Academicians

Dynamic Learning Theory: Training in High-Reliability Organizations

Published on by Jared Padgett

Other studies have focused on training methods. The manner of which HRO theory helps staff deal with risk on a daily basis is not trained properly, and should be addressed in an HRO.

This qualitative study used a focused ethnography approach to determine how to effectively train employees in a High Reliability Organization (HRO). The research was done through interviews, shadowing, and observation of the medical staff of a teaching hospital. A three-phase technique for training emerged as a result of the study.

This study is useful for understanding the background of HROs in healthcare. In order to maintain a safety culture based on HRO theory/principles, it will be useful to incorporate training methods an organization can use. This article will be a useful asset for organizations developing training programs.

Gardner, S., Yun, S., (2010). Dynamic learning theory: Training in high-reliability organizations. Journal of the Academy of Business & Economics, 10(4), 84-92. Retrieved from http://freepatentsonline.com/article/Jounal-Academy-Business-Economics/261080996.html

Human Factors in the Management of the Critically Ill Patient

Published on by Jared Padgett

Case studies evaluated by the Institute of Medicine indicated that 4-16% of patients have suffered avoidable harm.

This article describes the difficulty in maintaining reliability in the field of critical care medicine. It is useful in understanding the problem of patient safety, and offers an interdisciplinary look at safety and reliability. Among the barriers of patient safety is the blame culture inherent in medicine.

Bion, J. F., Abrusci, T., & Hibbert, P. (2010). Human factors in the management of the critically ill patient. British Journal of Anaesthesia, 105(1), 26-33. doi:10.1093/bja/aeq126

Implementation of Checklists in Health Care: Learning from High-Reliability Organisations

Published on by Jared Padgett

This qualitative study was undertaken to determine if the use of checklists common in HROs can be used in health care to reduce risk. As healthcare has improved, it has become dangerous. With the increasing complexity of healthcare, checklists may be a useful way to ensure procedures are performed without common mistakes. This article provides a useful tool for training reliability-seeking organizations.

Thomassen, Ø., Espeland, A., Søfteland, E., Lossius, H., Heltne, K., & Brattebø, G. (2011). Implementation of checklists in health care; learning from high-reliability organisations. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine, 19(53). doi:10.1186/1757-7241-19-53

High-Reliability Organizations: Changing the Culture of Care in Two Medical Units

Published on by Jared Padgett

This is a narrative about the creation and implementation of High Reliability Organization theory in two healthcare organizations. The emergence of HRO theory from firefighting and other high-risk fields is discussed, and applied to a business setting. The barriers to the process were addressed, and the results of several years of HRO in practice are summarized. A stronger safety culture was made possible through this work.

Van Stralen, D. (2008). High-Reliability organizations: Changing the culture of care in two medical units. Design Issues, 24(1), 78-90. doi:10.1162/desi.2008.24.1.78