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VHAs Vision for a High Reliability Organization || FORUM The Veterans Health Administration (VHA) is undergoing a transformational modernization at a scale and scope not experienced since General Omar Bradley’s leadership of the Veterans Administration in the 1940s At the center of this modernization is a culture change that will be realized throughout VHA –our transformation into a high reliability organization (HRO) An HRO is an organization
Three HRO Evaluation Priorities || FORUM - Veterans Affairs HRO as an intervention is highly complex in several ways: it is a complex intervention with multiple highly abstract components with unclear definitional boundaries (e g , safety culture embraces concepts of psychological safety, just culture, and more); it relies on complex pathways comprising multiple feedback loops, mediators, and moderators
Evidence Brief: Implementation of High Reliability Organization Principles Adoption of these HRO principles in health care offers promise of increased excellence; however, major barriers to widespread implementation include difficulty in adopting organization-level safety culture principles into practice; competing priorities between HRO and other large-scale organizational transformation initiatives such as
Implementing HRO: The VHA Safe Patient Handling and Mobility Program . . . Welcome to the Summer issue of HSR D's FORUM, which focuses on Becoming a High Reliability Organization The Veterans Health Administration (VHA) is undergoing a transformational modernization at a scale and scope not experienced since General Omar Bradley's leadership of the Veterans Administration in the 1940s
Becoming a High Reliability Organization || FORUM Improving Safety Measurement in Outpatient Surgery: A Case Study Applying a Trigger Dashboard to Detect Adverse Events Implementing HRO: The VHA Safe Patient Handling and Mobility Program Innovation Update Engaging Veterans in Medication Reconciliation via Pharmacist-Mediated Secure Messaging Director's Letter by David Atkins, MD, MPH, Director
Learning from Lean Enterprise Transformation in VA || FORUM As VA embarks on becoming an enterprise-wide High Reliability Organization (HRO), we hope lessons from the LET pilot evaluation may elucidate effective strategies to implement facilitators and reduce barriers
Evidence Brief: Implementation of High Reliability Organization . . . QUALITY ASSESSMENT OF INCLUDED PRIMARY STUDIES Abbreviations: HRO – high reliability organization; QI – quality improvement; SSE – serious safety event leen Sutcliffe, 3rd Edi ion, Wiley Sons, New York, NY , that has a Mindful Organizing Scale (p 43) that is notewo thy This scale was originally published in 2007, so it fell
VA Health Systems Research - Veterans Affairs Key Question 3: What is the evidence on HRO implementation effects? Key Question 3A: On patient safety organizational change goals (eg, number of sites that met goal of 50% reduction in serious safety events)? Key Question 3B: On patient safety organizational change measures (eg, mean change in number of serious safety events)?