A high reliability organization (HRO) is an organization where the unexpected is common, small events make a difference, failure is a strong possibility and lives are on the line. Expertise, rather than authority, takes precedence in a HRO. When conditions are high-risk and circumstances change rapidly, subject matter experts are essential for urgent situational assessment and response. Leaders at high reliability organizations listen to people who have the most developed knowledge of the task at hand.
Don’t forget to report Good Catches!
A Good Catch (or near miss) is an error that is “caught” before it reaches the person. Good catch information can help us address issues before they cause harm. PVMC’s good catch reports have trailed off since the contest in March and it is still everyone’s responsibility to report good catches (and occurrences) in the Risk Plus system. Remember we all need to be a lifesaver for patients, so if you see something, please say something (or report it).