Becoming a High Reliability Industry

Can high risk and high effectiveness co-exist?

John Nance: ABC News Aviation Analyst, Patient Safety Advocate and Licensed Attorney

The armored industry makes over 60 million stops per year. How many times could each of these stops have resulted in catastrophic failure, but didn’t? High reliability organizations (HROs) succeed in avoiding catastrophes in environments where normal accidents can be expected due to risk factors and complexity. (Wikipedia)

A pioneer and well-known advocate of using the lessons from the recent revolution in aviation safety to equally revolutionize the patient safety performance of hospitals and all of healthcare, John Nance now turns his attention to the cash transport industry. Society and the economy depends on the entire cash lifecycle and its constituents to remain highly reliable, because the gravity of failure is too great.

John will bring his understanding of the characteristics and habits of HROs, through his experience in aviation and healthcare, to explain how to apply HRO principles to the cash industry. In vivid detail, let John Nance describe the shared characteristics and practices of HROs and provide clear insight you can bring back to your organization to keep it working well when faced with high risks and unexpected situations. Together we can create a high reliability industry.

About High Reliability Organizations:

High reliability organizations are organizations that operate in complex, high-hazard domains for extended periods without serious accidents or catastrophic failures. (PSNet, U.S. Department of Health & Human Services)

The roots of the HRO paradigm were developed by a group of researchers at University of California, Berkeley, which examined aircraft carriers, air traffic control, and nuclear power operations. Additional research has centered in the hospital environment and pediatric intensive care.

Although these organizations may seem diverse, they have some startling similarities:

  1. They operate in unforgiving social and political environments
  2. Their technologies are risky and present the potential for error
  3. The scale of possible consequences from errors or mistakes precludes learning through experimentation. (Wikipedia)

About John Nance: 

One of the key thought leaders to emerge in American Healthcare in the past decade, John J. Nance brings a rich and varied professional background to the task of helping doctors, administrators, boards, and front-line staff alike, survive and prosper during the most profoundly challenging upheaval in the history of modern medicine. Having helped pioneer the Renaissance in patient safety as one of the founders of the National Patient Safety Foundation in 1997, his efforts (and healthcare publications) are dedicated to reforming American Healthcare from a reactive cottage industry to an effective and safe system of prevention and wellness. A lawyer, Air Force and airline pilot, prolific internationally-published author, national broadcaster, and renowned professional speaker, John’s leadership is propelled by a deep commitment.

As a native Texan, John grew up in Dallas where he earned his Bachelor’s Degree and a Juris Doctor Degree from South Methodist University (SMU), and is still a licensed Texas attorney. Named Distinguished Alumni of SMU for 2002, and Distinguished Alumni for Public Service of the SMU Dedman School of Law in 2010, he is also a decorated Air Force pilot veteran of Vietnam and Operations Desert Storm/Desert Shield. A Lt. Colonel in the USAF Reserve, well known for his pioneering development of Air Force human factors flight safety education, and one of the civilian pioneers of Crew Resource Management (CRM). John has piloted a wide variety of jet aircraft, including most of Boeing’s line and the Air Force C-141, and has logged over 13,900 hours of flight time since earning his first pilot license in 1965, and is still a current pilot. He was a flight officer for Braniff International Airlines, a Boeing 737 Captain for Alaska Airlines, and is an internationally recognized air safety advocate. He is best known to North American television audiences as Aviation Analyst for ABC World News and Aviation Editor for Good Morning America.

Before joining ABC, John logged countless appearances on national shows such as Larry King Live, PBS Hour with Jim Lehrer, Oprah, NPR, Nova, the Today Show, as well as  many others.  He is also the nationally-known author of 20 major books, including the acclaimed Why Hospitals Should Fly (2009), and with co-author Kathleen Bartholomew, Charting the Course (2012), plus five non-fiction: (Splash of Colors, Blind Trust, On Shaky Ground, What Goes Up and Golden Boy), and 13 international fiction bestsellers: (Final Approach, Scorpion Strike; Phoenix Rising); Pandora’s Clock; Medusa’s Child; The Last Hostage; Blackout; Fire Flight; Saving Cascadia; and OrbitPandora’s Clock and Medusa’s Child both aired as major, successful two-part mini-series on television. (Why Hospitals Should Fly won the prestigious “Book of the Year” award for 2009 from the American College of Healthcare Executives).