A Practical Guide to Becoming a High Reliability Organisation
Prior to every major accident there are always warning signs which, had they been responded to, would have prevented the accident. We can think of these warning signs as the bad news that exists at the grass roots of every organisation, but which is not reported up the organisation to someone who can do something about it before it is too late.
High Reliability Organisations are acutely sensitive to theses warning signs. They recognise that bad news does not travel upwards easily and they develop systems for identifying, reporting and responding to this bad news.
This presentation sketches a bad news reporting system that incentivses bad news reporting, in particular, reports about that are most likely to prevent a major accident or a fatality. Moreover, the system ensures that something effective is done about these reports.