2015 Patient Safety & Quality Symposium – Organizing for High Reliability

Premier health care leaders and practicing clinicians explore the intersection of culture and safety, including what high reliability organizing means for patients and organizations, from staff at the bedside to executive management.


Resilience Engineering to Create a High Reliability Organization

Dr. Drews will introduce you to the principles of resilience engineering and show you how to include elements of resilience and adherence engineering to your own organization.
Frank Drews, PhD

Frank Drews, PhD

Director of the Center for Human Factors in Patient Safety, Department of Psychology, University of Utah

Dealing with Alarm Fatigue in a High Reliability Organization

An alarming discussion pertaining to the human factors issues that impact health care worker's ability to respond to alarms on the floor. After this presentation, you will be able to minimize the noise-to-signal ratio to enhance response ...
Frank Federico, BS, RPh

Frank Federico, BS, RPh

Executive Director, Institute for Healthcare Improvement

Leadership Methods In A High Reliability Organization

Dr. Cox will demonstrate in detail how implementing rounding will influence 5:1 feedback as well as demonstrate the key components of an organizational Daily Safety Update.
Karen Cox, PhD, RN, FACHE, FAAN

Karen Cox, PhD, RN, FACHE, FAAN

Executive Vice President/Co-Chief Operating Officer of Children’s Mercy Hospital, Kansas City

High Reliability Organizing: A Model For Patient Safety

This presentation describes the underpinnings of the concepts of high reliability and mindful organizing. After viewing, participants should be able to recognize how organizing practices underpin an organization’s safety culture.
Kathleen Sutcliffe, PhD

Kathleen Sutcliffe, PhD

Bloomberg Distinguished Professor of Business and Medicine at Johns Hopkins University

Applying Personalized Medicine in the Cath Lab: Improving Reliability, Safety and Cost-Effectiveness of Care

What is personalized medicine? Dr. Spertus translates the concept of personalized medicine to routine clinical care and everyday medical decision making. He will help prepare you to think through and plan for physician adoption of evidence-based ...
John Spertus, MD, MPH, FACC, FAHA

John Spertus, MD, MPH, FACC, FAHA

Clinical Director of Outcomes Research, St. Lukes Mid America Heart Institute, UMKC, Kansas City, MO

When HROs Fail - Lessons Learned For Healthcare

Doug leads you on a journey of lessons learned from two military accidents and relates them to the HRO journey. He also discusses the leader’s role in behavioral change in order to safe and reliable practices.
Doug Bonacum, CPPS

Doug Bonacum, CPPS

Vice President, Quality, Safety & Resource Manager, Kaiser Permanente

The Role of Hierarchy in High Reliability Organizing

There are both positive and negative impacts that hierarchy has in an HRO. Dr. Knight leads you down the path of how to gain the benefits of hierarchy, while minimizing the costs of hierarchy.
Andrew Knight, PhD

Andrew Knight, PhD

Assistant Professor of Organizational Behavior, Washington University, St. Louis, MO

The Inextricable Link Between Worker and Patient Safety

Doug takes you through seven steps to get started in creating a workplace free of harm for patients and those who care for them.
Doug Bonacum, CPPS

Doug Bonacum, CPPS

Vice President, Quality, Safety & Resource Manager, Kaiser Permanente

Basics of Leading Change

After listening to Dr. Sutcliffe, participants will be able to describe the four primary mechanisms of change; identify the major forces for and against organizational change and finally describe the general process of change leadership. Kathleen ...
Kathleen Sutcliffe, PhD

Kathleen Sutcliffe, PhD

Bloomberg Distinguished Professor of Business and Medicine at Johns Hopkins University

Bringing It All Together: The Journey to High Reliability

Frank wraps up the day’s theme, addressing the next steps in becoming a high reliability organization. Frank Federico, BS, RPh Executive Director, Institute for Healthcare Improvement
Frank Federico, BS, RPh

Frank Federico, BS, RPh

Executive Director, Institute for Healthcare Improvement