The Approach, the Nurse Administrator, Can Use to Execute Elements of HRO

The Approach, the Nurse Administrator, Can Use to Execute Elements of HRO

Topic 4: Organizational Structure

A high-reliability organization (HRO) is an institution with foreseeable and verifiable systems that support consistent operations while catching and correcting potentially catastrophic errors before they happen. They operate in complex, high-hazard domains without serious accidents or disastrous failures (Cantu et al., 2020). The elements necessary for creating HRO include Preoccupation with failure. The organizations in developing HRO seek to reduce errors in organizational processes by focusing on areas of the potential loss. In addition, creating HRO requires that every team member share concerns with others and the organizational climate such that all staff members are comfortable with the complexity of the organization (Cantu et al., 2020). Moreover, sensitivity to operations which entails being proactive and real-time identification and prevention of defects and harm is necessary. Similarly, organizations need to be aware of errors and correct them by committing to resilience (Veazie et al., 2019). Further, the element of deference to expertise calls for respectful yielding, domain-specific knowledge, experience, and relative skills.

The Relations of HRO to Safety and Quality

The relations of HRO to safety and quality are that both seek to do the right thing at the right time and have the best possible result while taking all the appropriate measures to prevent errors and adverse effects (Gutzeit et al., 2021). Overall, HRO, safety, and quality in an organization purpose to eliminate negative impacts and enhance efficiency by being sensitive to operations.

The Approach, the Nurse Administrator, Can Use to Execute Elements of HRO

The nurse administrator’s basic approach in the organization to implement HRO is teamwork. Moreover, HRO interventions primarily comprise reinforcement approaches, error prevention education, and leadership training. In addition, it includes enhanced root cause analysis processes using an electronic tracking system and the promotion of a just culture where all stakeholders are collectively responsible for positive or negative outcomes (Veazie et al., 2019). The elements require collectivism to implement. The elements underscore the central point that high-reliability organizations (HROs) are not organizations that do not experience failure. Further, they combine into an organization that mobilizes expertise around highly varied challenges that require teamwork for the expected end of high safety, quality and reliability.

References

Cantu, J., Tolk, J., Fritts, S., & Gharehyakheh, A. (2020). High-Reliability Organization (HRO) systematic literature review: Discovery of culture as a foundational hallmark. Journal of Contingencies and Crisis Management, 28(4), 399-410. https://doi.org/10.1111/1468-5973.12293