

PAPod 561 - High Reliability in Action — Turning Surprises into Safer Outcomes
Aug 30, 2025
Lauren Mooney, author of 'High Reliability in Action,' joins the discussion to unveil how High Reliability Organizing (HRO) concepts can be practically applied. She shares her unique 'Speaking In' approach and introduces nine guiding questions for fostering safety. The conversation humorously dives into animal avatars, highlighting traits like humility and curiosity that can transform teamwork across industries. Mooney emphasizes leadership's pivotal role in creating a safety culture and adapting to challenges, especially in high-stakes environments like healthcare.
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HRO As Personal Practice
- Lauren Mooney reframed HRO as individual practice that must be translated into everyday behaviors.
- She designed nine questions and actions to help people practice high reliability regardless of role.
Create Conditions, Don't Mandate Behavior
- Inspire HRO rather than mandate it by creating leader-led conditions that welcome diverse perspectives.
- Expect everyone, from valets to board members, to be vigilant and contribute expertise when needed.
Use Nine Questions To Practice HRO
- Use nine guiding questions and nine actions from the book to practice high reliability organizing.
- Work through the book's exercises with your team as a DIY approach when budgets limit formal training.