Training Courses and Staff Knowledge for Implementation of High Reliability Organizations Model in Farabi Eye Hospital, Tehran, Iran

摘要

Hospitals as the most common health care centers should be changed into high reliability organizations to achieve the best performance and also improve patient safety. High reliability organizations can manage adverse events better, and create a safe environment for patients and staff. This requires accurate planning, training, and high responsibility and commitment hospitals leaders to implement this model. Objectives: The current study aimed to determine the knowledge of Farabi eye hospital’s managers and supervisors of the departments, and the success of this hospital to implement high reliability model before and after the training course. Methods: Study was a semi-experimental research. Data were collected through a questionnaire and a checklist in two phases, before and after the training course of high reliability model; 80 clinical and non-clinical managers and supervisors of Farabi eye Hospital in Tehran, Iran, participated in the study by census method. Results: After holding high reliability model training course, 52.2% of respondents expressed obtaining a keen knowledge of high reliability organizations model. Compared to knowledge of the managers and supervisors of the departments before the training course (18.8%), it was indicated that high reliability organizations model training course had a significant effect (P < 0.001) on the knowledge development. Also, the results of this research showed that implementation of high reliability organizations model after the training course increased (P < 0.001). Conclusions: Although, successful implementation of high reliability organizations is based on knowledge of managers and supervisors, the effectiveness of this model is still in the maturity and readiness phase.