www.huronconsultinggroup.com
Open in
urlscan Pro
2600:9000:235a:b200:1f:104e:79c0:93a1
Public Scan
URL:
https://www.huronconsultinggroup.com/insights/achieving-zero-harm-high-reliability-organizations
Submission: On May 24 via api from US — Scanned from DE
Submission: On May 24 via api from US — Scanned from DE
Form analysis 8 forms found in the DOM
<form>
<fieldset>
<legend class="visuallyhidden">Consent Selection</legend>
<div id="CybotCookiebotDialogBodyFieldsetInnerContainer">
<div class="CybotCookiebotDialogBodyLevelButtonWrapper"><label class="CybotCookiebotDialogBodyLevelButtonLabel" for="CybotCookiebotDialogBodyLevelButtonNecessary"><strong
class="CybotCookiebotDialogBodyLevelButtonDescription">Necessary</strong></label>
<div class="CybotCookiebotDialogBodyLevelButtonSliderWrapper CybotCookiebotDialogBodyLevelButtonSliderWrapperDisabled"><input type="checkbox" id="CybotCookiebotDialogBodyLevelButtonNecessary"
class="CybotCookiebotDialogBodyLevelButton CybotCookiebotDialogBodyLevelButtonDisabled" disabled="disabled" checked="checked"> <span class="CybotCookiebotDialogBodyLevelButtonSlider"></span></div>
</div>
<div class="CybotCookiebotDialogBodyLevelButtonWrapper"><label class="CybotCookiebotDialogBodyLevelButtonLabel" for="CybotCookiebotDialogBodyLevelButtonPreferences"><strong
class="CybotCookiebotDialogBodyLevelButtonDescription">Preferences</strong></label>
<div class="CybotCookiebotDialogBodyLevelButtonSliderWrapper"><input type="checkbox" id="CybotCookiebotDialogBodyLevelButtonPreferences" class="CybotCookiebotDialogBodyLevelButton CybotCookiebotDialogBodyLevelConsentCheckbox"
data-target="CybotCookiebotDialogBodyLevelButtonPreferencesInline" checked="checked" tabindex="0"> <span class="CybotCookiebotDialogBodyLevelButtonSlider"></span></div>
</div>
<div class="CybotCookiebotDialogBodyLevelButtonWrapper"><label class="CybotCookiebotDialogBodyLevelButtonLabel" for="CybotCookiebotDialogBodyLevelButtonStatistics"><strong
class="CybotCookiebotDialogBodyLevelButtonDescription">Statistics</strong></label>
<div class="CybotCookiebotDialogBodyLevelButtonSliderWrapper"><input type="checkbox" id="CybotCookiebotDialogBodyLevelButtonStatistics" class="CybotCookiebotDialogBodyLevelButton CybotCookiebotDialogBodyLevelConsentCheckbox"
data-target="CybotCookiebotDialogBodyLevelButtonStatisticsInline" checked="checked" tabindex="0"> <span class="CybotCookiebotDialogBodyLevelButtonSlider"></span></div>
</div>
<div class="CybotCookiebotDialogBodyLevelButtonWrapper"><label class="CybotCookiebotDialogBodyLevelButtonLabel" for="CybotCookiebotDialogBodyLevelButtonMarketing"><strong
class="CybotCookiebotDialogBodyLevelButtonDescription">Marketing</strong></label>
<div class="CybotCookiebotDialogBodyLevelButtonSliderWrapper"><input type="checkbox" id="CybotCookiebotDialogBodyLevelButtonMarketing" class="CybotCookiebotDialogBodyLevelButton CybotCookiebotDialogBodyLevelConsentCheckbox"
data-target="CybotCookiebotDialogBodyLevelButtonMarketingInline" checked="checked" tabindex="0"> <span class="CybotCookiebotDialogBodyLevelButtonSlider"></span></div>
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</form><form><input type="checkbox" id="CybotCookiebotDialogBodyLevelButtonNecessaryInline" class="CybotCookiebotDialogBodyLevelButton CybotCookiebotDialogBodyLevelButtonDisabled" disabled="disabled" checked="checked"> <span
class="CybotCookiebotDialogBodyLevelButtonSlider"></span></form><form><input type="checkbox" id="CybotCookiebotDialogBodyLevelButtonPreferencesInline" class="CybotCookiebotDialogBodyLevelButton CybotCookiebotDialogBodyLevelConsentCheckbox" data-target="CybotCookiebotDialogBodyLevelButtonPreferences"
checked="checked" tabindex="0"> <span class="CybotCookiebotDialogBodyLevelButtonSlider"></span></form><form><input type="checkbox" id="CybotCookiebotDialogBodyLevelButtonStatisticsInline" class="CybotCookiebotDialogBodyLevelButton CybotCookiebotDialogBodyLevelConsentCheckbox" data-target="CybotCookiebotDialogBodyLevelButtonStatistics"
checked="checked" tabindex="0"> <span class="CybotCookiebotDialogBodyLevelButtonSlider"></span></form><form><input type="checkbox" id="CybotCookiebotDialogBodyLevelButtonMarketingInline" class="CybotCookiebotDialogBodyLevelButton CybotCookiebotDialogBodyLevelConsentCheckbox" data-target="CybotCookiebotDialogBodyLevelButtonMarketing" checked="checked"
tabindex="0"> <span class="CybotCookiebotDialogBodyLevelButtonSlider"></span></form><form class="CybotCookiebotDialogBodyLevelButtonSliderWrapper"><input type="checkbox" id="CybotCookiebotDialogBodyContentCheckboxPersonalInformation" class="CybotCookiebotDialogBodyLevelButton"> <span
class="CybotCookiebotDialogBodyLevelButtonSlider"></span></form>https://www.huronconsultinggroup.com/company/contact-us
<form class="contact-us__form" action="https://www.huronconsultinggroup.com/company/contact-us" tabindex="-1">
<div class="contact-us__control contact-us__control--select">
<label for="industryRole" class="sr-only">Select your industry</label>
<select class="contact-us__select" id="industryRole" name="industry">
<option selected="" disabled="">Industry</option>
<option value="Consumer Products">Consumer Products</option>
<option value="Education">Education</option>
<option value="Energy and Utilities">Energy and Utilities</option>
<option value="Financial Services">Financial Services</option>
<option value="Healthcare">Healthcare</option>
<option value="Industrials and Manufacturing">Industrials and Manufacturing</option>
<option value="Life Sciences">Life Sciences</option>
<option value="Nonprofit">Nonprofit</option>
<option value="Professional and Business Services">Professional and Business Services</option>
<option value="Public Sector">Public Sector</option>
<option value="Technology, Media and Telecommunications">Technology, Media and Telecommunications</option>
<option value="Transportation and Logistics">Transportation and Logistics</option>
</select>
</div>
<div class="contact-us__control contact-us__control--select">
<label for="expertiseRole" class="sr-only">Type Of Inquiry</label>
<select class="contact-us__select" id="expertiseRole" name="SC_Type_of_Inquiry">
<option selected="" disabled="">Inquiry</option>
<option value="Advisory and Consulting Services">Advisory and Consulting Services</option>
<option value="Careers">Careers</option>
<option value="Huron Hosted Conference">Huron Hosted Conference</option>
<option value="Huron Learning Lab">Huron Learning Lab</option>
<option value="Investor">Investor</option>
<option value="Managed Services and Outsourcing">Managed Services and Outsourcing</option>
<option value="Media">Media</option>
<option value="Request for Proposal">Request for Proposal</option>
</select>
</div>
<div class="contact-us__control">
<label for="email" class="sr-only">Your Email</label>
<input class="contact-us__select" type="email" id="email" name="email" placeholder="Your Email" required="">
</div>
<div class="contact-us__control contact-us__control--submit">
<button type="submit" class="btn btn--primary contact-us__submit">Get in Touch</button>
</div>
</form>/forms/healthcare-subscriptions
<form class="subscribe__form" action="/forms/healthcare-subscriptions" tabindex="-1">
<div class="subscribe__control">
<label for="email" class="sr-only">Your Email</label>
<input class="subscribe__input" name="email" type="email" id="email" placeholder="Your email address" required="">
</div>
<div class="subscribe__control subscribe__control--submit">
<button type="submit" class="btn btn--white subscribe__submit">Subscribe</button>
</div>
</form>Text Content
Powered by Cookiebot
* Consent
* Details
* [#IABV2SETTINGS#]
* About
THIS WEBSITE USES COOKIES
We use cookies and other tracking technologies to personalize your experience,
to analyze how you use our website, and to support our marketing efforts. We
also share information about your use of our site with third party partners who
may combine it with other information. By continuing to use our website, you
consent to our data collection and sharing practices. For more information,
please see our Cookies Policy.
Consent Selection
Necessary
Preferences
Statistics
Marketing
Show details
* Necessary 34
Necessary cookies help make a website usable by enabling basic functions like
page navigation and access to secure areas of the website. The website cannot
function properly without these cookies.
* Ceros
1
Learn more about this provider
testcookieThis cookie determines whether the browser accepts cookies.
Expiry: SessionType: HTTP
* Cookiebot
1
Learn more about this provider
1.gifUsed to count the number of sessions to the website, necessary for
optimizing CMP product delivery.
Expiry: SessionType: Pixel
* Coveo Solutions
2
Learn more about this provider
__coveo.analytics.historyNecessary in order to optimize the website's
search-bar function. The cookie ensures accurate and fast search results.
Expiry: PersistentType: HTML
visitorIdRegisters statistical data on users' behaviour on the website.
Used for internal analytics by the website operator.
Expiry: PersistentType: HTML
* Google
10
Learn more about this provider
_ga [x3]Registers a unique ID that is used to generate statistical data on
how the visitor uses the website.
Expiry: 2 yearsType: HTTP
_ga_# [x3]Used by Google Analytics to collect data on the number of times
a user has visited the website as well as dates for the first and most
recent visit.
Expiry: 2 yearsType: HTTP
_gid [x3]Registers a unique ID that is used to generate statistical data
on how the visitor uses the website.
Expiry: 1 dayType: HTTP
test_cookieUsed to check if the user's browser supports cookies.
Expiry: 1 dayType: HTTP
* LinkedIn
2
Learn more about this provider
li_gcStores the user's cookie consent state for the current domain
Expiry: 180 daysType: HTTP
bscookieThis cookie is used to identify the visitor through an
application. This allows the visitor to login to a website through their
LinkedIn application for example.
Expiry: 1 yearType: HTTP
* Pardot
5
Learn more about this provider
pi_opt_in# [x2]Identifies if the visitor has deselected any cookies,
trackers or other audience targeting tools.
Expiry: 10 yearsType: HTTP
visitor_id#-hash [x3]Used to encrypt and contain visitor data. This is
necessary for the security of the user data.
Expiry: 10 yearsType: HTTP
* Vimeo
1
Learn more about this provider
__cf_bmThis cookie is used to distinguish between humans and bots. This is
beneficial for the website, in order to make valid reports on the use of
their website.
Expiry: 1 dayType: HTTP
* embed.ly
vimeo.com
2
_cfuvid [x2]This cookie is a part of the services provided by Cloudflare -
Including load-balancing, deliverance of website content and serving DNS
connection for website operators.
Expiry: SessionType: HTTP
* engage.huronconsultinggroup.com
consent.cookiebot.com
2
CookieConsent [x2]Stores the user's cookie consent state for the current
domain
Expiry: 1 yearType: HTTP
* tracker.gaconnector.com
1
gaconnector_gclidThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
* widget.sndcdn.com
1
sc_anonymous_idUsed in context with the 3D-view-function on the website.
Expiry: 10 yearsType: HTTP
* www.huronconsultinggroup.com
6
ARRAffinityUsed to distribute traffic to the website on several servers in
order to optimise response times.
Expiry: SessionType: HTTP
ARRAffinitySameSiteUsed to distribute traffic to the website on several
servers in order to optimise response times.
Expiry: SessionType: HTTP
ASP.NET_SessionIdPreserves the visitor's session state across page
requests.
Expiry: SessionType: HTTP
localforage#local-forage-detect-blob-supportDetects whether the visitor’s
browser allows for blob-format-storage.
Expiry: PersistentType: IDB
SC_ANALYTICS_GLOBAL_COOKIEUsed by Sitecore Engagement Analytics to
identify the visitor on repeat visits to the website.
Expiry: 400 daysType: HTTP
TS#Used to ensure website security and fraud detection.
Expiry: SessionType: HTTP
* Preferences 2
Preference cookies enable a website to remember information that changes the
way the website behaves or looks, like your preferred language or the region
that you are in.
* LinkedIn
1
Learn more about this provider
lidcRegisters which server-cluster is serving the visitor. This is used in
context with load balancing, in order to optimize user experience.
Expiry: 1 dayType: HTTP
* www.huronconsultinggroup.com
1
localforage#keyvaluepairsUsed to maintain filter settings on the website.
Expiry: PersistentType: IDB
* Statistics 13
Statistic cookies help website owners to understand how visitors interact
with websites by collecting and reporting information anonymously.
* Google
2
Learn more about this provider
_gatUsed by Google Analytics to throttle request rate
Expiry: 1 dayType: HTTP
tdRegisters statistical data on users' behaviour on the website. Used for
internal analytics by the website operator.
Expiry: SessionType: Pixel
* Hotjar
5
Learn more about this provider
hjActiveViewportIdsThis cookie contains an ID string on the current
session. This contains non-personal information on what subpages the
visitor enters – this information is used to optimize the visitor's
experience.
Expiry: PersistentType: HTML
hjViewportIdSaves the user's screen size in order to adjust the size of
images on the website.
Expiry: SessionType: HTML
_hjSession_#Collects statistics on the visitor's visits to the website,
such as the number of visits, average time spent on the website and what
pages have been read.
Expiry: 1 dayType: HTTP
_hjSessionUser_#Collects statistics on the visitor's visits to the
website, such as the number of visits, average time spent on the website
and what pages have been read.
Expiry: 1 yearType: HTTP
_hjTLDTestRegisters statistical data on users' behaviour on the website.
Used for internal analytics by the website operator.
Expiry: SessionType: HTTP
* LinkedIn
1
Learn more about this provider
AnalyticsSyncHistoryUsed in connection with data-synchronization with
third-party analysis service.
Expiry: 30 daysType: HTTP
* Soundcloud
1
Learn more about this provider
number(#)Used to track user’s interaction with embedded content.
Expiry: SessionType: HTML
* Twitter Inc.
1
Learn more about this provider
personalization_idThis cookie is set by Twitter - The cookie allows the
visitor to share content from the website onto their Twitter profile.
Expiry: 400 daysType: HTTP
* Vimeo
1
Learn more about this provider
vuidCollects data on the user's visits to the website, such as which pages
have been read.
Expiry: 2 yearsType: HTTP
* engage.huronconsultinggroup.com
1
cookiesession1Sets a ID for the visitor. This serves to count the number
of specific visitors on the website.
Expiry: 1 yearType: HTTP
* tracker.gaconnector.com
1
gaconnector_time_passedStores data on the time spent on the website and
its sub-pages, during the current session.
Expiry: 6 monthsType: HTTP
* Marketing 105
Marketing cookies are used to track visitors across websites. The intention
is to display ads that are relevant and engaging for the individual user and
thereby more valuable for publishers and third party advertisers.
* Meta Platforms, Inc.
5
Learn more about this provider
_fbp [x3]Used by Facebook to deliver a series of advertisement products
such as real time bidding from third party advertisers.
Expiry: 3 monthsType: HTTP
lastExternalReferrerDetects how the user reached the website by
registering their last URL-address.
Expiry: PersistentType: HTML
lastExternalReferrerTimeDetects how the user reached the website by
registering their last URL-address.
Expiry: PersistentType: HTML
* Ceros
3
Learn more about this provider
domain_tracker/bdo/#Used by Ceros for marketing tracking purposes.
Expiry: PersistentType: HTML
experience_tracker/bdo/#Used by Ceros for marketing tracking purposes.
Expiry: PersistentType: HTML
mobile-help-overlayUsed by Ceros for marketing tracking purposes.
Expiry: SessionType: HTTP
* Google
7
Learn more about this provider
_gcl_au [x3]Used by Google AdSense for experimenting with advertisement
efficiency across websites using their services.
Expiry: 3 monthsType: HTTP
IDEUsed by Google DoubleClick to register and report the website user's
actions after viewing or clicking one of the advertiser's ads with the
purpose of measuring the efficacy of an ad and to present targeted ads to
the user.
Expiry: 1 yearType: HTTP
pagead/landingCollects data on visitor behaviour from multiple websites,
in order to present more relevant advertisement - This also allows the
website to limit the number of times that they are shown the same
advertisement.
Expiry: SessionType: Pixel
ads/ga-audiencesUsed by Google AdWords to re-engage visitors that are
likely to convert to customers based on the visitor's online behaviour
across websites.
Expiry: SessionType: Pixel
pagead/1p-user-list/#Tracks if the user has shown interest in specific
products or events across multiple websites and detects how the user
navigates between sites. This is used for measurement of advertisement
efforts and facilitates payment of referral-fees between websites.
Expiry: SessionType: Pixel
* LinkedIn
3
Learn more about this provider
bcookieUsed by the social networking service, LinkedIn, for tracking the
use of embedded services.
Expiry: 1 yearType: HTTP
li_sugrCollects data on user behaviour and interaction in order to
optimize the website and make advertisement on the website more relevant.
Expiry: 3 monthsType: HTTP
UserMatchHistoryEnsures visitor browsing-security by preventing cross-site
request forgery. This cookie is essential for the security of the website
and visitor.
Expiry: 30 daysType: HTTP
* Pardot
4
Learn more about this provider
visitor_id# [x3]Used in context with Account-Based-Marketing (ABM). The
cookie registers data such as IP-addresses, time spent on the website and
page requests for the visit. This is used for retargeting of multiple
users rooting from the same IP-addresses. ABM usually facilitates B2B
marketing purposes.
Expiry: 10 yearsType: HTTP
lpv#Used in context with behavioral tracking by the website. The cookie
registers the user’s behavior and navigation across multiple websites and
ensures that no tracking errors occur when the user has multiple
browser-tabs open.
Expiry: 1 dayType: HTTP
* Soundcloud
1
Learn more about this provider
WIDGET::local::assignmentsUsed by audio-platform SoundCloud to implement,
measure and improve their embedded content/service on the website - The
collection of data also includes visitors’ interaction with embedded
content/service. This can be used for statistics or marketing purposes.
Expiry: PersistentType: HTML
* The Trade Desk
1
Learn more about this provider
track/pxl/Collects information on user behaviour on multiple websites.
This information is used in order to optimize the relevance of
advertisement on the website.
Expiry: SessionType: Pixel
* Twitter Inc.
3
Learn more about this provider
i/adsct [x2]The cookie is used by Twitter.com in order to determine the
number of visitors accessing the website through Twitter advertisement
content.
Expiry: SessionType: Pixel
muc_adsCollects data on user behaviour and interaction in order to
optimize the website and make advertisement on the website more relevant.
Expiry: 400 daysType: HTTP
* YouTube
37
Learn more about this provider
#-# [x2]Pending
Expiry: SessionType: HTML
iU5q-!O9@[#COOKIETABLE_ADVERTISING#]nbsp;[x2]Registers a unique ID to keep
statistics of what videos from YouTube the user has seen.
Expiry: SessionType: HTML
LAST_RESULT_ENTRY_KEY [x2]Used to track user’s interaction with embedded
content.
Expiry: SessionType: HTTP
nextId [x2]Used to track user’s interaction with embedded content.
Expiry: SessionType: HTTP
requests [x2]Used to track user’s interaction with embedded content.
Expiry: SessionType: HTTP
yt.innertube::nextIdRegisters a unique ID to keep statistics of what
videos from YouTube the user has seen.
Expiry: PersistentType: HTML
ytidb::LAST_RESULT_ENTRY_KEY [x2]Used to track user’s interaction with
embedded content.
Expiry: PersistentType: HTML
YtIdbMeta#databases [x2]Used to track user’s interaction with embedded
content.
Expiry: PersistentType: IDB
yt-remote-cast-available [x2]Stores the user's video player preferences
using embedded YouTube video
Expiry: SessionType: HTML
yt-remote-cast-installed [x2]Stores the user's video player preferences
using embedded YouTube video
Expiry: SessionType: HTML
yt-remote-connected-devices [x2]Stores the user's video player preferences
using embedded YouTube video
Expiry: PersistentType: HTML
yt-remote-device-id [x2]Stores the user's video player preferences using
embedded YouTube video
Expiry: PersistentType: HTML
yt-remote-fast-check-period [x2]Stores the user's video player preferences
using embedded YouTube video
Expiry: SessionType: HTML
yt-remote-session-app [x2]Stores the user's video player preferences using
embedded YouTube video
Expiry: SessionType: HTML
yt-remote-session-name [x2]Stores the user's video player preferences
using embedded YouTube video
Expiry: SessionType: HTML
LogsDatabaseV2:V#||LogsRequestsStoreStores the user's video player
preferences using embedded YouTube video
Expiry: PersistentType: IDB
PREFRegisters a unique ID that is used by Google to keep statistics of how
the visitor uses YouTube videos across different websites.
Expiry: 8 monthsType: HTTP
remote_sidNecessary for the implementation and functionality of YouTube
video-content on the website.
Expiry: SessionType: HTTP
ServiceWorkerLogsDatabase#SWHealthLogNecessary for the implementation and
functionality of YouTube video-content on the website.
Expiry: PersistentType: IDB
TESTCOOKIESENABLEDUsed to track user’s interaction with embedded content.
Expiry: 1 dayType: HTTP
VISITOR_INFO1_LIVETries to estimate the users' bandwidth on pages with
integrated YouTube videos.
Expiry: 180 daysType: HTTP
VISITOR_PRIVACY_METADATAStores the user's cookie consent state for the
current domain
Expiry: 180 daysType: HTTP
YSCRegisters a unique ID to keep statistics of what videos from YouTube
the user has seen.
Expiry: SessionType: HTTP
* b.6sc.co
1
v1/beacon/img.gifUsed in context with Account-Based-Marketing (ABM). The
cookie registers data such as IP-addresses, time spent on the website and
page requests for the visit. This is used for retargeting of multiple
users rooting from the same IP-addresses. ABM usually facilitates B2B
marketing purposes.
Expiry: SessionType: Pixel
* engage.huronconsultinggroup.com
pardot.com
www.huronconsultinggroup.com
3
pardot [x3]Used in context with Account-Based-Marketing (ABM). The cookie
registers data such as IP-addresses, time spent on the website and page
requests for the visit. This is used for retargeting of multiple users
rooting from the same IP-addresses. ABM usually facilitates B2B marketing
purposes.
Expiry: SessionType: HTTP
* j.6sc.co
5
_6senseCompanyDetailsUsed in context with Account-Based-Marketing (ABM).
The cookie registers data such as IP-addresses, time spent on the website
and page requests for the visit. This is used for retargeting of multiple
users rooting from the same IP-addresses. ABM usually facilitates B2B
marketing purposes.
Expiry: PersistentType: HTML
_gd_session [x2]Collects visitor data related to the user's visits to the
website, such as the number of visits, average time spent on the website
and what pages have been loaded, with the purpose of displaying targeted
ads.
Expiry: 1 dayType: HTTP
_gd_visitor [x2]Collects visitor data related to the user's visits to the
website, such as the number of visits, average time spent on the website
and what pages have been loaded, with the purpose of displaying targeted
ads.
Expiry: 2 yearsType: HTTP
* tracker.gaconnector.com
32
gaconnector_all_traffic_sourcesDetermines how the user accessed the
website. This information is used by the website operator in order to
measure the efficiency of their marketing.
Expiry: 6 monthsType: HTTP
gaconnector_browserThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_cityThis cookie is set to collect information on user behavior
and navigation which is used to optimize the website - The cookie also
allows Google Ads and Google Analytics to compile information on visitors
for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_countryThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_country_codeThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_deviceThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_fc_campaignThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_fc_channelThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_fc_contentThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_fc_landingThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_fc_mediumThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_fc_referrerThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_fc_sourceThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_fc_termThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_GA_Client_IDThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_GA_Measurement_IDThis cookie is set to collect information on
user behavior and navigation which is used to optimize the website - The
cookie also allows Google Ads and Google Analytics to compile information
on visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_GA_Session_IDThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_latitudeThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_lc_campaignThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
Expiry: 6 monthsType: HTTP
gaconnector_lc_channelThis cookie is set to collect information on user
behavior and navigation which is used to optimize the website - The cookie
also allows Google Ads and Google Analytics to compile information on
visitors for marketing purposes.
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ACHIEVING ZERO HARM WITH HIGH RELIABILITY ORGANIZATIONS
Amanda Bonser
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IN BRIEF
6-Minute Read
For decades, the pervasiveness of medical errors has stirred concern and
controversy inside and outside the healthcare industry. Most are familiar with
statistics labeling medical errors as a leading cause of death in the U.S.
Medical errors happen far too often in an industry predicated on “zero harm.”
That is why healthcare professionals and healthcare organizations are focusing
more on the journey to high reliability. However, the pursuit of high
reliability does not happen overnight. The journey is ongoing, and organizations
must begin now in order to thrive in the future of healthcare.
DEFINING THE HIGH RELIABILITY ORGANIZATION
The term “high reliability” describes an organizational culture that strives to
achieve error-free performance and safety in every procedure, every time — all
while operating in...
THE CHARACTERISTICS OF A HIGH RELIABILITY ORGANIZATION
High reliability organizations display consistent characteristics. One common
thread across these characteristics is a constant state of awareness to
recognize errors quickly and...
DEFINING THE HIGH RELIABILITY ORGANIZATION
The term “high reliability” describes an organizational culture that strives to
achieve error-free performance and safety in every procedure, every time — all
while operating in complex, high-risk or hazardous environments. A high
reliability organization (HRO) is an organization with predictable and
repeatable systems that support consistent operations while catching and
correcting potentially catastrophic errors before they happen.
In healthcare, HROs have come to represent improvements in patient safety
through the elimination of unwarranted variation in care delivery — while also
improving clinical results and reducing costs. Reaching this level of clinical
and operational excellence frequently requires a transformation of culture —
fundamentally changing the attitudes, beliefs, goals and values of an
organization.
Other high-risk industries, such as the military, commercial aviation, nuclear
power and oil/gas, have adopted high reliability strategies. Similar to the
healthcare industry, these industries function in high-risk, high-stress
conditions; work under time pressures; utilize advanced technologies; face
complex regulatory pressures; and operate at high capacity during peak demand.
However, when comparing error rates, other industries surpass the quality and
safety levels of hospitals, ambulatory centers, pharmacies and other healthcare
delivery systems.
THE CHARACTERISTICS OF A HIGH RELIABILITY ORGANIZATION
High reliability organizations display consistent characteristics. One common
thread across these characteristics is a constant state of awareness to
recognize errors quickly and intervene before they become catastrophic and
impact safety.
The characteristics shared across high reliability organizations include:
SENSITIVITY TO OPERATIONS
High reliability organizations are mindful of day-to-day operations and give
team members the necessary resources and abilities to handle changing
situations. One important organizational mindset is the recognition that
healthcare is a complex, dynamic environment. Those at the executive level can’t
react as quickly as caregivers who work directly with patients. Decision making
is decentralized, empowering team members to find hidden threats, resolve them
and report any incidents or near misses.
Standardized, regular check-ins with employees and patients increase operational
awareness at the top of the organization regarding issues that may be present,
and every process prioritizes accountability.
RELUCTANCE TO SIMPLIFY
High reliability organizations work to simplify procedures when necessary to
improve patient safety, and the simplest diagnosis is often considered by the
team when examining a patient. HROs are reluctant to simplify explanations or
interpretations of problems and their causes. The root causes of a complex
situation may be difficult to easily determine, so team members look beyond
simple explanations for the cause of the safety issue. Due to their reluctance
to simplify, teams also invest the time to understand how a proposed solution
will impact other areas of care delivery and operations.
In high reliability organizations, teams understand that a new error type or
source can arise at any time. Determining a solution doesn’t mean that they have
anticipated every possibility for error or system failure, so they remain
diligent.
PREOCCUPATION WITH FAILURE
HRO teams acknowledge the high-risk, error-prone nature of healthcare
organizations. Keeping track of successes isn’t as important as learning from
errors and making necessary adjustments to prevent them. Teams are constantly
aware of what might go wrong and know they must be prepared for an error to
occur unexpectedly at any time. The organization practices simulations of
unexpected situations and is never complacent with a long, dependable safety
record.
Team members follow up immediately if they feel something might be wrong and
consistently use practiced processes and behavioral skills, such as situational
awareness and assertive communication, to resolve issues. They constantly
question their ideas and assumptions about safety and adapt them as required for
continuous improvement. An HRO considers a near miss as evidence that a system
or human failure is present and regards it as an opportunity to improve the
process. Even a small deviation from established procedure is unacceptable for
fear that it might become normalized over time.
DEFERENCE TO EXPERTISE
In an HRO, team members defer to individuals with the most knowledge or
experience relevant to a critical situation — regardless of title or rank.
Senior managers may see the big picture of patient safety goals but may not know
important details about safety challenges that individual caregivers face.
Employees with the most expertise are likely to have a better perception of
where errors can occur and what system changes should be made to prevent them.
In cases where the traditional chain of command is de-emphasized in favor of
expertise, the HRO avoids settling for a decision from the member who has the
most authority but not the most relevant information. Deference to expertise
also allows members to question and remind others about safety practices, such
as washing hands or properly completing a patient chart, without regard to
anyone’s position in the hierarchy.
COMMITMENT TO RESILIENCE
When unexpected events occur, high reliability organizations continue
functioning. A commitment to resilience helps team members improvise and quickly
develop plans to respond to unanticipated situations. First, they resolve each
problem. Then they regroup and learn from the experience, taking notice of
individual and team performance and searching for ways to improve.
Stress levels usually increase and mental acuity reduces to tunnel vision when
unexpected events occur; this prevents individual team members from seeing
important and obvious cues about the situation. In an ideal state of high
reliability, members are trained to manage high levels of stress and maintain
situational awareness to keep focused on the big picture.
It takes years to develop a deep-rooted organizational culture of mindfulness or
alertness to safety. Healthcare organizations pursuing zero harm must create a
culture where vigilance and constant improvement is everyone’s responsibility.
KEY TAKEAWAYS
No matter where organizations are on their journey to zero harm, organizations
should:
* THINK DIFFERENTLY.
Don’t settle for the average; begin shaping operations and culture around a
journey to zero harm.
* PLAN DIFFERENTLY.
Design processes that are predictable and repeatable, and provide teams with
training to develop the specific behavioral skills needed to operate as an
HRO.
* ACT DIFFERENTLY.
Focus at every level on reducing variation and creating predictability and
process consistency.
AMANDA BONSER
Managing Director
Contact this author More from this author
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