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Dec 17, 2022 9 likes •202 views

Using Change and Innovation to Create a High Reliability Nursing Program Denise Bosworth, MSN, RN, CNE Geri Chesebrough, DNP, RN, CNE Learning Objectives 1. Identify and describe five traits of a high reliability nursing program. 2. Propose at

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Using Change and Innovation to Create a High Reliability Nursing Program

Denise Bosworth, MSN, RN, CNE Geri Chesebrough, DNP, RN, CNE

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Learning Objectives

1. Identify and describe five traits of a high reliability nursing

program.

2. Propose at least one action step to take for each of the five

traits.

3. Summarize three challenges to implementing a change and

how to overcome them.

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Overview of High Reliability Organizations

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5 Traits of High Reliability Organizations

1. Preoccupation with failure
2. Reluctance to simplify
3. Sensitivity to operations
4. Commitment to resilience
5. Deference to expertise

Oster & Brataan (2016) Eck, et al. (2011)

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High Reliability Organizations

Process Improvement Culture Leadership

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5 Traits of High Reliability Organizations

Preoccupation

with Failure

Reluctance to

Simplify

Sensitivity to

Operations

Commitment to

Resilience

Deference to

Expertise

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Leadership

 Occurs at all levels in the organization  Leadership can be formal and informal  Must support an environment of learning  Moving to a team approach for process improvement

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Process Improvement Models

 PDCA  CQI  Six Sigma  Lean

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Change Theories

Lewin Kotter

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Coping with Change Activity

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Culture Change - How to make it stick

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Fostering a Creative Culture

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Collaborative Approach

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Create a “no fear” climate

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Stretch beyond your comfort zone

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Celebrate Individuality and Encourage Uncertainty

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Putting it all together

Develop a culture that works to achieve consistent excellence.
Learn from all experiences and evaluations.
Proactively plan for success through process improvement.
Plan for success as a team that is supportive of change.

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References

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Barry, R., Smith, A.C., & Brubaker, C.E. (2017). High-Reliability Healthcare Improving Patient Safety and Outcomes with Six Sigma (2nd ed.). Chicago, IL: Health Administration Press.

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Chassin, M.R.& Loeb, J.M. (2013). High-Reliability health care: Getting there from here. The Milbank Quarterly. Retrieved from: https://www.jointcommission.org/assets/1/6/Chassin_and_Loeb_0913_final.pdf

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Coping With Change, 2009. Retrieved from: http://www.factivities.com/change_management/CopingwithChange.html

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Dawson, P., & Andriopoulos, C. (2014). Managing Change, Creativity, and Innovation, (2nd ed). London: Sage.

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Eck, J. (2016). Failure is not an option: Making the case for high reliability educaiton systems. SEEN Connect. Retrieved from: https://www.seenmagazine.us/Articles/Article-Detail/ArticleId/5993/Failure-Is-Not-an-Option-Making-the-Case-for-High- Reliability-Education-Systems

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Eck, J.H., Bellamy, G.T., Schaffer, E., Stringfield, S., & Reynolds, D. (2011). High Reliability Organizations in Education. Noteworthy Perspectives. Retrieved from: https://eric.ed.gov/?id=ED544261

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Gill, R. (2013). Theory and Practice of Leadership, (2nd ed). London: Sage.

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Oster, C.A. & Braatan, J.S. (2016). High Reliability Organizations: A Healthcare Handbook for Safety and Quality. Indianapolis, IN: Sigma Theta Tau International.

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Porter-O’Grady & Malloch (2015). Quantum Leadership: Building Better Partnerships for Sustainable Health, (4th ed). Burlington, MA: Jones & Bartlett

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Weick, K.E. & Sutcliffe, K.M. (2015). Managing the Unexpected (3rd ed.). Hoboken, NJ: John Wiley & Sons.