HRO Basics
An organization that avoids harm despite operating in a high-risk and complex environment.
What is a High Reliability Organization (HRO)?
Why cultural transformation takes time.
What is: it requires sustained, organization-wide effort and systemic change?
A system of shared accountability.
What is Just Culture?
'Walkrounds' at AdventHealth are also known as these.
What are: executive rounding, relational rounding, or leader rounding?
The two main focus areas of the 5 HRO principles.
What are Anticipation and Containment?
A framework that shows progression from reactive to generative cultures in reliability.
What is the 'High Reliability Culture Maturity Index'?
The three actions help build psychological safety, according to Amy Edmondson.
What are: frame the work, model fallibility, embrace the messenger?
The three key components of the Leadership Domain.
What are leadership skills, activities and behaviors?
The organization’s shared awareness that helps anticipate and respond to unexpected challenges.
What is 'collective mindfulness'?
The 'tipping point' that leads to organizational impact in reliability.
What is Psychological Safety?
The question having a Just Culture help us answer after an adverse event.
What is: 'How do good people, trying to do the right thing, end up in a mess like this?’
Event reporting numbers or cultural survey results.
What are key measures of success in achieving a safety culture?
This mindset shift is required for high reliability.
What is moving from a reactive to a proactive and generative culture.
The five principles of High Reliability.
What are: preoccupation with failure, reluctance to simplify, sensitivity to operations, commitment to resilience, and deference to expertise?
The goals of implementing a Just Culture at AdventHealth.
What are: establishing a non-punitive process, increasing reporting, and reducing adverse events?
The ultimate goal of the management system in High Reliability Healthcare.
What are: to enable reliability and improvement through aligned structures, consistent practices, and data support?