Timothy Vogus is the Brownlee O. Currey, Jr., Professor of Management at Vanderbilt University’s Owen Graduate School of Management. He is also a founding and continuing member of the Blue Ribbon Panel that developed Leapfrog Group's Hospital Safety Score.
This perspective discusses high reliability organization principles and their implementation in a variety of healthcare settings. Evidence continues to show adopting high reliability principles improves patient safety, but fully implementing high reliability can be challenging.;
Summary
This innovation describes the Veteran Health Administration (VHA) National Center for Patient Safety (NCPS) development of a technique to combine proactive risk assessments with reactive risk assessments with the goal of improving patient safety on a single topic across multiple facilities.
Innovation Patient Safety Focus
Evidence Rating
Resources Used and Skills Needed
Use By Other Organizations
Developing Organizations
Date First Implemented
Dr. Lucy Savitz is a professor of health policy and management at the University of Pittsburgh School of Public Health. We spoke with her about learning systems and their impact on patient safety.
This piece defines learning health systems, identifies key components of a learning health system, and explores how learning health systems can improve patient safety.
Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ, is a high reliability subject matter expert at Aptive Resources and a faculty member at the Institute for Healthcare Improvement (IHI) working on educational programs, including Root Cause Analysis and Action – or RCA Squared (RCA2).
This piece provides an overview of root cause analysis and how it has changed over the years. It also discusses how the introduction of RCA2 hopes to solve issues with traditional RCA.
