This article describes the efforts towards high reliability undertaken by one specialty hospital for medically complex children and adults with intellectual and development disabilities. The organization employed a multi-pronged, data-driven approach involving training and education in quality management and patient safety and principles of high reliability organizations. Improvements in medication errors and hospital-acquired pressure injuries were observed, but employee engagement survey results reflect concern among staff that an emphasis on data may detract from patient care. 

This article describes an effort to help hospitals enhance discharge planning, medication management, patient and family engagement, care transition, and communication as elements of a state-wide collaborative to reduce readmissions. The program received a 2013 Eisenberg Award.