High reliability industries such as aviation ensure safety amidst high-risk work environments and rapidly changing conditions. Achieving high reliability in health care remains an ongoing challenge. Researchers surveyed hospitals in the Children's Hospitals' Solutions for Patient Safety (CHSPS) network to understand the extent of adoption of high reliability practices. Of the 46 hospitals that responded to the survey, about 80% were determined to be approaching high reliability using the High Reliability Health Care Maturity model described in the study. The authors conclude that the majority of hospitals in the CHSPS network demonstrate opportunity to improve across all three high reliability domains in the model including leadership, safety culture, and robust process improvement. A past PSNet interview discussed high reliability as it relates to health care.