System performance in healthcare pivots on the ability to match demand for care with the resources that are needed to provide it. High reliability is desirable in organizations that perform inherently hazardous, highly technical tasks. However, healthcare’s high variability, diversity, partition between workers and managers, and production pressure make it difficult to employ essential aspects ...

In many businesses, LANs have displaced older, paper-based methods of doing work, and these organizations now depend on the reliability and availability of their computer networks for the continuity and efficiency of daily operations. Reliability refers to a LAN's capacity to operate despite failures in communications links and equipment. Availability is a measure of performance; it refers to t...

Abstract In dynamic markets, organizations have to be ambidextrous adapt constant change. Simultaneously, are increasingly required adopt quality management accreditation. Standardization through accreditation bares the risk of limiting an organization’s capabilities. this study, we aim evaluate determinants organizational decision-making seek and pursue innovation activities, whether activitie...

This paper reports findings from an ongoing study to understand the dynamics of operational reliability. Previously, the study identified weaknesses in organizational settings that inhibited learning opportunities, specifically the ability to learn from failure (Sullivan et al., 2008). Effective organizational learning strategies are critical in promoting operational reliability, specifically r...

Emergency preparedness, planning, and response suffer from shortcomings that impede the potential for effectiveness. In this article, we provide an overview of Emergency Preparedness and Management that is based upon our research, including insights into the shortcomings of current practices, a discussion of relevant theories (e.g., High Reliability Organizations, muddling through) and recommen...

AIM To develop a model for high reliability in health care quality and patient safety. BACKGROUND A high-reliability health organization (HRO) has measurable near perfect performance in quality and safety. High reliability is necessary in health care where the consequences of error are high and the frequency is low. KEY ISSUES Despite a decade of intense focus on quality and safety since a ...

INTRODUCTION Recent regulatory pressures and certification requirements have heightened the need for payer organizations to abide by specific standards regarding medical management operations. Payer organizations that are making medical-necessity determinations regarding reimbursement for health care services, as well as risk-bearing provider groups to whom some of these functions have been del...