Chapter9odjjshheksjkjdkkekhdjhekkjdkjekjkjk.pptx

quality course by Spath

1. Achieving Reliable Quality and Safety

2. Reliability Reliability: A product, system, or service will perform its intended function over a specific period of time without failure. How quality changes over time.

3. Reliability statements This car is under warranty for 40,000 miles or 3 years, whichever comes first. This Refrigerator has a lifetime guarantee

4. High Reliable Organizations Organizations that operate in complex, high-hazard domains for extended periods without serious accidents or catastrophic failures. oil and gas, nuclear power, commercial aviation, banking and the military 

5. Reliability and Quality Dimensions Safe Effective Patient centered Timely Efficient Equitable Source: Institute of Medicine. 2001. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press.

6. Characteristics of HROs Preoccupied with failure Reluctant to simplify Sensitive to operations Commitment to resilience Deference to expertise Resource: Weick and Sutcliffe, Managing the Unexpected

7. 1. Preoccupied with failure Hospitals and other health care organizations behave as if they accept failure as an inevitable feature of their daily work.

8. 2. Reluctant to simplify Failing to resist the temptation to simplify frequently impedes safety efforts in health care.

9. 3. Sensitive to operations One of the most pervasive safety problems in hospitals relates to their failure to be sensitive to operations.

10. 4. Commitment to resilience In health care, uncoordinated and poorly designed and maintained mechanical systems (like medical device alarms) are tolerated, even though they are not safe.

11. 5. Deference to expertise hospitals do not regularly permit the most expert individual to implement solutions. Instead, multiple hierarchies dominate the authority structures of most hospitals.

12. How to get Reliability in Health Care Leadership Safety Culture Improvement tools and models: Six Sigma, Lean