Quality and the Health System: Becoming a High Reliability Organization

Monaliza Gaw; Frank Rosinia; Thomas Diller

doi:10.1016/j.anclin.2018.01.010

Quality and the Health System: Becoming a High Reliability Organization

Anesthesiol Clin. 2018 Jun;36(2):217-226. doi: 10.1016/j.anclin.2018.01.010. Epub 2018 Apr 7.

Authors

Monaliza Gaw¹, Frank Rosinia², Thomas Diller³

Affiliations

¹ JPS Heath Network, 1500 South Main Street, Fort Worth, TX 76104, USA.
² JPS Heath Network, 1500 South Main Street, Fort Worth, TX 76104, USA; Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, 3500 Camp Bowie Boulevard, EAD 402, Fort Worth, TX 76107, USA. Electronic address: frankrosinia@me.com.
³ Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, Institute for Patient Safety, 3500 Camp Bowie Boulevard, EAD 402, Fort Worth, TX 76107, USA.

PMID: 29759284
DOI: 10.1016/j.anclin.2018.01.010

Abstract

Since the publication of "To Err is Human" in 1999, substantial efforts have been made within the health care industry to improve quality and patient safety. Although improvements have been made, recent estimates continue to indicate the need for a marked change in approach. In this article, the authors discuss the concepts and characteristics of high reliability organizations, safety culture, and clinical microsystems. The health care delivery system must move beyond current quality and patient safety approaches and fully engage in these new concepts to transform health care system performance.

Keywords: Culture; HRO; High reliability organizations; Microsystems; Patient safety culture; Reliability; Safety.

Publication types

Review

MeSH terms

Anesthesiology / organization & administration
Anesthesiology / standards*
Humans
Medical Errors / prevention & control*
Patient Safety
Quality of Health Care / standards*
Safety Management
United States