About the Book
Welcome to the instructor's guide for the second edition of High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. This guide is designed to be a resource for educators in a variety of academic settings in courses focused on patient safety or quality management in nursing, health services administration, or clinical programs. This instructor's guide is divided into three sections:
Unit 1: Using the Textbook for Teaching and Learning
Unit 2: Resources for Teaching High Reliability for Patient Safety and Quality
Unit 3: Chapter Learning Activities and Instructor Support
This guide provides suggestions to guide faculty, nurse leaders, clinical staff nurses, quality and safety staff, or other healthcare professionals who are teaching others about the application of HRO principles to patient safety and quality problems using the second edition of High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. For academic faculty, the chapter-by-chapter learning activities will help facilitate student learning about application of high reliability to patient safety and quality and can be used as part of a patient safety and quality course at a variety of academic levels.
The student workbook contains the same chapter-by-chapter learning activities found in the instructor's guide. The instructor's guide contains supplemental materials including learning activity implementation strategies and student evaluation sections. There are several completed examples of fill-in responses or answers for instructors as well. A summative learning activity is included that gives instructors the opportunity to assess student ability to translate high reliability principles into practice.
About the Author :
Cynthia A. Oster is the Patient Safety Nurse Scientist at Emory Healthcare and an adjunct Assistant Professor at the Nell Hodgson Woodruff School of Nursing at Emory University in Atlanta, Georgia. She has held research, clinical, educational, and administrative positions throughout her 40-year career. Oster received her BSN from the University of Iowa, her MSN from the University of Nebraska Medical Center, and her PhD from the University of Colorado College of Nursing. In addition, she earned an ANP certificate from Beth El College of Nursing in Colorado Springs, Colorado, and an MBA from the University of Colorado-Denver. In 2017, she became a Fellow in the American Academy of Nursing. She mentors clinical nurses and advanced practice nurses to develop clinical practice wisdom through application of high reliability principles, evidence-based practice, and the conduct of research. Oster has presented at national and international meetings and has published in the areas of high reliability, evidence-based practice, alarm fatigue, and peer review. Jane S. Braaten is a Director of Quality & Patient Safety Officer and nurse scientist at Centura Health, Castle Rock Adventist Hospital in Castle Rock, Colorado. Braaten obtained her BSN from the Indiana University School of Nursing and holds the degree of doctor of philosophy and certificates of clinical nurse specialist and adult nurse practitioner from the University of Colorado College of Nursing. She also is a certified professional in patient safety (CPPS) and a certified professional in healthcare quality (CPHQ). She has presented at national meetings and has published in the areas of hospital system barriers to rapid response team activation, quality improvement in telemetry, end-of-life care in the intensive care unit, leadership, and high-reliability organizations and healthcare.
Review :
"Enhancing your people's adaptive capacity on the front lines makes all the difference-that is where resilience gets made and eroded. Healthcare systems, however, have a hard time getting that message through. Adding protocols, guidelines, policies, processes, and structures is easy, Oster and Braaten observe, but we should instead be understanding and supporting how practitioners on the front lines make successful outcomes occur in complex, dynamic environments. In this new edition of their push to change patient safety thinking, they have an A-list lineup of contributors exploring just how that might work in their (and your) area of patient care."
Sidney W. A. Dekker, MA, MSc, PhD
Professor
Safety Science Innovation Lab
Griffith University, Australia, and Delft University, the Netherlands
"Oster and Braaten have captured the essence of high reliability organizations, and this highly readable guide inspires organizations to do the right things to protect their patients while providing them with the tools to do so. The authors' experiences in these fields show, as each chapter is filled with attention to human aspects of high reliability as well as practical recommendations for creating high performance. These authors-themselves considered experts in the field-have assembled an impressive group of contributors to create this comprehensive text that answers both the 'why' and the 'how' of quality and patient safety efforts. They bring a fresh, contemporary approach to a complex organizational challenge and a guide to achieving the state of high reliability, even in challenging times."
Janet Houser, PhD, RN
Provost, Regis University, Denver
Author, Nursing Research: Reading, Using and Creating Evidence, 5th Edition
"This is an outstanding resource for anyone interested in the theory and practice of high reliability organizing in healthcare. The 32 chapters in this thoughtfully organized handbook present a wide-ranging mix of theoretical frameworks, practices, and implementation strategies. The attention to the critical role of leadership, culture, and context in enhancing the reliability of healthcare delivery is especially noteworthy. This timely update is a welcome addition to the literature."
Rangaraj Ramanujam, PhD
Richard M. and Betty Ruth Miller Professor of Healthcare Management
Owen Graduate School of Management
Vanderbilt University
"The global quest to prevent patient harm and improve care quality and safety is paramount across all healthcare delivery settings. The second edition of High Reliability Organizations elucidates the connection among human and organizational factors, effectively integrating theory with pragmatic examples of health systems' progress and challenges. Shifting practice paradigms require effective use of innovation and technology to advance and sustain improved patient safety outcomes. Noteworthy new information includes content on the COVID-19 pandemic, resilience-building strategies, ambulatory care delivery, and telehealth considerations."
Ann Scott Blouin, PhD, RN, LFACHE
President, PSQ Advisory, Ltd.
Board and Executive Committee Member, Institute for Healthcare Improvement
Assistant Professor, Marcella Niehoff School of Nursing, Loyola University Chicago
