Operationalizing High Reliability in Aging Services through Systems Safety

October 11, 2022 | Aging Services Risk Management


Leadership commitment and engagement, robust process improvement, and safety culture create the infrastructure, processes, and underlying cultural habits and normative expectations within an organization needed to drive purposeful change (see Figure 1. Structure of High Reliability). Together, they help guide people to adjust their behaviors and allow for continuous quality improvement through embodying the following principles (Chassin and Loeb):

Root Cause Analysis in Aging Services: Considerations for Success

To effectively promote resident safety and quality of life, aging services leaders ​must think in terms of redesigning care processes and environments. Taking a systems thinking approach to this redesign recognizes that the system as a whole is dependent on the effective functioning of and interactions among its parts—an approach that is often used to operationalize HRO principles in support of quality improvement efforts. As described in ECRI's white paper Root Cause Analysis in Aging Services: Considerations for Success, this approach incorporates input from all employees in decision making—recognizing and rewarding their continuous learning and development—and creates processes that encourage resilience and adaptation to changing internal and external environments. See What Is Systems Thinking? ​​ for...

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