Oster and Braaten outline the history of safety science and high reliability, challenges and barriers in harm prevention in clinical practice, and the importance of health equity. This book is recommended reading for those who wish to strive for superb quality and safety in healthcare.
Ann Scott Blouin, PhD, RN, LFACHE
Assistant Professor, Loyola University Chicago, Marcella Niehoff School of Nursing
Board Secretary, Institute for Healthcare Improvement
President PSQ Advisory (retired)
Former Executive Vice President, The Joint Commission
As a faculty member teaching DNP students, I consistently recommend this book to deepen their understanding of how organizational culture and systems influence patient outcomes. It’s a practical and forward-thinking guide for those leading quality and safety efforts in healthcare.
Linda Roussel, PhD, RN, NEA-BC, FAAN
Clinical Professor, UTHealth Houston Cizik School of Nursing
This invaluable 3rd edition of High Reliability Organizations is an essential guide for healthcare leaders and practitioners everywhere. The authors understand the necessity of cultivating a culture where frontline staff are empowered to speak up about errors and near misses without fear.
Amy C. Edmondson
Novartis Professor of Leadership, Harvard Business School
Author, Right Kind of Wrong: The Science of Failing Well and The Fearless Organization.
As a student in a healthcare profession, you have probably heard of the concept of high reliability as a means to reduce harm, enhance quality, and improve outcomes. This Workbook—a companion resource for learners using the primary textbook High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality, Third Edition—helps bring high reliability concepts to life. For this new edition, the Workbook has been developed for learners to use in a variety of academic settings in courses focused on patient safety or quality management in nursing, health services administration, and clinical programs, providing learning activities that relate to each chapter in the textbook. These activities explain the concepts of high reliability and high reliability organizations (HROs), including examples of what the concepts look like in everyday practice and describing the information and tools nurses and other healthcare providers need for the organization to become an HRO.
About the textbook: High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality, Third Edition, equips nurses and healthcare professionals with the tools necessary to establish an error detection and prevention system. In this new edition, authors Cynthia A. Oster and Jane S. Braaten build on the foundation of previous editions with best practices, relevant exemplars, and important discussions about cultural aspects essential to sustainability—solidifying process improvements and highlighting the contributing factors that lead to enhanced outcomes.
TABLE OF CONTENTS
- Part 1: High Reliability: The Imperative Remains
- Chapter 1: High Reliability Organizations (HROs): Reflections on the Essence of HRO and the Application to Healthcare
- Chapter 2: Drivers for Patient Safety
- Chapter 3: Current Quality Drivers
- Chapter 4: Organizational Culture and Psychological Safety: Breaking Down Barriers
- Chapter 5: Safety Leadership: Commitment to High Reliability Organizing
- Chapter 6: Health Equity and High Reliability: Connecting the Dots for Patient Safety
- Part 2: HRO Concepts and Application to Practice: Preoccupation With Failure
- Chapter 7: Using Failure Mode and Effects Analysis to Predict Failure
- Chapter 8: Paying Attention to Close Calls and Near Misses
- Part 3: HRO Concepts and Application to Practice: Reluctance to Simplify
- Chapter 9: Human Factors Engineering for Reducing and Recovering From Error
- Chapter 10: Root Cause Analysis: Effective Investigations for High Reliability
- Chapter 11: Fostering Just Culture in High Reliability Organizations: How Far Have We Come?
- Part 4: HRO Concepts and Application to Practice: Sensitivity to Operations
- Chapter 12: Alarm Safety: Working Solutions
- Chapter 13: Innovative Technology, Standardization, and the Impact on High Reliability
- Chapter 14: Tiered Safety Huddles
- Part 5: HRO Concepts and Application to Practice: Deference to Expertise
- Chapter 15: The Current Need for Interprofessional Collaborative Care and Teamwork
- Chapter 16: Meaningful Patient Engagement: Best Practice for High Reliability
- Chapter 17: Pediatric Patient Safety: Utilizing Safety Coaching as a Strategy Toward Zero Harm
- Part 6: HRO Concepts and Application to Practice: Commitment to Resilience
- Chapter 18: Designing Resilience Into the Work Environment
- Chapter 19: Building High Reliability Through Simulation
- Chapter 20: Building Resilience Through Team Training: Rapid Response and In-Hospital Cardiac Arrest Events
- Chapter 21: Sustaining a Culture of Safety
- Part 7: Assimilation Into Practice Across the Continuum
- Chapter 22: Ambulatory Care: The Frontier for High Reliability
- Chapter 23: The Synthesis Among Magnet Recognition Program Model Components and High Reliability Organizational Principles
- Chapter 24: Realizing High Reliability: Bedside Scientist and Nurse Scientist Collaboration
- Chapter 25: Ensuring High Reliability in Acute Stroke Treatment
- Part 8: Translation Into Practice
- Chapter 26: High Reliability Performance During a Pandemic
- Chapter 27: Building a High Reliability Head and Neck Operating Room Team
- Chapter 28: High Reliability in Prevention of Harm From Workplace Violence (WPV)
- Chapter 29: Building a Foundation for High Reliability: Creating Effective Teams and Tools in Healthcare
AVAILABLE ON THE SIGMA REPOSITORY
ABOUT THE AUTHORS
Cynthia A. Oster, PhD, MBA, APRN, ACNS-BC, CNS-BC, ANP, FAAN, is the Enterprise Nurse Scientist – Research Program Manager for the Mountain Region of CommonSpirit Health. With more than 40 years of experience, she has held research, clinical, educational, and administrative positions throughout her career.
Jane S. Braaten, PhD, APRN, CNS, ANP, CPPS, CPHQ, is a Regional Director of Patient Safety and High Reliability at CommonSpirit Health in Centennial, Colorado. She has held positions as director, clinical nurse specialist, nurse practitioner, and manager/charge RN/staff RN of cardiac, intensive care, and telemetry units.
