What Makes a High Reliability Organization?

Lowers & Associates
Lowers & AssociatesLowers & Associates
WHAT MAKES A
High Reliability Organization?
What is a High Reliability Organization (HRO)?
—MANAGING THE UN E X PE CTE D : SU STAIN E D PE R F O R MAN C E I N A COMPLEX WORLD, K.E. WEI CK A ND K.M. S UTCLI FFE
High-reliability organizations
operate under challenging
conditions yet experience fewer
problems than would be anticipated.
They have developed ways of
“managing the unexpected” better
than most organizations. 
CLASSIC EXAMPLES of HROs
AIR TRAFFIC CONTROL
Air traffic controllers play a “high stakes
three-dimensional chess game” every day.
—USA TODAY
AIRCRAFT CARRIERS
“Flight operations at sea is the closest
to the “edge of the envelope”—operating
under the most extreme conditions in the
least stable environment…”
—G OVLE AD E R S.O RG
NUCLEAR POWER PLANTS
“With nuclear power, the high energy
density makes the potential hazard
obvious…”
—WORLD NUCLEA R A S S O CI AT I ON
5 TRAITS OF
HIGH RELIABILITY ORGANIZATIONS
What Makes an HRO an HRO?
PREOCCUPATION WITH FAILURE
HROs focus like a laser on failure; they give
“continuous attention to anomalies that
could be symptoms of larger problems.”
Never assume if a control succeeds in
containing a failure, everything is right.
Look deeper into incidents to find
underlying causes.
1
“The absence of errors or accidents leads not
to complacency but to a heightened sense of
vigilance for the next possible failure.”
— AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
Reluctance TO SIMPLIFY
HROs do not apply generalized terms
to describe potential sources of failure.
Simple thinking:
“The alarm failed so we should replace
it with a new one.”
HRO thinking:
“What if the alarm’s failure was caused
by something deeper?”
2
“(HROs) appreciate the complexity inherent in
the number of teams, processes, and relationships
involved in conducting daily operations.”
— AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
SENSITIVITY TO OPERATIONS
HROs do not assume that the continuous
outcomes will be the same as planned,
assumed, or hoped for.
Pay close attention to operations and
maintain awareness of what is and
isn’t working.
Don’t make assumptions.
Ask questions.
Use data to make decisions and track
outcomes.
3
“HROs recognize that the earliest indicators of threats
to organizational performance typically appear in small
changes in the organization’s operations.”
— JOINT COMMISSION ON HEALTHCARE ACCREDITATION
Commitment TO Resiliency
HROs are adaptable, learning organizations.
Don’t let failures disable your
operations.
Recognize emerging anomalies by
keeping an open mind.
React appropriately, even under
unanticipated conditions.
4
“The hallmark of an HRO is not that it is error-free
but that errors don’t disable it.”
— MANAGING THE UNEXPECTED: SUSTAINED PERFORMANCE
IN A COMPLEX WORLD, WEICK KE, SUTCLIFFE KM
DEFERENCE TO EXPERTISE
The “expert” is the person with hands-on
knowledge of the operation at the point of
failure.
Give your experts access to upward
reporting.
Leaders must listen to those experts,
regardless of seniority.
5
“...people in HROs know that in a crisis or emergency the
person with greatest knowledge of the situation might
not be the person with the highest status and seniority.”
— AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
IS YOUR ORGANIZATION
moving toward high reliability?
LowersRisk.com | 540.338.7151
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What Makes a High Reliability Organization?

  • 1. WHAT MAKES A High Reliability Organization?
  • 2. What is a High Reliability Organization (HRO)? —MANAGING THE UN E X PE CTE D : SU STAIN E D PE R F O R MAN C E I N A COMPLEX WORLD, K.E. WEI CK A ND K.M. S UTCLI FFE High-reliability organizations operate under challenging conditions yet experience fewer problems than would be anticipated. They have developed ways of “managing the unexpected” better than most organizations. 
  • 3. CLASSIC EXAMPLES of HROs AIR TRAFFIC CONTROL Air traffic controllers play a “high stakes three-dimensional chess game” every day. —USA TODAY AIRCRAFT CARRIERS “Flight operations at sea is the closest to the “edge of the envelope”—operating under the most extreme conditions in the least stable environment…” —G OVLE AD E R S.O RG NUCLEAR POWER PLANTS “With nuclear power, the high energy density makes the potential hazard obvious…” —WORLD NUCLEA R A S S O CI AT I ON
  • 4. 5 TRAITS OF HIGH RELIABILITY ORGANIZATIONS What Makes an HRO an HRO?
  • 5. PREOCCUPATION WITH FAILURE HROs focus like a laser on failure; they give “continuous attention to anomalies that could be symptoms of larger problems.” Never assume if a control succeeds in containing a failure, everything is right. Look deeper into incidents to find underlying causes. 1
  • 6. “The absence of errors or accidents leads not to complacency but to a heightened sense of vigilance for the next possible failure.” — AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
  • 7. Reluctance TO SIMPLIFY HROs do not apply generalized terms to describe potential sources of failure. Simple thinking: “The alarm failed so we should replace it with a new one.” HRO thinking: “What if the alarm’s failure was caused by something deeper?” 2
  • 8. “(HROs) appreciate the complexity inherent in the number of teams, processes, and relationships involved in conducting daily operations.” — AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
  • 9. SENSITIVITY TO OPERATIONS HROs do not assume that the continuous outcomes will be the same as planned, assumed, or hoped for. Pay close attention to operations and maintain awareness of what is and isn’t working. Don’t make assumptions. Ask questions. Use data to make decisions and track outcomes. 3
  • 10. “HROs recognize that the earliest indicators of threats to organizational performance typically appear in small changes in the organization’s operations.” — JOINT COMMISSION ON HEALTHCARE ACCREDITATION
  • 11. Commitment TO Resiliency HROs are adaptable, learning organizations. Don’t let failures disable your operations. Recognize emerging anomalies by keeping an open mind. React appropriately, even under unanticipated conditions. 4
  • 12. “The hallmark of an HRO is not that it is error-free but that errors don’t disable it.” — MANAGING THE UNEXPECTED: SUSTAINED PERFORMANCE IN A COMPLEX WORLD, WEICK KE, SUTCLIFFE KM
  • 13. DEFERENCE TO EXPERTISE The “expert” is the person with hands-on knowledge of the operation at the point of failure. Give your experts access to upward reporting. Leaders must listen to those experts, regardless of seniority. 5
  • 14. “...people in HROs know that in a crisis or emergency the person with greatest knowledge of the situation might not be the person with the highest status and seniority.” — AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
  • 15. IS YOUR ORGANIZATION moving toward high reliability? LowersRisk.com | 540.338.7151