Pillars, Principles, Values
THESE experience fewer than anticipated accidents or events of harm, despite operating in highly complex, high-risk environments
What is A HIGH RELIABILITY ORGANIZATION
ABC News (12/2/21): Alex Baldwin on 'Rust' shooting: 'Someone is responsible...but I know it's not me'
....demonstrates that Hollywood is a High Reliability Organization. ANSWER: "Heck yah!" or "You're kidding, right?"
What is "You're kidding, right?"
Adopting a Just Culture is a requirement of Joint Commission. True or False.
What is TRUE
LD 03.01.01 "Leaders create and maintain a culture of safety and quality throughout the organization"
Driving the speed limit
What is CREATING A CULTURE OF SAFETY
Could also be: RESPECT FOR PEOPLE, ANTICIPATE RISK, BOUNCE BACK FROM MISTAKES
VHA's True North
What is IT'S ALL ABOUT THE VETERAN
What is DEFERENCE TO EXPERTISE
Bloomberg.com (11/8/2021): Walmart Introduces Driverless Delivery Vans for Online Orders
...is an example of which HRO concept
What is CONTINUOUS PROCESS IMPROVEMENT
Could also be: LEADERSHIP COMMITMENT, TRUST, CULTURE OF SAFETY, SENSITIVITY TO OPERATIONS
THIS VHA priority initiative aligns with HRO by ensuring we are taking care of all of the patients' needs as well as our own.
What is WHOLE HEALTH
What is RESILIENCE, RESPECT FOR PEOPLE, CONTINUOUS PROCESS IMPROVEMENT, LEADERSHIP COMMITMENT....
Self-care contributes to all pillars, principles, and values
By using HRO Principles and Values, ensuring a Just Culture, learning from our mistakes, and ensuring our communication is clear, we will achieve THIS for our Veterans.
What is ZERO HARM
1. Culture of Safety
2. Continuous Process Improvement
3. Leadership Commitment
4. Just Culture
What is #4, JUST CULTURE
American Medical Assn (2/7/2022): Health Equity--When seeking to build trust, work with those who already have it
...recommends using an approach that places emphasis not only on the message, but on the messenger. ANSWER: "Makes sense, totally agree" or "That'll never work"
What is "MAKES SENSE, TOTALLY AGREE". It's not what you say, but how you say it (from 3 Men and a Baby"), and now add WHO says it
Mr. Brandecker's performance plan includes a line item for HRO. ANSWER: "Yes! Lucky him!" or "No, but it ought to be included"
What is "Yes! Lucky him!"
What is EMPOWERING AND VALUING EXPERTISE AND DIVERSITY
Could also be: DUTY TO SPEAK UP, FOCUS ON FRONT LINE STAFF AND CARE PROCESSES, RESPECT FOR PEOPLE
In a Just Culture, removing/clearing a staff person for reckless behavior is acceptable, as is examining system failures to identify accountability. True or False.
Instead of finger pointing at who, stopping to ask why and how, as well as getting to the root cause, demonstrate THIS HRO value.
What is RELUCTANCE TO SIMPLIFY
"Thunder come from behind for Win over Blazers" (Sports Illustrated) demonstrates which HRO concept
What is RESILIENCE / BOUNCING BACK FROM MISTAKES
At a recent VISN 21 huddle, I shared information from a recent article in Am J Med Qual where some high level health care leaders (including one from VA!) are considering adding an "E" to HRO, making it "HERO". What does the "E" stand for?
What is EQUITY
As a parent of a child or a fur/finned/feathered baby, we demonstrate concepts of HRO daily. Examples include...
What is LEADERSHIP COMMITMENT, CULTURE OF SAFETY, Deference to Expertise, Reluctance to Simplify (don't jump to conclusions), PREOCCUPATION WITH FAILURE
A pre-flight checklist
A pre-procedure time out
ACLS algorithm
SBAR technique
...are all examples that are used to foster this
What is CLEAR COMMUNICATION
PDSA
When I did a google search of "COVID", 4.2 billion+ results came back. How many results came back when I searched "HIGH RELIABILITY ORGANIZATION"?
a. 327 million
b. 5 billion+
c. 795,000+
What is "A" 327 million
Reduced hospital-acquired conditions, reduced inappropriate admissions, decreased length of stay, improved all employee satisfaction scores, increased employee engagement, decreased poor patient outcomes, reduced harm
What is BENEFITS FOR PATIENTS AND STAFF AND WHY WE NEED TO BECOME AN HRO
Performance appraisals
What is ACCOUNTABILITY
Could also be TRANSPARENCY, CLEAR COMMUNICATIONS, LEADERSHIP COMMITMENT
It's not easy, but THIS is what is needed to ensure a successful HRO journey.
What is CULTURE CHANGE