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PSNet: Patient Safety Network
Journal Article

Applying the high reliability health care maturity model to assess hospital performance: a VA case study.

Sullivan JL, Rivard PE, Shin MH, et al. Joint Commission journal on quality and patient safety. 2016;42:389-411.

High reliability organizations operate in high-hazard domains with consistently safe conditions. Through individual interviews, investigators determined that staff perceptions of patient safety largely matched their conceptual model of a high reliability health care organization and found two additional characteristics: teamwork and systems approaches to improvement. The authors suggest their model of high reliability organizations can be used to assess organizational reliability.