The field of patient safety has long looked to high reliability organizations like aviation or nuclear power for solutions, but it is unclear how well such approaches translate to health care settings. In this study, researchers asked clinicians to identify safety hazards from their own work and then propose solutions. After applying a systems thinking framework to clinicians' solution ideas, they found that most of the clinician-generated safety approaches would be considered ineffective by high reliability standards. The authors suggest that industrial frameworks are an imperfect match for health care settings and should be used with caution. A recent PSNet interview with the study's senior author, Mary Dixon-Woods, discusses the sociology of health care versus other industries.