Requirements for High Reliability

Since the mid-twentieth century, much patient care delivery has moved from the inpatient setting to the ambulatory clinic. Because this trend is likely to continue, matching clinic capacity to patient demand becomes a critical operating skill.
—Daniel B. McLaughlin and John R. Olson
Becoming and sustaining the ability to be a highly reliable organization has developed into a critical focus for not only patient care, but also regulatory agencies and managed care organizations. Depending on an organization’s state of readiness, meeting the criteria for high reliability can be a challenging transition.

To prepare for this Discussion:
Read Chapter 12 of the course text and this week’s Learning Resources, then reflect on how your health care organization, or a health care organization with which you are familiar, meets the criteria for high reliability. If you are currently working in a health care organization, what has been your experience in preparing for this transition to become a highly reliable organization?

Post a cohesive response to the following:
Assess the health organization in which you work or one with which you are familiar, and describe how staffing and scheduling processes in particular make your organization a high-reliability organization. Then, evaluate any areas that may need improvement, and recommend steps for improvement.
In your evaluation and recommendation, consider the requirements and standards in becoming a highly reliable organization. Do these standards hinder or improve the quality of care? Justify your rationale.

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Time Thought Exercise 5

Read the Freud excerpt below from his “Civilization and its Discontents” (1930), the Freud book I use when teaching the non-themed/generic “History of Ideas” version of this course. Freud is….


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Invent and populate four lists of your own

In The Pillow Book of Sei Shonagon, the eleventh-century Japanese poet and courtier created a series of lists based on her daily life. Her topics included “Hateful Things” (“A carriage….