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At Cincinnati Children’s, we take a comprehensive, system approach to safety that involves several interdependent areas we believe are key to achieving our goals.
The theory of high reliability has come to healthcare from naval aviation and the nuclear power industry. At Cincinnati Children’s, we believe that becoming an HRO will not only make us a safer organization, but also make us better at everything we do. Learn more about the characteristics of an HRO.
We closely monitor the quality and safety of our care so that we can continually improve; we believe that transparently sharing our results drives us toward achieving our goals. Measurement of our safety outcomes allows us to understand how we are performing relative to our goals. We work to understand the reasons for gaps between our performance and goals, and use this knowledge to improve the methods and processes of the care we deliver.
We detect and measure harm through a variety of methods including our safety reporting system, automated trigger tools, unit and department huddles and by cause analysis. It is critical to our work because it is how we identify both what we need to work on and whether our work is having a beneficial impact. It is the responsibility of everyone to look for harm − even near misses where no harm takes place − because this helps develop our high reliability microsystems.
Supporting a culture of safety is critical to achieving our safety goals. A robust culture of safety allows us to implement multiple tactical strategies and ensures the success of our efforts. Our leaders influence staff and their values and beliefs, which help drive our safety outcomes. Some examples of our efforts:
Key to our efforts is building high-reliability microsystems that support innovation and improvements on the unit level:
Having the capability to learn and improve with all leaders trained in quality-improvement science is an important aspect of our progress. Learn more about our education programs.
Watch a video: “The Journey Continues: Promises to Keep.”
Click image to enlarge.
Charge nurse Kristi Beson, RN, tracks pediatric early warning scores for patients on her unit.
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