The 5 HRO Principles Implementation in Healthcare Services

This report examines the application of High Reliability Organization (HRO) principles to improve healthcare services. It begins with an introduction to HRO, defining its core principles: sensitivity to operations, reluctance to simplify, preoccupation with failure, deference to expertise, and resilience. Th...Read More

The 5 HRO High Reliability
Organization Principles Implementation
Improve Saudi Arabias Ministry of
Defense Health Services Through
Operations Attitude

Table of Content.
TITLE .............................................................................................................................................1
INTRODUCTION...........................................................................................................................1
RESEARCH AIM............................................................................................................................1
RESEARCH OBJECTIVES............................................................................................................1
RESEARCH QUESTIONS.............................................................................................................1
RATIONALE OF THE RESEARCH .............................................................................................1
LITERATURE REVIEW................................................................................................................1
Concept of high Reliability Organization (HRO) Principles in providing healthcare services...1
Effects and impacts of high Reliability Organization (HRO) Principles to enhance Healthcare
Services........................................................................................................................................1
Ways or strategies used to maximize the impacts of high Reliability Organization (HRO)
Principles to enhance healthcare services....................................................................................1
RESEARCH METHODOLOGY.....................................................................................................2
Search strategy.............................................................................................................................2
Database used...............................................................................................................................2
Research choice...........................................................................................................................2
Research method..........................................................................................................................3
RESULTS AND FINDINGS...........................................................................................................3
DISCUSSION .................................................................................................................................3
REFERENCES................................................................................................................................4

TITLE
“High Reliability Organization (HRO) Principles Improve Healthcare Services”
INTRODUCTION
HRO (High Reliability Organization) is generally an organization which can achieve a
high quality, safety as well as efficiency objectives by simply employing the basic five central
principles such as sensitivity towards procedures like having enhanced knowingness of the state
of the correspondence systems as well as the processes, unwillingness to simply like the adoption
that work is challenging, with the prospective to fail in new and an unpredicted pathway. In
addition to this, the thought with failure like view the near misses as chances to enhance, instead
of grounds of success. The quaternary principle is courtesy to expertise like to value the modality
from the staff with the most appropriate safety awareness over those with having higher status.
And the last principle of HRO can involve practising the resilience like to prioritise an
emergency practice for various possible method non achievement. The nuclear power as well as
collection are generally standard examples of the organization which have practical the High
Reliability Organization principles to accomplish the less in-correctness, dislike highly unsafe as
well as episodic conditions (Agwu, 2018). In this, the death of a person is generally due to the
clinical mistake are identified to be the 3rd most leading cause of the mortality rates across
countries, an enhancing number of the well-being care systems are generally taking interest in
choose the generalization of High Reliability Organization. In the year 2008, the agency for the
well-being investigation and Quality generally publicized a seminal white paper which can
illustrate the applications of the basic five key principles of High Reliability Organizations in the
well-being care settings, consisting the limited objection which can endanger the dependability
within the well-being care, like higher workforce mobility and the care of the people instead of
device. In this research, it will cover the possible effects and impacts of HRO principles on the
healthcare services. In this, adopting such HRO principles within the well-being care can offer
the promise of enhanced excellence, therefore, the major barriers to broad spread implementation
involve the challenges in adopting the organizational level safety culture principle into care
practice.
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RESEARCH AIM
To analyse effects and impacts of high Reliability Organization (HRO) Principles to Improve
Healthcare Services.
RESEARCH OBJECTIVES
 To understand the concept of high Reliability Organization (HRO) Principles in
providing healthcare services.
 To determine the effects and impacts of high Reliability Organization (HRO) Principles
to enhance Healthcare Services.
 To examine the ways or strategies used to maximize the impacts of high Reliability
Organization (HRO) Principles to enhance Healthcare Services.
RESEARCH QUESTIONS
 What is the concept of high Reliability Organization (HRO) Principles in providing
healthcare services?
 What are the effects and impacts of high Reliability Organization (HRO) Principles in
providing healthcare services?
 What are the ways or strategies used to maximize the impacts of high Reliability
Organization (HRO) Principles to enhance healthcare services?
RATIONALE OF THE RESEARCH
The principle of the search is well connected and given with the context of both
professional and personal development. The search is mainly conducted to awake the public
about effective HRO principles that can significantly enhances the healthcare services to benefit
the patient outcomes. Its concept is generally attractive for the healthcare, due to the
complexness of the effective procedures as well as the peril of specific and even potentially
harmful outcome when the non-achievement can occur in the well-being settings. In this,
sometimes the people can interpret the concept of reliability as a meaning of an effective
standardization of the well-being care processes. There is need to aware the public about
LITERATURE REVIEW
The literature review can specifically introduce to main and a organized process of
collecting the secondary information more relevant to the topic. It involve multiple secondary
resources like articles, books and the publication research that are quite associated with the topic.
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The prime purpose of doing the literature review is to efficiently analyse the effective search
disparity in the prior studies. In recent study, the primary disparity in this is impacts of high
Reliability Organization (HRO) Principles to enhance the Healthcare Services. In this, within the
past studies, there were lots of information corresponding principles of High Reliability
Organization (HRO) can improve Healthcare Services but there were lack the information about
the impacts of Principles of high Reliability Organization (HRO) to enhance the Healthcare
Services. This is generally the main gap and to decrease this, there are some cancer risk
reduction behaviours and intention to seek help for effects of HRO Principles to effectively
enhance the Healthcare Services.
Concept of high Reliability Organization (HRO) Principles in providing healthcare services
As per Stephanie Veazie (2019), the high reliability organization is generally an approach
to effectively attain the safety, quality as well as an ratio goals. Within the center of High
reliability organization, it is generally a culture of clustered attentiveness, in which every worker
can aspect for as well as can report, small issues or an dangerous condition before they pose a
significant risk to the workplace as well as when they are quite easy to fix (Gutzeit et. al., 2021).
In addition to this, the use of High Reliability organization is specifically planned to alter the
reasoning about the safety of the patients via the basic five principles that are:
 Sensitivity towards operations which is enhanced the knowingness of the state of
applicable method and processes as well.
 Unwillingness to modify that is the adoption about the work which is involved, with the
possible to neglect in the new and an unpredicted manner.
 Thought with the non achievement that is to effectively view the near misses as an
opportunity to effectively enhance instead of the proof of a occurrence.
 Courtesy to expertness that is to effectively value the display from the faculty with the
specific most relevant safety understanding over those with having high longevity.
 Resiliency that is to efficiently rate a crisis practice for multiple system failures.
In this, the interventions of high reliability organization can more commonly involve the
effective activities such as the basic errors prevention education, the leadership practice within
the reinforcement approaches, increased the root cause analysis processes by using an electronic
trailing system, the promotions of culture, like a culture in which the staff and care providers can
reasonably punished for their errors, which can encourage the everyday news mistakes, mutuality
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the good catches as well as the lesions learned and the effective trainings in the error prevention
techniques by the care providers peer safety coaches. In addition to this, it is quite essential to
identify that the standardization is mainly crucial but inadequate for accomplishing the resilient
as well as a reliable well-being care system. The high reliability is generally a current procedure
or an structural frame of mind, not a particular structure. The HRQ has been outlined the
effective applied strategies for the well-being care organizations generally aiming to become a
highly reliable in their report of the care trainings working by the healthcare organization in the
high reliability erudition networks. In context with Joint Commission, it mainly suggests that
healthcare as well as care organization’s work to create a strong establishment earlier they can
get to mature as High Reliability Organization. Such foundational work involves improving a
leading commitment to zero-harm aims, founding a optimistic safety culture. The commission
can also give the metrics as well as the tools for accessing the maturity of the healthcare
leadership, safety culture and the procedure enhancement culture as preconditions to high
dependability (Evidence Brief: Implementation of High Reliability Organization Principles,
2019).
Effects and impacts of high Reliability Organization (HRO) Principles to enhance Healthcare
Services
Evaluating the reliability can specifically enhances the quality as well as the values of the
well-being care systems and the quality enhancement projects. In this, reliability measures how
consistent the quality as well as the safety of well-being care system can execute over a need
period of instance. A most certain system has a reduced peril of mistake as well as the process
failures which can cause the harm to patients. In this, the reliability matters among the
population well-being initiatives too. Such as, a reliable developmental screening system can
outcomes in a consistent procedure for giving the developmental screening to the young students
and then, when essential, referring them to an effective intervention. To evaluate the reliability,
care teams should first observe as well as measure the system processes. In a developmental
screening system, one process can be the practice well-being care professionals to conduct the
effective screenings during the well-visits, as well as ensuring those such screenings align with
the AAP developmental milestones. In addition to this, the effectiveness of these processes as
well as occurrence of failures is the key to effectively evaluating the reliability of the system.
One way of evaluating the reliability can include a comparing the number of actions which can
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accomplish the intended outcomes to the overall number of effective actions taken (An
Introduction to Measuring Reliability, 2022).
Ways or strategies used to maximize the impacts of high Reliability Organization (HRO)
Principles to enhance healthcare services
In order to enhance the non rated-based evaluation which are not associated to a particular
discipline within the well-being care settings, implementation of the comprehensive unit based
on the safety programs, that has been exhibited the enhancements within the safety cultures. In
this, the comprehensive unit based on the safety programs can give sufficient construction such
that a well-being care organization can improve a wide plan of action to enhance the safety, yet
the flexible adequate to postpone to the local concerns as well as the wisdom of staff in a person
region. As a part of comprehensive unit based on the safety programs, a superior executive
adopts a work region as well as an passively take part in the guard efforts with the staff. The care
staff in every work region are generally asked to learn from on fault per month, and the
healthcare sector and the care leaders can learn from one imperfection per quarter using an
effective structural tool. In addition to this, essential aim is to move away from the just coverage
as well as apparent reassessment the various harms to concentrating a closely on a few as well as
justifying the harm or injuries that is restructuring the care system in which the care work is
effectively performed. Furthermore, the comprehensive unit based on the safety programs can
ask the safety care teams to effectively tools like as daily aims and morning briefing to aid
enhance the safety culture (Implementing High-Reliability Organization Principles Into Practice,
2022).
RESEARCH METHODOLOGY
Search strategy
The search strategy is generally crucial to collect the information which is linked with the
selected subject which is supported on impacts of high Reliability Organization (HRO)
Principles to Improve Healthcare Services. For the collecting of data as well as it chosen that is
linked with the selected topic is mainly based on multiple webpages. Therefore, there are various
websites and the investigating engines that are accessible in which the various relevant and an
authenticated artefact are selected for the reassessment to choose as well as collect some extra
information’s for selected articles. In addition, both PubMed and PMC are selected as a leading
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characteristic of data gathering level which is valid for the search process. Both PubMed and
PMC are mainly considered as an enhanced source of information which is assistive for the
collection of data that is required for the investigation.
Database used
The information is generally used in multiple feature such as for an exact collection and
variety of data. The databases are generally used to give an feature which is specifically linked
with the selected subject as well as it is quite appropriate for the evidences choice and collection
as well. The database such as both PubMed and PMC primal is particular a vast database which
is exploited to collect the data as well as data in respect the impacts of high Reliability
Organization (HRO) Principles to Improve Healthcare Services. It mostly aids to exhibit the
importance for the collecting of a systematized information which can be easily retrieved,
accomplished and modified as well. It can refer millions of artefact or Journals that can involve
an abstract, introduction with English as a primary language.
Research choice
In contrast with research procedure, there is a integrated choices which are commonly
taken within the investigation. Both qualitative and quantitative method are used within the
search procedure which can assist to collect an impelling information. In this, a quantitative
method can deal with applied mathematics or the numeric that can provide a calculation such as
ratio or numbers and so on although, a qualitative method can generally deal with word and the
characteristic with the non-numerical data.
Research method
The search method is mainly used within the study is both primary and secondary in
which the firsthand method can be outlined as collecting of data for the first time with
interrogation or having face to face communication whereas, the alternative search generally
emphases over the earlier studies which is done earlier. In addition to this, the reassessment
procedure is used to set about for an explanation of data well.
RESULTS AND FINDINGS
The principles High Reliability Organization can progressively essential to ensure safer
healthcare organization, as well as their existence was distinctly noted in the discussion.
Therefore, a big part of the discussion in the concentration groups gathered around the problems
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of the communication and did not fit into a generalization of the High Reliability Organization.it
can led a person to illustrate an alternative model, like mindful establishing. A mindful
organizing can collaborate the elements of the High Reliability Organization with respectful
interaction and vigilant interconnectedness, as well as has been linked with the lesser errors of
the medication and the patients falls. Moreover, a deferential fundamental interaction is
established on the beliefs of the trust, the trustiness as well as the self-respect as well. within
healthcare organization, with having a respectful interaction, an individual is generally more
likely to share their data which can create conflict with the view, that is serious to enhance the
reliability. The vigilant interconnections are generally present when a person can realize their
role in higher organizational goals as well as are capable to keep the understandings as they can
efficiently execute their job role. In addition to this, when a person can link to every using
vigilant connection, their behaviours can demonstrate a thoughtful attention to interrelationships
within the other workers. In this, the suggestion of the generalization of a deferential interaction
in the delays of the explanation of the safety of patients to involve speaking up (Flores, 2018).
DISCUSSION
The first suggestion reviews to scientifically assess the primary investigation on the
effects of High reliability organization implementation within the well-being care settings.
Therefore, much has been provided about the concepts of high reliability organization as well as
a person’s well-being care system’s experience with the implementation of HRO. In addition to
this, the preoccupation with the failure is defined as a continuous effort by organizations to stay
aware of as well as to seek to avoid the potential risks to the safety patients. It is effectively
characteristics as involving both an immediate responsiveness to safety events as well as the
proactively seeking out the potential circumstances which can lead to the system failures. The
discussion generally expressed that thought with the non achievement was present in the high-
performing the units as well as inconsistent in the low-performing units. In addition to this, both
the types of units the indicated an immediate response towards the safety events and articulating
the essential of proactive identification of the potential system failures. The safety of the patients
and the ongoing enhancements was expressed as an integral part of the framework of the high
performing units. These groups spoke about various continuous efforts to enhance the safety of
the patients progressive. In contrast, the low-performing units more often defined activated result
from the leadership, communication the opposite of thought with the non achievement. In this,
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the action of the leaders can give an effective framework for the care staff to effectively identify
the leader values, guiding consequent actions of the care staff in the regular activity training.
Furthermore, these such center cultural premise based on the effective leading behaviors can
severe to challenge construction as well as the processes which would differently lead to
advanced dependability safety care trainings (Meissner et. al., 2019).
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REFERENCES
Books and Journals:
Agwu, A.E., 2018. Towards a Harmonized Framework for High Reliability
Organisations (Doctoral dissertation, University of Portsmouth).
Basson, T., Montoya, A., Neily, J., Harmon, L. and Watts, B.V., 2021. Improving patient safety
culture: a report of a multifaceted intervention. Journal of patient safety, 17(8), pp.e1097-e1104.
Bender, J.A., Kulju, S. and Soncrant, C., Combined Proactive Risk Assessment:“An
approachable method for unifying proactive and reactive risk assessment techniques in
healthcare”. Joint Commission Journal on Quality and Patient Safety.
Brown-Deveaux, D., Kaplan, S., Gabbe, L. and Mansfield, L., 2021. Transformational
Leadership Meets Innovative Strategy: How Nurse Leaders and Clinical Nurses Redesigned
Bedside Handover to Improve Nursing Practice. Nurse Leader.
Brown-Deveaux, D., Kaplan, S., Gabbe, L. and Mansfield, L., 2021. Transformational
Leadership Meets Innovative Strategy: How Nurse Leaders and Clinical Nurses Redesigned
Bedside Handover to Improve Nursing Practice. Nurse Leader.
Collins, J.W. and Wisz, P., 2020. Training in robotic surgery, replicating the airline industry.
How far have we come?. World journal of urology, 38(7), pp.1645-1651.
DeSocio, P.A., Garzon, M.P. and Hicks, M.R., 2019. Building a culture of safety: relearning
organizational behavior. International Anesthesiology Clinics, 57(3), pp.12-24.
Flores, G., 2018. Nurses’ Use and Understanding of the Letter'A'in the SAFE Error Prevention
Tool. Available at SSRN 3155482.
Gutzeit, M.F., O’Brien, H. and Valentine, J.E., 2021. Organizational Safety Culture: The
Foundation for Safety and Quality Improvement. In Patient Safety and Quality Improvement in
Healthcare (pp. 15-35). Springer, Cham.
Hoffman, J.M., Keeling, N.J., Forrest, C.B., Tubbs-Cooley, H.L., Moore, E., Oehler, E., Wilson,
S., Schainker, E. and Walsh, K.E., 2019. Priorities for pediatric patient safety
research. Pediatrics, 143(2).
James, P.M., 2021. Nurses' Perception of Go-Jo and Hand Hygiene and Hospital Acquired
Infections (Doctoral dissertation, Seton Hall University).
Mafeld, S., Musing, E.L.S., Conway, A., Kennedy, S., Oreopoulos, G. and Rajan, D., 2020.
Avoiding and managing error in interventional radiology practice: Tips and tools. Canadian
Association of Radiologists Journal, 71(4), pp.528-535.
Meissner, J.O., 2019. Resilience development: learnings for organisations from technical
diving. Continuity & Resilience Review.
Meissner, J.O., 2019. Resilience development: learnings for organisations from technical
diving. Continuity & Resilience Review.
Moerman, J.J., Braaksma, J. and van Dongen, L.A., 2019. Assessing HRO Principles for
Reliable Performance in Asset-Intensive Organizations: Expecting the Unexpected. In Handbook
of Research on Industrial Advancement in Scientific Knowledge (pp. 160-181). IGI Global.
Passmore, G., 2020. High Reliability in Radiation Oncology. Radiation Therapist, 29(1).
Pilanawithana, N.M., Feng, Y., London, K. and Zhang, P., 2022. Developing resilience for safety
management systems in building repair and maintenance: A conceptual model. Safety
Science, 152, p.105768.
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Renecle, M., Tomás, I., Gracia, F.J. and Peiró, J.M., 2020. Spanish validation of the mindful
organizing scale: A questionnaire for the assessment of collective mindfulness. Accident Analysis
& Prevention, 134, p.105351.
Vessey, J.A. and Williams, L., 2021. Addressing bullying and lateral violence in the workplace:
A quality improvement initiative. Journal of nursing care quality, 36(1), pp.20-24.
Online:
Evidence Brief: Implementation of High Reliability Organization Principles, 2019 [Online]
Available through: <https://www.ncbi.nlm.nih.gov/books/NBK542883/>
An Introduction to Measuring Reliability, 2022 [Online] Available through:
https://www.nichq.org/insight/introduction-measuring-reliability
Implementing High-Reliability Organization Principles Into Practice, 2022 [Online] Available
through: https://pubmed.ncbi.nlm.nih.gov/32910041/
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