Management Monday

Do you think that our career choice place nurses squarely in a high reliability career? I do, and as I think about the label "High Reliability Organization" I believe that my job focus is to be highly reliable. I do understand the focus of becoming a high reliability organization is an important challenge that we are being asked to participate in. To me the amount of staff buy in really depends upon the education and rationale we must provide. The more our staff understand our process and programs the more they understand their part and how important it is. In my work setting Value Analysis sharing cost impact and opportunities helps my staff to recognize the importance of incorporating the value of what we do. But we must share that with all of the clinical staff so they can understand the rationality around new product requests, utilization reviews, and contractual opportunities to garner support in what brings the most value to our institution.

Thanks for the feedback Kenny. I agree that we all want to become a HRO but with all things it takes a village to be successful in creating the culture and environment.

I agree! This is such a great topic for discussion. I, too, agree with Kenny.

Many of the core principles of high reliability—such as a preoccupation with failure, deference to expertise, and a commitment to resilience—are very much embedded in our culture. In my role, I've found that fostering psychological safety and encouraging frontline staff to speak up about near misses or system weaknesses has helped create a stronger culture of trust and engagement.
It's encouraging to see how embracing these philosophies can make a huge difference!

Great feedback Jennifer, the hope is that we learn from the near misses and create better cultures with our teams. At every level we can learn within a HRO!