Title

Promoting health care safety through training high reliability teams

Authors

Authors

K. A. Wilson; C. S. Burke; H. A. Priest;E. Salas

Comments

Authors: contact us about adding a copy of your work at STARS@ucf.edu

Abbreviated Journal Title

Qual. Saf. Health Care

Keywords

PERFORMANCE; ORGANIZATIONS; AVIATION; LESSONS; IMPACT; ERROR; MANAGEMENT; TEAMWORK; SYSTEMS; Health Care Sciences & Services

Abstract

Many organizations have been using teams as a means of achieving organizational outcomes ( such as productivity and safety). Research has indicated that teams, especially those operating in complex environments, are not always effective. There is a subset of organizations in which teams operate that are able to balance effectiveness and safety despite the complexities of the environment ( for example, aviation, nuclear power). These high reliability organizations (HROs) have begun to be examined as a model for those in other complex domains, such as health care, that strive to reach a status of high reliability. In this paper we analyse the components leading to the effectiveness of HROs by examining the teams that comprise them. We use a systems perspective to uncover the behavioral markers by which high reliability teams (HRTs) are able to uphold the values of their parent organizations, thereby promoting safety. Using these markers, we offer guidelines and developmental strategies that will help the healthcare community to shift more quickly to high reliability status by not focusing solely on the organizational level.

Journal Title

Quality & Safety in Health Care

Volume

14

Issue/Number

4

Publication Date

1-1-2005

Document Type

Article

Language

English

First Page

303

Last Page

309

WOS Identifier

WOS:000230896000015

ISSN

1475-3898

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