What is it about?
This paper analyzes the barriers to achieving high reliability in heath care and points a way forward towards the goal of eliminating preventable harm to patients.
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Why is it important?
In this context high reliability refers to the quality and safety of care, which is dismal compared to aviation and nuclear power—the equivalent of several jumbo jets crashing daily, but much less visible because the injuries are distributed far and wide.
Perspectives
I welcome your comments and invite you to help raise awareness of this resource to guide improvement efforts by sharing it with your own network.
Dr Marc T Edwards
QA to QI Patient Safety Organization
Read the Original
This page is a summary of: An Organizational Learning Framework for Patient Safety, American Journal of Medical Quality, July 2016, SAGE Publications,
DOI: 10.1177/1062860616632295.
You can read the full text:
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