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HRO Characteristics

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Weick and Sutcliffe (2007) identified five key principles of HROs that are used to this day, summarized in Table 4.3. These characteristics, when present, help an organization to achieve high reliability. Each characteristic is described in detail below.

Table 4.3 HRO Characteristics

Characteristic Activities
Preoccupation with failure Pay attention to near‐miss events Look for weaknesses in the delivery of care
Reluctance to simplify Acknowledge the complex nature of health care delivery Focus on the root (true) cause of errors
Sensitivity to operations Develop awareness of how the environment, resources, and supplies impact safety Acknowledge the effect of relationships on safety
Commitment to resilience Anticipate and alleviate errors Work to decrease risk of harm Develop recovery strategies when adverse events occur
Deference to expertise Recognize individuals' knowledge, skill, and expertise Employ teamwork Foster active participation by healthcare providers Eliminate hierarchical thinking Share information

Source: Patti Ludwig‐Beymer.

Kelly Vana's Nursing Leadership and Management

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