Elements Necessary in Creating a High-Reliability Organization Discussion

High Reliability Organizations (HROs) are those that have achieved safety, quality, and efficiency goals by employing five elements including sensitivity to operations, reluctance to simplify, preoccupation with failure, deference to expertise, and practicing resilience. HROs exercise sensitivity to operations by appreciating that the best picture of a situation comes from the fore line. Line employees, being closer to work than managers, are better placed to notice possible failures and identify opportunities for correction. The HROs do not operate on assumptions but rather consistently concentrate on observations that guide decision-making and new operational initiatives (Babyar, 2020)Elements Necessary in Creating a High-Reliability Organization Discussion

Reluctance to simplify is exercised by accepting and embracing complexity. HROs conduct root cause analysis and reject simple diagnoses. They anticipate failures and when one occur, they act swiftly and effectively. The organizations also allow expertise take precedence over authority by allowing experts undertake situational assessments and response. Resilience denotes their ability to anticipate trouble spots and improvise when the unexpected occurs. The organization have innovative solutions within a dynamic environment and are able to identify errors which require correction. They are always prepared for emergencies and have clear communication means and controls (Babyar, 2020)

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Relationship Between HROs and Safety and Quality

Patient safety and quality are vital terms in today’s health care environment. HROs build foundations for a safe and quality environment by integrating structured approaches for continuous improvement for optimal health outcomes (Adelman, 2019). They employ basic structures to facilitate modest yet effective structures for incorporating process enhancement to foster safety and quality at all levels. Elements Necessary in Creating a High-Reliability Organization Discussion

Approaches the Nurse Administrator Can use to Execute the Elements in an Organization

A nurse administrator can anticipate failure by focusing on not only the causes of errors but also seeing close misses as red flags for avoiding potential patient harm. They can refuse to accept simplicity and instead work towards achieving a zero-error performance level. The administrators can heighten awareness of potentially harmful situations that can threaten safe practice. This awareness can help illustrate how delicate variations in operations can affect the delivery of safe care. Additionally, the administrators can encourage resilience by fostering a culture, where nurses report errors and work together towards improving processes. Lastly they should make expertise engagement as a must-do and employ most relevant knowledge on appropriate assignments to achieve safe and quality outcomes. (Polonsky, 2019) Elements Necessary in Creating a High-Reliability Organization Discussion

References

Adelman, J. (2019). High-reliability healthcare: building safer systems through just culture and technology. Journal of Healthcare Management, 64(3), 137-141.

Babyar, J. (2020). Direct reliability: strategies to revolutionize healthcare. Journal of Public Health, 28(1), 89-95.

Polonsky, M. S. (2019). High-reliability organizations: the next frontier in healthcare quality and safety. Journal of Healthcare Management, 64(4), 213-221. Elements Necessary in Creating a High-Reliability Organization Discussion