Based on your personal experience, what are the biggest hurdles to High Reliability in healthcare? What specific suggestions or ideas do you have to overcome those hurdles in the circumstances in which you observed them?

InCase Example #2, Patient Undergoes Additional Procedure after Wrong Lung Biopsyone of the proposed safety strategies involved implementing "systems-based strategies to mitigate the risk of a cognitive bias (an unconscious flaw in judgment) from impacting patient safety."

Such strategies included:

• Ensuring adequate time to assess information and verify assumptions.
• Conducting pre-briefs to discuss the plan in advance and ensure all information is in agreement.
• Providing team training to enhance situation monitoring and facilitate speaking up.
• Promoting conditions for effective decision-making and communication (reduction of noise and distractions).

With this in mind, review theCognitive Biases in Health Care.

• Identify at least two cognitive biases that you believe are being addressed in the proposed safety strategy.
• Explain why you chose those biases
• One cognitive bias not mentioned in the article is over-optimism. Briefly explain why over-optimism can lead to medical error.

https://www.jointcommission.org/-/media/tjc/documents/blogs/case_study_2_lung_biospy_part_2_10_15_18_draft.pdf

https://www.jointcommission.org/-/media/tjc/documents/newsletters/quick_safety_issue_28_oct_2016pdf.pdf