Everyday Excellence: Embedding High-Reliability Principles in Daily Healthcare Work

Course Title (English): Everyday Excellence: Embedding High-Reliability Principles in Daily Healthcare Work

عنوان الدورة (عربي): التميز اليومي: دمج مبادئ الموثوقية العالية في العمل الصحي اليومي

Training Location: Zoom

Tentative Date: (To be confirmed after SCFHS approval)

Proposed Number of Trainees: 1000

Target Audience: All healthcare professionals and support staff in clinical and administrative roles

Learning Needs:

Despite advances in protocols and safety systems, many risks to patient care arise from daily inconsistencies, weak handoffs, missed signals, or minor oversights. High-reliability principles—such as preoccupation with failure, reluctance to simplify, and deference to expertise—are often viewed as corporate-level strategies. However, applying these principles at the frontline, in small daily behaviors, fosters a culture of continuous vigilance, resilience, and patient safety. This course teaches practical applications of high-reliability thinking in everyday healthcare work for all staff.

Educational Objectives:

• – Understand the core principles of high-reliability organizations (HROs).
• – Apply high-reliability behaviors in routine clinical and administrative tasks.
• – Recognize how small process deviations contribute to larger safety risks.
• – Strengthen vigilance and anticipation of failure in routine activities.
• – Promote respectful questioning and escalation regardless of hierarchy.
• – Translate system resilience into daily frontline actions.
• – Encourage mindfulness and attention to detail in all roles.
• – Cultivate a work culture where everyone contributes to reliability.

Teaching Methods:

Simulated breakdowns – Scenario reflection – Observation-based learning – Peer-to-peer review

Assessment Methods:

Checklists of reliability behaviors – Group discussions – Reflective journaling – Case-based assessments

Learning Outcomes:

• – Define high-reliability principles in the context of healthcare.
• – Demonstrate daily habits that reduce variability and strengthen safety.
• – Identify frontline safety threats through process observation.
• – Apply escalation techniques when noticing weak signals of risk.
• – Engage team members in shared responsibility for daily excellence.
• – Build local improvement initiatives grounded in reliability thinking.
• – Monitor own behavior for drift from reliability standards.
• – Support continuous learning and feedback as part of safe daily work.

Scientific Schedule (2 Days / 10 Lectures Per Day):

Day 1:

1. What Is High Reliability and Why It Matters Daily
2. Everyday reliability reconstruction
3. HRO Principles in Action
4. Spotting Everyday Risks
5. Deep Dive into risk recognition
6. Mindfulness at work
7. Administrative Mindfulness at action
8. Deference to Expertise
9. Advanced practices in Deference to Expertise
10. Avoiding Oversimplification in Daily Decision-Making
11. Detecting Operational issues
12. Small Habits Create Safe Systems
13. Mapping Reliability in a Daily Task
14. Learning from Near Misses