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  • ISSN[Online] : 2643-9875  ||  ISSN[Print] : 2643-9840

VOLUME 04 ISSUE 09 SEPTEMBER 2021

Establishment of Elements and Principles of High Reliability Organizations in Neonatal Intensive Care Unit of de Soyza Maternity Hospital, Colombo, Sri Lanka.
1J.L. Himali R. Wijegunasekara,2 G. Sudath K. Dharmarathe
1,2Ministry of Health, Sri Lanka.
DOI : https://doi.org/10.47191/ijmra/v4-i9-07

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ABSTRACT:

Introduction:
“High Reliability Organizations (HRO)” is an innovative safety management concept. An effort to transform a health care setting in Sri Lanka to a HRO – management structure is worthwhile to experience the outcomes of this model in Sri Lankan hospital context. Objective: To establish a HRO - management structure in the Neonatal Intensive Care Unit of De Soyza Maternity Hospital Colombo.
Design:
Pre / post interventional study design was used. Functional status of HRO structure in the NICU was assessed; using 5 HRO principles (ie. Pre occupation with failure, Resistance to simplify, Sensitivity to operations, Commitment to resilience and Deference to expertise) and 5 HRO elements (ie. Process auditing, Rewarding, Avoidance of quality degradation, Risk perception, and Command and control), at pre and post interventional levels.
Methods:
Practice of HRO principles was assessed using a Self - Administered Questionnaire with a rating scale, with the participation of all the NICU staff. Practice of HRO elements was assessed by a facility survey using a check list. Intervention consisted of a managerial plan with activities to establish the HRO concept. Results:
Results showed a statistically significant increase of “response scores” of participants towards HRO structure and the facility survey showed the establishment of planned activities.
Conclusion:
It was concluded that implementation of this plan, is gradually establishing the HRO management structure in NICU of DMH.

Keywords

High Reliability Organizations, Neonatal Intensive Care Units.

REFERENCES

1) Roberts, K. H., Madsen, P., Desail, V., Van Stralen, D., (2003) “Organizational matters: A case of the birth and death of a High Reliability Healthcare Organization” BMJ Quality & Safety; 14 (3)

2) Christianson, M.K., Sutcliffe, M.K., Miller, K.M.M.A, Iwashyna, T., (2011), “Becoming a High Reliability Organization”J Critical Care, 2011; 15:314

3) Chassin, M. R., & Loeb, J.M., (2013) “High‐Reliability Health Care: Getting There from Here” The Milbank Quarterly - A multidisciplinary Journal of Population Health and Health Policy; 2013 Sep; 91 (3) 459 - 490

4) Enya, A., Pillay, M., & Dempsey, S., (2018) “ Systematic Review on High Reliability Organizational Theory as a Safety Management Strategy in Construction” Safety, 2018, 4(1), 6

5) Policy on Maternal and Child Health, Sri Lanka; 2012

6) Annual Report – 2017, Medical Record Department, De Soyza Maternity Hospital, Colombo.

7) Hines S, Luna, K, Lofthus J, et al. (2008) “Becoming a High Reliability Organization: Operational Advice for Hospital Leaders”. AHRQ Publication No. 08-0022. Rockville, MD: Agency for Healthcare Research and Quality. April 2008.

8) Weick, K. & Sutcliff, K.M., (2005); “Managing the unexpected”; A Presentation; at Michigan Ross School of Business.

9) Ravitz, A. D., Pronovost, P.J.,Sapirstein, A., (2014) “A Model for the Intensive Care Unit as a High Reliability Organization” ICU Management and Practice, ICU, volume 14, Issue 1, spring 2014

10) Panagos, P.G., Stephen, A., Pearlman, Perinatol, C., ( 2017 ) “Creating a Highly Reliable Neonatal Intensive Care Unit through Safer Systems of Care” Clinics in Perinatology; 44 (2017) 645–662

11) Weick, K.E., Sutcliffe, K.M., &Obstfeld, D., (1999), “Organizing for High Reliability: Processes of Collective Mindfulness” Source: R.S. Sutton and B.M. Staw (eds), Research in Organizational Behavior, Volume 1 (Stanford: Jai Press, 1999), pp. 81–123.

12) Hales, D.N. &Chakravorty, S. S., (2016). "Creating high reliability organizations using mindfulness." Journal of Business Research. In press.

13) Malawige, K.K., (2018) “Assessing the usage of High Reliability Organization principles in Accident and Emergency Care units in selected Tertiary care Hospitals, Western Province”; PGIM; Colombo.

VOLUME 04 ISSUE 09 SEPTEMBER 2021

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