High Reliability Organizing (HRO): practical applications in human factors integration
Event Type
Oral Presentations
TimeFriday, April 1612:30pm - 12:50pm EDT
LocationHospital Environments
DescriptionHuman Factors in healthcare is stuck in an era of descriptive theory. Many are teaching and learning basic principles – and few are teaching and leading transformational change based on those principles. This program will use High Reliability Organizing (HRO) as a framework for the healthcare work system and show how many healthcare systems are achieving reductions in patient harm coincident with improvements in clinical quality.
Chong Chiu and Thomas Krause have both promoted the 80% theorem. By leading with safety, a complex work system, like healthcare, has the capability to reduce loss events by 80% in two years. In practice, more healthcare systems achieve closer to a 50% reduction in serious preventable harm over five years coincident with improved quality and efficiency.
How does one make this happen? Leading with safety creates a strong need in clinicians and leaders to achieve zero harm. That need in turn creates another equally strong need to drive dysfunction from care delivery systems – making system reliability the promising success path for zero harm. Healthcare is unique in that healthcare is the only human-based system that wants to be a High Reliability Organization (HRO). The others are machine-systems. That makes the people, who can think and adjust, more important in achieving work system reliability than in machine-based systems. The two best applications for achieving this human reliability in healthcare are 1) non-technical skills for caregivers and 2) local learning systems to enable work teams to do human factors integration as daily improvements (small performance improvement in many small tests of change versus big performance improvement through a few major projects). This 60-minute program will provide examples of both and involve the learners in three (3) interactive activities.