The high reliability organization (HRO) journey requires continuing commitment to behavioral change and education. Yale New Haven Hospital has created a training video that builds on the initial training all staff received on CHAMP safety behaviors: Communicate Clearly, Handoff Effectively, Attention to Detail, Mentor Each Other - 200% Accountability, and Practice and Accept a Questioning Attitude.

"To create a culture of high reliability at Yale New Haven Hospital where the use of the CHAMP tools becomes second nature to all, it is important to provide opportunities for staff to discuss how they can incorporate the behaviors into their daily practice," said Thomas Balcezak, MD, chief medical officer.

Titled "A Patient Journey: Getting to Zero Events of Harm," the video follows a patient's progress from arrival at the Emergency Department and illustrates how each CHAMP behavior can and should be used throughout the entire patient experience. "The video is intended to promote discussions and demonstrate where events of harm could occur if not for the use of CHAMP behaviors," Dr. Balcezak said.

At the January management meetings, hospital leaders will be oriented to the video and expectations for the training, which will include confirmation that staff has had a guided group discussion about the video. The video will be available Jan. 1 - April 2 via a link, HRO: A Patient Journey, on the YNHH intranet home page.