Читать книгу Kelly Vana's Nursing Leadership and Management - Группа авторов - Страница 211

Building an HRO is a cultural transformation designed to ensure safe practices and reduce errors and sentinel events in health care. Health care is complex and involves the risk of significant and potentially catastrophic consequences when failures occur. HROs operate under these trying conditions and have fewer accidents. They have the ability to provide consistent health care at a high level of excellence over a long period of time. HROs in health care establish and maintain high quality and safety expectations for patient care. Quality and safety error rates are near zero in HROs (Weick & Sutcliffe, 2007).

The risk of health care error is a function of both probability and consequence. For example, consider the care needed for a dehydrated patient with renal failure. Administering fluids too slowly can result in prolonged hypotension. Administering fluids too rapidly can result in fluid retention and heart failure. An IV pump is used to assist the nurse in providing accurate amounts of fluid. The IV pump decreases the probability of error. However, if the pump is programmed incorrectly or fails completely, the consequences can be catastrophic. By decreasing the probability of an error, HROs operate to make health care systems safer.