Abstract
Aim
The aim of this article is to understand the current climate of high reliability in healthcare and explore comprehensive approaches to measure future healthcare transformation.
Subjects and methods
Literature pertaining to high reliability in industry and healthcare organizations was reviewed, with a focus on publications from 2006–present.
Results
Readiness assessments, components, frameworks and comparisons to external industries have been produced in the literature and discussed within healthcare expertise. High reliability in healthcare organizations remains opaque, with varied structures to recommendations, despite continued interest and accreditation focus. Advancing high-reliability science for healthcare has remained elusive.
Conclusion
Strategies to revolutionize healthcare utilizing reliability should be considered imperative opportunities. These strategies include conceptualizing high-reliability science for healthcare as holistic, incorporating recommended robust process improvements along all spectra of healthcare, standardizing criteria to constitute a high-reliability organization in healthcare and measuring high reliability qualitatively, with the understanding that avoided catastrophic failures should be factored, and emphasizing public trust in medicine as a priority for high reliability. Notably, patient satisfaction and patient perception of reliable healthcare must be included at the forefront. By harnessing these strategies, healthcare will move reliability from an indirect cultural philosophy to the direct, revolutionary spotlight. A spotlight on reliability is positive, commendable and important to honor.
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Availability of data and material
There are no original data to aggregate or report.
Abbreviations
- (AHRQ):
-
Agency for Healthcare Research and Quality
- (CAS):
-
Complex adaptive system
- (EBP):
-
Evidence-based practice
- (HRO):
-
High-reliability organization
- (HRT):
-
High-reliability theory
- (NAT):
-
Normal accident theory
- (RBI):
-
Robust process improvements
References
Baker DP, Day R, Salas E (2006) Teamwork as an essential component of high-reliability organizations. Health Serv Res 41:1576–1598
Batterham AM, George KP (2000) Reliability in evidence-based clinical practice: a primer for allied health professionals. Phys Ther Sport 1:54–62
Brown DS, Donaldson N, Burnes Bolton L, Aydin CE (2010) Nursing-sensitive benchmarks for hospitals to gauge high-reliability performance. J Healthc Qual 32:9–17
Carroll JS, Rudolph JW (2006) Design of high reliability organizations in health care. Qual Saf Health Care 15(Suppl 1):i4–i9
Chassin MR, Loeb JM (2011) The ongoing quality improvement journey: next stop, high reliability. Health Aff 30:559–568
Chassin MR, Loeb JM (2013) High-reliability health care: getting there from here. Milbank Q 91:459–490
Christianson MK, Sutcliffe KM, Miller MA, Iwashyna TJ (2011) Becoming a high reliability organization. Crit Care 15:314
Dixon NM, Shofer M (2006) Struggling to invent high-reliability organizations in health care settings: insights from the field. Health Serv Res 41:1618–1632
Frankel AS, Leonard MW, Denham CR (2006) Fair and just culture, team behavior, and leadership engagement: the tools to achieve high reliability. Health Serv Res 41:1690–1709
Gnanapragasam A, Cole C, Singh J, Cooper T (2018) Consumer perspectives on longevity and reliability: a national study of purchasing factors across eighteen product categories. Procedia CIRP 69:910–915
Hall MA, Dugan E, Zheng B, Mishra AK (2001) Trust in physicians and medical institutions: what is it, can it be measured, and does it matter? Milbank Q 79:613–639
Knox GE, Simpson KR (2011) Perinatal high reliability. Am J Obstet Gynecol 204:373–377
Lachin JM (2004) The role of measurement reliability in clinical trials. Clin Trials 1:553–566
Martinez GF, Ross E, Knox KS (2017) Academic medicine: vice chairs’ for education perceptions of departmental culture. Journal of Higher Education Theory and Practice 17:81
McKeon LM, Oswaks JD, Cunningham PD (2006) Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare. Clin Nurse Spec 20:298
McKeon LM, Cunningham PD, Oswaks JSD (2009) Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual 24:76–82
Melnyk BM (2012) Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nurs Adm Q 36:127–135
Philibert I (2009) Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qual Saf Health Care 18:261–266
Pronovost PJ, Berenholtz SM, Goeschel CA, Needham DM, Sexton JB, Thompson DA, Lubomski LH, Marsteller JA, Makary MA, Hunt E (2006) Creating high reliability in health care organizations. Health Serv Res 41:1599–1617
Pronovost PJ, Demski R, Callender T, Winner L, Miller MR, Austin JM, Berenholtz SM, National Leadership Core Measures Work Groups (2013) Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf 39:531–544
Pronovost PJ, Armstrong CM, Demski R, Callender T, Winner L, Miller MR, Austin JM, Berenholtz SM, Yang T, Peterson RR, Reitz JA, Bennett RG, Broccolino VA, Davis RO, Gragnolati BA, Green GE, Rothman PB (2015) Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins medicine. Acad Med 90:165–172
Provost SM, Lanham HJ, Leykum LK, McDaniel RR Jr, Pugh J (2015) Health care huddles: managing complexity to achieve high reliability. Health Care Manag Rev 40:2–12
Prybil L, Scutchfield FD, Killian R, Kelly A, Mays GP, Carman A, Levey S, McGeorge A, Fardo DW (2014) Improving community health through hospital-public health collaboration: Insights and lessons learned from successful partnerships
Riley W, Davis SE, Miller KK, Mccullough M (2010) A model for developing high-reliability teams. J Nurs Manag 18:556–563
Roberts KH, Robert Bea, Dean L. Bartles (2001) Must accidents happen? Lessons from high-reliability organizations [and executive commentary]. The Academy of Management Executive (1993–2005) 15:70–79
Shortell SM, Zukoski AP, Alexander JA, Bazzoli GJ, Conrad DA, Hasnain-Wynia R, Sofaer S, Chan BY, Casey E, Margolin FS (2002) Evaluating partnerships for community health improvement: tracking the footprints. J Health Polit Policy Law 27:49–91
Sutcliffe KM, Paine L, Pronovost PJ (2017) Re-examining high reliability: actively organising for safety. BMJ Qual Saf 26:248–251
Tamuz M, Harrison MI (2006) Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. Health Serv Res 41:1654–1676
Thomassen Ø, Espeland A, Søfteland E, Lossius HM, Heltne JK, Brattebø G (2011) Implementation of checklists in health care; learning from high-reliability organisations. Scand J Trauma Resusc Emerg Med 19(53)
Wilson KA, Burke CS, Priest HA, Salas E (2005) Promoting health care safety through training high reliability teams. Qual Saf Health Care 14:303–309
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Babyar, J. Direct reliability: strategies to revolutionize healthcare. J Public Health (Berl.) 28, 89–95 (2020). https://doi.org/10.1007/s10389-018-01013-9
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DOI: https://doi.org/10.1007/s10389-018-01013-9