Science of High Reliability

Course Description

Errors, delays, and waste are the results of inefficient and poorly designed work processes. High reliability is the study of human performance in complex systems and includes: systems thinking, analysis of serious safety events, techniques to minimize mistakes, techniques to minimize waste, and tactics to move your people to a culture where patient safety is at the core of the business. This new course delivers skills and competencies in patient safety and high reliability organizations. Physician leaders will learn to improve team performance at both the bedside and in the C-suite. You will identify the types of waste and inefficiency in work processes and hear techniques to streamline inefficient processes and techniques for better performance.

Target Audience

This CME activity is intended for physicians and other health care leaders who wish to study human performance in complex systems. This is a required course in the certification prerequisite curriculum and an elective course in the degree prerequisite curriculum.

Formats

Live InterAct Express
yes no yes

Which format is right for me?

Course Objectives

  • Define reliability, and describe how reliability can be measured and expressed
  • Describe, using Reason’s Swiss Cheese Effect, how human error and latent system weaknesses combine to cause loss events in health care
  • Describe, using Cook and Wood’s Sharp-End Model, how culture can shape behavior and prevent human error that contributes to loss events
  • Know, and be able to provide examples for each of, the five (5) behavior-shaping factors of reliable systems: structure, protocol, culture, process, and intuitive environment
  • Know, and be able to apply in the context of Patient Safety Culture, the three steps to culture change
  • Describe the process for selecting Patient Safety Culture behaviors for a hospital or a service line or a single unit
  • Be able to identify safety behaviors, and describe the use of each behavior, for each of the three (3) human error types in the Generic Error Modeling System (GEMS)
  • Be able to identify Leader behaviors, and describe the use of each behavior, for high reliability organizations
  • Creating the Learning Organization. Understand the cultural background of Toyota and how it directly relates to your HealthCare organization. Be able to connect behaviors and culture
  • Data Transparency: Be able to describe several different models for making problems visible including: incident reporting, stopping the line, visual control, and simplified data presentation. Learn how to move data closer to the source and the impact this has on the speed of correction. Understand the common patterns in building a culture which stops to fix problems
  • Models of Human Behavior Related to Change. Demonstrate understanding of several research based models for organizational change and the impact they have on making change. Models include: Everett Rogers, Tuckman Form/Storm/Norm/Perform, Demming 14 Points and IHI’s Model for Transformational Change. Be able to apply the models for various situations
  • Making Everyone an Active Agent. Organizations today require everyone to be engaged in solving problems. The Toyota Production System/Lean provides many tactical & practical tools and techniques to make this a daily occurrence. Through a rapid cycle of Education, Case Study and Exercises, learn how to use several different tools for change

CME

Live Conference - 14 CME Credits
InterAct Express (self study) - 10 CME Credits

Disclosure of Relevant Financial Relationships and Potential Conflicts of Interest

Consistent with ACPE CME policies, everyone involved in the development, management, presentation and evaluation of this CME activity has provided full disclosure information, and there are no relevant financial relationships with commercial interests to disclose. 

Faculty Credentials

Craig Clapper, PE, CQM/OE
Healthcare Performance Improvement

Jeff Norton, MSME 
Center for Enterprise Quality and Safety, University of Kentucky

Method of Physician Participation

Live Course - To earn CME credit, you must attend all the sessions for this course, be engaged in the lectures, and read the course materials. Estimated time to complete course - 14 hours.

InterAct Express (self-study) - To earn CME credit, you must watch all the lectures for this course, and read the course materials and complete an online CME quiz. Estimated time to complete course - 10 hours.

Evaluation Method

Each ACPE CME activity includes an evaluation process to determine that the learning objectives have been met and that the activity was of educational value to the target audience and was unbiased. The evaluation also assesses whether or not the CME activity resulted in a change in physician practice behavior and offers participants a method of feedback. 

Course formats and materials

Live Conference: PDF materials are available for download.

Expiration Policy: Links to course materials are active for twelve months beginning on the start date of live and InterAct courses, and for twelve months following registration and payment for InterAct Express courses.

Discounts may not be used in combination. Only one discount may be redeemed per purchase.

InterAct Express (self-study): Course website for lectures and readings, there is no online discussion or assignments for Express.

Expiration Policy: Links to course materials are active for twelve months following the end of live and InterAct courses, and for twelve months following registration and payment for InterAct Express courses.

Discounts may not be used in combination. Only one discount may be redeemed per purchase.

Hardware/Software Requirements

System: Microsoft Windows 2000 or later / Mac OS X v10.4 or later
Browser: Internet Explorer 6.0 or later / Safari 3.x or later / Firefox 3.x Windows.
(Firefox for Macintosh is NOT supported)  

Get Adobe Reader Flash and Adobe Reader required.


Accreditation — The American College of Physician Executives (ACPE) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Designation for Live course and InterAct— The American College of Physician Executives designates this live activity for a maximum of 14 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Designation for InterAct Express— The American College of Physician Executives designates this enduring material for a maximum of 10 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Original Course Release Date (InterAct distance education only) — July 2013.
Course Termination Date (InterAct distance education only) — July 2016.