High Reliability Organization

Experienced guides to help you along your HRO Journey 

We are pioneers in improvement and patient safety. Our team of experienced HRO experts have many years of experience as executives, physicians, nurses, HR professionals, improvement engineers, consultants, change agents and medical informaticists who bring rich and diverse perspectives to develop scalable transformation solutions.

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The Framework for High Reliability Healthcare

Anchored in more than two decades worth of deep field experience across thousands of hospitals, our framework, co-authored by IHI in 2017, has been used by governments, national health systems, and individuals seeking to develop HRO skills and improve patient safety all over the world. Additional observation and study has allowed us to uncover new insights and develop innovations that improve and build upon the original framework.

The Framework for High Reliability Healthcare provides a simple and actionable roadmap for transformation using published and proven strategies that impact overall care given and the people involved in giving that care.

Expert HRO training, by clinicians, for clinicians

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Data-driven HRO strategies
We apply the field’s most robust expertise and tools to thoroughly understand each organization’s unique needs, initiatives and achievements, to meet them “where they are.” We effectively engage your leaders and people to “hear their voices” and gain their buy-in.

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HRO transformation at the unit-level.
We partner to leverage these insights and help design and implement HRO roadmaps using LENS to accelerate measurable transformation and spread, enabling real-time improvement and other new digital capabilities.

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Unique expertise
Each of our HRO Experts have more than a decade of experience with leading organizations, enabling us to effectively partner with each stakeholder group to engage, build trust, and execute.

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We are your trusted partners and advisors

You don’t need rigid and canned models generically built in an attempt to apply to everyone. Approaches limited to exploring obvious serious safety events do not address the numerous defects that cascade into harm, waste and workforce issues around culture and burnout.

You need caring experts that partner with you to create a custom plan specific to your organization’s needs and goals.

We apply the field’s most innovative and robust tools, including SCORE, to thoroughly understand your unique needs, initiatives and achievements.

 

The S&R Podcast

Explore the different paths to High Reliability through stories and experiences from our HRO experts in season one of the S&R Podcast. Hear about the life changing events that jump started their journey and some of their failures and successes along the way.

 Let’s Talk

If you’re interested in taking the next steps toward a culture of safety and improvement in your organization, we can help.