The Common Barriers and Facilitators for a Healthcare Organization Becoming a High Reliability Organization

  • Elina Karalis Griffith University
  • Gaery Barbery Griffith University
Keywords: high reliability organization, healthcare, quality improvement, patient safety, medical error.

Abstract

Background: Implementing high reliability organization principles can enhance quality and safety in healthcare. Evidence-based instructions on how to effectively change the organizational culture in healthcare setting are required.

Objectives:  A systematic review investigating methods, facilitators, and barriers to assist healthcare organizations in becoming a high reliability organization.

Method: Literature searches were performed in PubMed, MEDLINE, CINAHL-Complete, EMBASE, and Scopus for articles published between January 2012 and October 2017. The included articles were case reports, case studies, and protocol development studies on implementing high reliability organization principles. The articles were appraised using a modified Critical Appraisal Skills Programme tool. Thematic synthesis was conducted using manual coding. 

Results: Of the 14 eligible articles nine were case studies, four were case reports, and one was a framework development report. The study populations varied from whole healthcare systems to a single department of a hospital. The most common methods were supportive leadership, staff education, and analysing the safety events and sharing the knowledge. Cost was one of the barriers. Remuneration came in reduction of safety events and costs avoided.

Conclusion Implementing high reliability organization principles in healthcare settings is slow and challenging, but doing so improves quality, resilience, and safety, thus increasing productivity.

Author Biographies

Elina Karalis, Griffith University

Griffith University School of Medicine - Health Services Management
PO Box 3370 , Brisbane, Queensland 4101, Australia

Gaery Barbery, Griffith University

Griffith University School of Medicine - Health Services Management, Brisbane, Queensland, Australia

Published
2018-12-16
How to Cite
Karalis, E., & Barbery, G. (2018). The Common Barriers and Facilitators for a Healthcare Organization Becoming a High Reliability Organization. Asia-Pacific Journal of Health Management, 13(3), i05. https://doi.org/10.24083/apjhm.v13i3.119
Section
Review Articles