HRO Pillars
True or False: High Reliability Organizations experience fewer than expected accidents or events or harm despite operating in complex, high-risk environments.
What is True?
This Principle is about being mindful of all people, processes and systems that impact patient care and services.
What is Sensitivity to Operations?
True or False: A learning organization adopts and adapts practices to help individuals and teams continuously Learn, Inquire and Improve
What is True?
True or False: Implementation of HRO behaviors and practices are the Flavor of the Month at VHA.
What is False?
True or False: In order to advance on the Journey to High Reliability, progress must be made equally in all 3 Pillars.
What is False?
Staff member participation in activities to mitigate risks, develop reliable processes, create standard work and eliminate waste demonstrate concepts of this pillar.
What is Continuous Process Improvement?
True or False: Deference to Expertise means we defer to leadership on all decisions.
What is False?
Asking clarifying questions and using a tool like the 3 W's to communicate a concern are examples of this Value.
What is Clear Communications?
True or False: Implementing the Foundational HRO Practices can have a positive impact on building a Culture of Safety.
What is True?
The purpose of starting meetings and events with this activity is to ensure safety is always on the forefront of our minds and our number one priority.
What is a Safety Story?
This pillar aims to improve psychological safety and encourage people to Speak Up or Stop the Line.
What is Culture of Safety?
When we work to get the root cause of a problem rather than settling for simple explanations, we are practicing this Principle.
What is Reluctance to Simplify?
We should all demonstrate this Value if we identify errors, safety concerns or opportunities for improvement.
What is Duty to Speak Up?
These activities, _____________ _____________ are focused, daily organizational meetings where teams identify, report and prioritize potential risks of the day and review past events for action, closure and learning and are effective for increasing Sensitivity to Operations.
What are Safety Huddles?
In this type of culture, when an error occurs, leaders first focus on the why and not the who and also examine the system for possible causes of failure and do not rush to blame individuals.
What is a Just Culture?
When leaders round, are visible and accessible to staff, listen to their ideas and encourage them to speak up when they identify a safety risk, they are demonstrating actions aligning to this Pillar.
What is Leadership Commitment?
This Principle teaches us to bounce back from mistakes, learn from them and get back on track.
What is Commitment to Resilience?
When we practice this Value, we create an environment of trust in where everyone feels they can share information with the goal of improving patient care and services.
What is Respect for People?
The benefits of Leader Rounding include....
What are (among others):
Demonstrate Leadership Commitment of HRO
Increases visibility and accessibility of leaders
Opportunity to recognize staff members and teams
Opportunity for staff to provide input, feedback, suggestions, ideas for improvements
The goal of sharing these types of practices and lessons learned from continuous process improvement efforts is so that we can spread safe and reliable practices across VAMCs, VISNs and VHA-wide.
What are strong practices?
HROs focus on three Pillars to help achieve ______ _______.
What is Zero Harm?
Analyzing Close Calls and developing solutions before they can cause harm is a demonstration of which Principle?
What is Preoccupation with Failure?
Practicing patient-centered care and always considering "What does this have to do with helping a Veteran?" whenever we make a decision describes this Value.
What is It's About the Veteran?
What are some components of a Just Culture?
What is (among others):
All staff members are encouraged to provide essential safety-related information and feel safe speaking up
Leaders recognize that humans will make mistakes and punishment is not the default action
Leaders focus on the why and not the who when errors occur and look at the system for possible causes.
What does Continuous Process Improvement look like in an HRO?
What is (among others):
Not being satisfied with the status quo or current level of safety
Examining processes to get better, pushing toward Zero Harm
All staff are engaged in PI activities
Using effective tools (like Lean and RCA) for continuous improvement and learning.