What makes an organization a High Reliability Organization or HRO? This commonly accepted term for various industries means that the organization has succeeded in avoiding catastrophes in an environment where normal accidents can be expected due to risk factors and complexity.
The military has long been accepted as one of the original HROs with much of the early research work being done on Navy nuclear aircraft carriers. Researchers studied their ability to avoid the errors and catastrophes that can be associated with the high risk and complex cascade of events during aircraft take-off and landing.
Healthcare has been one of the largest practitioners of HRO management in recent years. It probably goes without saying that an operating room is a high risk and complex environment. Most ORs are successful in controlling errors and even near misses; however, they do still occur and can lead to catastrophic never events like wrong site surgery (https://www.startboxor.com/wrong-site-surgery). Data shows that reported wrong site surgeries happen 50 times per week on average in US hospitals. How many near misses does it take before you have a wrong site surgery?
So how safe is your hospital? The Leapfrog Hospital Safety Grade is a single letter grade representing a hospital’s overall performance in keeping patients safe from errors, injuries, accidents, and infections.
StartBox provides an integrated systems-based approach modeled after military safety protocols to capture the errors and near misses that can occur throughout the surgical continuum. By capturing these errors before surgical time out, near misses, and inevitably a wrong site surgery can be eliminated through a systems-based and real-time data-driven approach. Make your hospital A+ with StartBox, From Decision to Incision®.
Errors happen all the time. Track them to stop them. And reduce costs in the process.
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