Mindfulness in a High Reliability Organization in Healthcare

Closing The Gap Between Healthcare We Have And The Care We Could Have

High Reliability Organizations are Organizations that operate in complex, high hazard domains for extended periods without serious accidents or catastrophic failures.”

The Concept Of High Reliability Is Attractive For Health Care due to theses factors:

• Complexity of operations: where Healthcare system is a complex Adaptive system
• Level of Risk:  where significant and potentially catastrophic consequences may be raised from any simple failures in system

• Aim:  were all work need to create an environment in which potential problems as Hazards and Near misses are anticipated, detected Early enough to PREVENT catastrophic impact or consequences

High reliability organizations use systems thinking to evaluate and design for safety, but they are keenly aware that safety is an emergent, rather than a static, property. New threats to safety continuously emerge, uncertainty is endemic, and no two accidents are exactly alike. Thus, high reliability organizations work to create an environment in which potential problems are anticipated, detected early, and virtually always responded to early enough to prevent catastrophic consequences. This mindset is supported by five characteristic ways of thinking:

• Preoccupation with Failure
• Sensitivity to Operations
• Reluctance to Simplify
• Commitment to Resilience
• Deference to Expertise

Hospitals and health care organizations should work to create a strong foundation before they can begin to mature as high reliability organizations. Such foundational work includes developing a leadership commitment to zero-harm goals, establishing a positive safety culture, and instituting a robust process improvement culture.