5 Core Principles In Healthcare

Healthcare is complex, however, with careful planning and dedication an organization can achieve reliable processes, procedures and health services in a timely manner (Sheridan-Leos, 2014). Five core principles guide reliability science. The first three principle are intended to detect errors before they occur and consist of: a) preoccupation with mistakes, b) reluctance to simplify, and c) a sensitivity to operations (Sheridan-Leos, 2014). The last two principles related to the response to errors and preventing the errors from expanding. The last two principles are: d) a pledge to resilience, and e) respect for expertise. The benefit of having an organization which is attentive to failures is less likely to repeat the failure (Sheridan-Leos,

There is a television program called “undercover boss” in the show a high ranking executive works as a front line worker for a week. Many of the executives were not aware of the challenged and workaround employees have to make on a daily basis. Sheridan-Leos (2014) suggests hospital leaders join in the daily huddle, walking rounds and observant of patient care. When nursing staff must work around a policy or procedure there is a problem, either the policy or procedure is outdated or the staff do not have the resources needed to complete the

Building a culture of team supports a shared problems solving model with attention to the potential cascade effect of a decision. One decision can have a number of adverse effects. Creative problem solving may be the best way to address the potential mistake that could be made and addressing the system to avoid the mistake (Beyea, 2005). According to Beyea (2005) “few opportunities for teams to train together, prepare for emergencies, or drills for low frequency, high risk events” (p. 1321). This is an area that needs development. It is a financial investment, however the cost of an error can be substantially more (Lawrence,