Methods to increase reliability in quality improvement projects.
Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340.
For quality improvement projects to be successfully, sustained, interventions require a high level of reliability. This article lays out the three levels of reliability (LOR). Level 1: intent, vigilance, and hard work; Level 2: human factors and reliability science; Level 3: design for high reliability. Case examples from children's hospitals are used to illustrate the levels.