HRO Basics
What is a High Reliability Organization (HRO)?
An organization that avoids harm despite operating in a high-risk and complex environment.
Why does cultural transformation take time?
Because it requires sustained, organization-wide effort and systemic change.
What is defined as 'a system of shared accountability'?
Just Culture
What are 'walkrounds' also known as at AdventHealth?
Executive rounding, relational rounding, or leader rounding.
What are the two main focus areas of HRO principles?
Anticipation and Containment.
What is the 'High Reliability Culture Maturity Index'?
A framework that shows progression from reactive to generative cultures in reliability.
What three actions help build psychological safety, according to Amy Edmondson?
Frame the work, model fallibility, embrace the messenger.
What are the three key components of the Leadership Domain?
Frame the Why, Relationship Building, and Systems Thinking.
What does 'collective mindfulness' mean in an HRO context?
The organization’s shared awareness that helps anticipate and respond to unexpected challenges.
What is the 'tipping point' that leads to organizational impact in reliability?
Psychological Safety.
What question does having a Just Culture help us answer after an adverse event?
How do good people, trying to do the right thing, end up in a mess like this?’
Name one key measure of success in achieving a safety culture.
Event reporting numbers or cultural survey results.
What mindset shift is required for high reliability?
Moving from a reactive to a proactive and generative culture.
What are the five principles of High Reliability?
Preoccupation with failure, reluctance to simplify, sensitivity to operations, commitment to resilience, and deference to expertise.
What is the goal of implementing a Just Culture at AdventHealth?
Establishing a non-punitive process, increasing reporting, and reducing adverse events
What is the ultimate goal of the management system in High Reliability Healthcare?
To enable reliability and improvement through aligned structures, consistent practices, and data support.