
I am a staff nurse recognized for my clinical competence, leadership, and organizational skills
I have a desire to orient new grad nurses
Who am I?
Preceptor
( ) future is what will LIKELY OCCUR AND ACCURATELY REFLECTS the present state with minimal changes
Probable
Just culture and using technologies and systems are what?
2 key goals of HRO's
( ) defines a manager's scope of responsibility and reflects the number of employees who report to a given manager
Span of control
I am an experienced individual that does not have to be an RN
I maintain a long relationship with the new grad nurse throughout their professional career
I inspire and challenge the new grad
Who am I?
Mentor
( ) future is what MAY BE CONSIDERING ALL POSSIBLE SCENARIOS that could occur
possible
Name 5 important traits of high-reliability Organizations
1) Sensitivity to operations
2) Reluctance to simplify
3) Preoccupation with failure
4) Deference to expertise
5) Resilience
What components make up a centralized structure?
Authority for decision-making is made by a few individuals at the top
Minimal innovation or creativity
Flow of communication is from the top down and is tightly controlled
( ) future is WHAT SHOULD BE and begins with a vision and a road map to get there
Preferable