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the 5 key HRO principles in health care settings, including the specific challenges that threaten reliability in health care, such as higher workforce mobility and care of patients rather than machines.
HSR&D’s May 2019 “Evidence Brief: Implementation of HRO Principles” provides a comprehensive overview of the current state of HRO science, including key gaps in our knowledge on HRO implementation.
These five principles form the foundation for the continuous improvement mindset of High-Reliability Organizations. Even if your business doesn’t deal in life and death affairs, there are lessons to be learned from those that do.
A high-reliability organization (HRO) is an entity that operates in complex and high-risk environments while consistently delivering impeccable results and avoiding accidents that would cause harm. HRO theory prioritizes safety, resilience, and error reduction as core values.
HRO Principle 1: PREOCCUPATION WITH FAILURE. Definition: Regarding small, inconsequential errors as a symptom that something is wrong; finding the half event. In practice, this means: . We focus more on our failures than our successes.
5 principles of HROs. At their core, high reliability organizations (HROs) embody these five principles: Sensitivity to operations. Preserving constant awareness by leaders and staff of the state of the systems and processes that affect patient care. This awareness is key to noting risks and preventing them. Reluctance to simplify.
At the core of an HRO, there are five key principles, which are essential for any improvement initiative to succeed: deference to expertise, reluctance to simplify, sensitivity to operations, commitment to resilience and preoccupation with failure.
In addition to a safer environment focused on reducing errors and preventing patient harm, HRO principles and values call for deference to expertise; oftentimes, the patient’s family caregiver is that expert. HRO will empower Veterans and their family caregivers, along with staff.
The use of HRO is designed to change the thinking about patient safety through the following five principles: Sensitivity to operations (i.e., heightened awareness of the state of relevant systems and processes);
This article presents common HRO characteristics that apply to all health care organizations and cross-walks them with the IHI Framework for Safe, Reliable, and Effective Care to help leaders build a culture and learning system to support HRO characteristics and safer systems of care.