The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations.

High reliability organizations (HROs) often operate in complex, hazardous conditions and have fewer adverse events. Based on qualitative interviews with organizational leaders and front-line supervisors, the researchers of this study identified seven themes relating to necessary leadership skillsets for HRO adoption – nonhierarchical leadership; transparent, continuous communication; deference to expertise; ability to innovate; motivation through recognition; self-reflection; and commitment to visibility.