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Highlights
In medicine, safety was viewed as mostly an individual responsibility, and errors were viewed as human failings
We can direct our energies to the five principles of High reliability organizations (HROs) outlined by Weick and Sutcliff: 1. Preoccupation with failure Teams that are preoccupied with failure recognize that even the best-made plans are at risk for failing, From the *University of Calgary Cumming School of Medicine, Departments of Pediatrics and Emergency Medicine, Calgary, AB; †Alberta Children’s Hospital Research Institute, Calgary, AB; ‡McMaster University, Department of Medicine, Division of Emergency Medicine, Hamilton, ON; §St
As emergency departments (EDs) staff prepare to face the demands of operating in pandemic conditions, it is critically important for leaders to understand where high reliability organizing has been effective and where further improvements are required
Summary
In medicine, safety was viewed as mostly an individual responsibility, and errors were viewed as human failings. These may include simulation and observation of practices; development of checklists; diligent reporting of errors, near-misses, and hazards; carefully executed tests of change; and empowerment of team members to work to the full scope of their abilities (Table 1). As ED staff prepare to face the demands of operating in pandemic conditions, it is critically important for leaders to understand where high reliability organizing has been effective and where further improvements are required.
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