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American Association for Physician Leadership

Science of High Reliability

Nov 4—5, 2019
2 days
Scottsdale, Arizona, United States
USD 1525
USD 762 per day

How it works


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What is high reliability? It’s the study of human performance in complex systems, and it’s a subject that physician leaders need to become experts in to take their organizations from good to great. In this course, leaders will explore systems thinking, analyze serious safety events, and discuss techniques to minimize mistakes.

Topics Include:

  • How human error and latent system weaknesses combine to cause loss events in health care
  • How culture shapes behavior
  • The five behavior-shaping factors of reliable systems (structure, protocol, culture, process, and intuitive environment)
  • The three steps to culture change (and creating a culture that stops to fix problems)
  • Models for making problems visible — incident reporting, stopping the line, visual control and simplified data presentation

Course Objectives

  • Define reliability and describe how it can be measured and expressed
  • Describe how human errors and latent system weaknesses combine to cause events using Reason’s Swiss Cheese Effect
  • Describe how culture can shape behavior and prevent human error using Cook and Wood’s Sharp End model
  • Provide examples of the five behavior-shaping factors and three steps to culture change
  • Explain both safety and leader behaviors and their selection process within a hospital, service line, or single unit
  • Examine leader behaviors and how they operate within high reliability organizations
  • Recognize impactful culture change opportunities (e.g., incident reporting, stopping the line, visual control, data movement/presentation, pattern recognition)

Method of Participation

To complete this program successfully and claim credit, participants must follow these steps:

  • Read the educational objectives provided on the course summary page
  • Attend the sessions or watch all the video lectures for this course (if applicable)
  • Read any course materials and complete any required activities
  • Complete the course evaluation and post-test via your dashboard on the Association website. Successful completion of a given activity's post-test requires a minimum 75% passing score prior to claiming CME credit, with three attempts allowed
  • CME certificates will be available for printing after claiming CME credit
  • Estimated time for course completion is equivalent to the CME credit hours


Dr. Scott is currently the SVP and Chief Quality and Patient Safety Officer for Grady Health System, one of the largest safety net hospitals in the country. He is responsible for using high reliability principles to create an an outstanding patient experience to ensure safety, anticipate needs, a...
An engineer by education, Jeff Norton has been applying high-reliability manufacturing and lean principles in health with great success for more than a decade. Norton’s career has spanned more than 25 years with significant, increasing responsibility and impact. He began as a computer consultan...

Next dates

Nov 4—5, 2019
2 days
Scottsdale, Arizona, United States
USD 1525
USD 762 per day

How it works

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