NR533: Quality Improvement and Patient Safety

In one page, I need to write a Reflective JournalReflective Journal – Planning a High Reliability JourneyObjectives:High Reliability Mindset & Five Principles of High Reliability OrganizationsIn this video presentation, Frank Federico, BS, RPh, Executive Director, Institute for Healthcare Improvement brings it all together, in other words, the journey to high reliability. Mr. Federico introduces his presentation with the following question: Why do we want to take the journey to high reliability?Federico, F. (n.d.). Bringing it all together: The journey to high reliability. Barnes Jewish Hospital, Washington University in St. Louis.  (37 min)NOTE: The link will show a warning in your browser. The CISO of Norwich University has checked and the link is safe to use. Click ‘advanced’ then click button to proceed to video.Instructions:Based on Mr. Federico’s presentation, How close or far away is your healthcare organization from the state of high reliability? https://professionals.barnesjewish.org/videos/bringing-it-all-together-the-journey-to-high-reliabilityIn your Reflective Journal answer the following questions:How do the characteristics of your own organization compare with the journey to high reliability as described by Mr. Federico.Describe your organization’s commitment to patient safety and high reliability.Where does your healthcare organization currently stand on the journey to high reliability?What is the healthcare organization’s plan or next steps on the high reliability journey?Reference:The Journey to High ReliabilityWhat is foundational?Have clear aims that all can understand and supportCreating a world where patients and those who care from them are free from harm. National       Patient Safety Foundation (2014, January)Strategic planAgree on the pathUse an improvement methodologyBuild capability and capacityDo not forget to engage middle managersUnderstand the psychology of changePortfolio managementAlign with organizational aim?Refine, refine and refineLeadership at all layers of an organizationIndividuals and families are partners in their careCompete on value, with continuous reduction in operating costReorganize services to align with new payment systemsEveryone is an ‘improver’Design for resilience engineeringLearningRespondingMonitoringAnticipatingError reduction: Hierarchy of controlsStandardization and simplificationImprovement methodologyTool kit for improvement, e.g. Lean, Six Sigma, Model or Improvement/PDSAImprovement is a way of lifeHigh reliability processesSafer health care through transparencyBetween clinicians and patients, e.g. disclosure after a medical errorAmong clinicians, e.g. peer reviewWith the public, e.g. public reporting of safety dataAmong organizations, e.g. regional collaborativesTeamworkCommunicationsPsychological safetyDeference to expertiseSituational awareness and huddlesLast modified: Tuesday, February 16, 2021, 4:07 PM

 

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