Journal Assignment: Quality Improvement & Patient Safety
Reflective Journal- Planning a High Reliability Journey
Objectives:
High Reliability Mindset & Five Principles of High Reliability Organizations
In 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)
Instructions:
Based on Mr. Federico's presentation, How close or far away is your healthcare organization from the state of high reliability?
In 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 Reliability
What is foundational?
1. Have clear aims that all can understand and support
a. Creating a world where patients and those who care from them are free from harm. National Patient Safety Foundation (2014, January)
2. Strategic plan
a. Agree on the path
b. Use an improvement methodology
c. Build capability and capacity
d. Do not forget to engage middle managers
e. Understand the psychology of change
3. Portfolio management
a. Align with organizational aim?
b. Refine, refine and refine
4. Leadership at all layers of an organization
a. Individuals and families are partners in their care
b. Compete on value, with continuous reduction in operating cost
c. Reorganize services to align with new payment systems
d. Everyone is an 'improver'
5. Design for resilience engineering
a. Learning
b. Responding
c. Monitoring
d. Anticipating
6. Error reduction: Hierarchy of controls
a. Standardization and simplification
7. Improvement methodology
a. Tool kit for improvement, e.g. Lean, Six Sigma, Model or Improvement/PDSA
b. Improvement is a way of life
8. High reliability processes
9. Safer health care through transparency
a. Between clinicians and patients, e.g. disclosure after a medical error
b. Among clinicians, e.g. peer review
c. With the public, e.g. public reporting of safety data
d. Among organizations, e.g. regional collaboratives
10. Teamwork
a. Communications
b. Psychological safety
c. Deference to expertise
11. Situational awareness and huddles.
Format your assignment according to the give formatting requirements:
1. The answer must be double spaced, typed, using Times New Roman font (size 12), with one-inch margins on all sides.
2. The response also includes a cover page containing the title of the assignment, the course title, the student's name, and the date. The cover page is not included in the required page length.
3. Also include a reference page. The references and Citations should follow APA format. The reference page is not included in the required page length.