High Reliability Organizational Toolkit
It is important to incorporate certain characteristics into your organization which are associated with improved outcomes in other industries where safety is paramount. This section is organized into the five key characteristics of highly reliable organizations and contains tools and other resources to help you strive toward incorporating these characteristics into your organization’s culture.
-
Reluctance for Simple Explanations- RCA Matrix
A matrix designed by The Joint Commission to identify specific areas that need to be investigated during a RCA of a sentinel event.
-
Reluctance for Simple Explanations- FMEA
A quick reference to use when conducting an FMEA. This resources guides you through steps, probability and severity ranking and development of plans for improvement of a process.
-
Reluctance for Simple Explanations- Impact of Staff-Led Safety Walk Rounds
An article to support the benefits of leadership rounds in safety.
-
Preoccupation with Failures- Best Practices Checklist as Gap Analysis
A gap analysis designed to assist organizations at evaluating current practices against best practices in their journey to being highly reliable.
-
Preoccupation with Failures- Reliability: Developing a Culture for Patient Safety and Experience
An informative powerpoint presentation from IHI discussing how to develop a culture of safety that supports patient care.
-
Defer to Expertise- Facility Survey on Patient Safety
Sample culture of safety survey from AHRQ.
-
Defer to Expertise- Sentinel Event Alert
Sentinel Event Alert Issue #57 from The Joint Commission discussing culture of safety.
-
Resiliency- Leadership Template
A sample guide for leaders to improve the culture of safety.
-
Resiliency- Monthly Meeting Model
A sample guide to conducting monthly meetings with employees that support culture of safety.
-
Resiliency- Skillset Matrix
A worksheet for the Leadership Team to evaluate gaps in skills.
-
Best Practices Checklist as Gap Analysis- Handoff Sample Tools
A selection of sample handoff communication tools.
-
Best Practices Checklist as Gap Analysis- Importance of Debriefing
A list of points to remember during a debriefing with a patient.
-
Best Practices Checklist as Gap Analysis- Tips to Bedside Reporting
Great tips for staff to improve bedside reporting of patient care.
-
Best Practices Checklist as Gap Analysis- Scripts for Bedside Reporting
Tool that discusses the value of bedside reporting plus sample scripts staff can customize and use in real time.
-
Best Practices Checklist as Gap Analysis- Best Practice - Braden Scale
A evidence-based tool to aid in consistent, standardized staging of pressure ulcers.
-
Best Practices Checklist as Gap Analysis- Best Practice - Morse Scale
A sample tool to help identify patients at high risk for falls while in the hospital.