Towards high-reliability organising in healthcare: A strategy for building organisational capacity

Research output: Contribution to journalArticle

Abstract

In a high-reliability organisation (HRO), safety and quality (SQ) is an organisational priority, and all workforce members are engaged, continuously learning and improving their work. To build organisational capacity for SQ work, we have developed a role-tailored capacity-building framework that we are currently employing at the Johns Hopkins Armstrong Institute for Patient Safety and Quality as part of an organisational strategy towards HRO. This framework considers organisation-wide competencies for SQ that includes all staff and faculty and is integrated into a broader organisation-wide operating management system for improving quality. In this framework, achieving safe, high-quality care is connected to healthcare workforce preparedness. Capacity-building efforts are tailored to the needs of distinct groups within the workforce that fall within three categories: (1) front-line providers and staff, (2) managers and local improvement personnel and (3) SQ leaders and experts. In this paper we describe this framework, our implementation efforts to date, challenges met and lessons learnt.

LanguageEnglish (US)
Pages663-670
Number of pages8
JournalBMJ Quality and Safety
Volume26
Issue number8
DOIs
StatePublished - Aug 1 2017

Fingerprint

Capacity Building
Organizations
Delivery of Health Care
Safety
Quality of Health Care
Patient Safety
Learning

Keywords

  • Medical education
  • Patient safety
  • Quality improvement

ASJC Scopus subject areas

  • Health Policy

Cite this

Towards high-reliability organising in healthcare : A strategy for building organisational capacity. / Aboumatar, Hanan J.; Weaver, Sallie J.; Rees, Dianne; Rosen, Michael A.; Sawyer, Melinda D.; Pronovost, Peter J.

In: BMJ Quality and Safety, Vol. 26, No. 8, 01.08.2017, p. 663-670.

Research output: Contribution to journalArticle

@article{ff2a1c632b10420293358c5e511e1ff2,
title = "Towards high-reliability organising in healthcare: A strategy for building organisational capacity",
abstract = "In a high-reliability organisation (HRO), safety and quality (SQ) is an organisational priority, and all workforce members are engaged, continuously learning and improving their work. To build organisational capacity for SQ work, we have developed a role-tailored capacity-building framework that we are currently employing at the Johns Hopkins Armstrong Institute for Patient Safety and Quality as part of an organisational strategy towards HRO. This framework considers organisation-wide competencies for SQ that includes all staff and faculty and is integrated into a broader organisation-wide operating management system for improving quality. In this framework, achieving safe, high-quality care is connected to healthcare workforce preparedness. Capacity-building efforts are tailored to the needs of distinct groups within the workforce that fall within three categories: (1) front-line providers and staff, (2) managers and local improvement personnel and (3) SQ leaders and experts. In this paper we describe this framework, our implementation efforts to date, challenges met and lessons learnt.",
keywords = "Medical education, Patient safety, Quality improvement",
author = "Aboumatar, {Hanan J.} and Weaver, {Sallie J.} and Dianne Rees and Rosen, {Michael A.} and Sawyer, {Melinda D.} and Pronovost, {Peter J.}",
year = "2017",
month = "8",
day = "1",
doi = "10.1136/bmjqs-2016-006240",
language = "English (US)",
volume = "26",
pages = "663--670",
journal = "BMJ Quality and Safety",
issn = "2044-5415",
publisher = "BMJ Publishing Group",
number = "8",

}

TY - JOUR

T1 - Towards high-reliability organising in healthcare

T2 - BMJ Quality and Safety

AU - Aboumatar,Hanan J.

AU - Weaver,Sallie J.

AU - Rees,Dianne

AU - Rosen,Michael A.

AU - Sawyer,Melinda D.

AU - Pronovost,Peter J.

PY - 2017/8/1

Y1 - 2017/8/1

N2 - In a high-reliability organisation (HRO), safety and quality (SQ) is an organisational priority, and all workforce members are engaged, continuously learning and improving their work. To build organisational capacity for SQ work, we have developed a role-tailored capacity-building framework that we are currently employing at the Johns Hopkins Armstrong Institute for Patient Safety and Quality as part of an organisational strategy towards HRO. This framework considers organisation-wide competencies for SQ that includes all staff and faculty and is integrated into a broader organisation-wide operating management system for improving quality. In this framework, achieving safe, high-quality care is connected to healthcare workforce preparedness. Capacity-building efforts are tailored to the needs of distinct groups within the workforce that fall within three categories: (1) front-line providers and staff, (2) managers and local improvement personnel and (3) SQ leaders and experts. In this paper we describe this framework, our implementation efforts to date, challenges met and lessons learnt.

AB - In a high-reliability organisation (HRO), safety and quality (SQ) is an organisational priority, and all workforce members are engaged, continuously learning and improving their work. To build organisational capacity for SQ work, we have developed a role-tailored capacity-building framework that we are currently employing at the Johns Hopkins Armstrong Institute for Patient Safety and Quality as part of an organisational strategy towards HRO. This framework considers organisation-wide competencies for SQ that includes all staff and faculty and is integrated into a broader organisation-wide operating management system for improving quality. In this framework, achieving safe, high-quality care is connected to healthcare workforce preparedness. Capacity-building efforts are tailored to the needs of distinct groups within the workforce that fall within three categories: (1) front-line providers and staff, (2) managers and local improvement personnel and (3) SQ leaders and experts. In this paper we describe this framework, our implementation efforts to date, challenges met and lessons learnt.

KW - Medical education

KW - Patient safety

KW - Quality improvement

UR - http://www.scopus.com/inward/record.url?scp=85025155785&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85025155785&partnerID=8YFLogxK

U2 - 10.1136/bmjqs-2016-006240

DO - 10.1136/bmjqs-2016-006240

M3 - Article

VL - 26

SP - 663

EP - 670

JO - BMJ Quality and Safety

JF - BMJ Quality and Safety

SN - 2044-5415

IS - 8

ER -