Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project.
Sawyer AM, Thiyarajan S, Essen KE, et al. Implementation of a high-reliability organization framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project. Mil Med. 2024;Epub Nov 2. doi:10.1093/milmed/usae511.
In 2019, the VA implemented a system-wide quality improvement initiative to become a high reliability organization. This study identified improvements in patient safety culture scores (particularly risk identification, just culture, and error transparency) and increased event reporting behavior in the 2 years after implementation.