Federico F. Is your organization highly reliable? Healthcare Executive. 2018 Jan;33(1):76-79.

While most health care organizations have improved patient safety by standardizing care processes, these approaches can still fall short of achieving whole system safety. The aim should be to become a high-reliability organization (HRO), which requires changing culture, developing a different way to work, and ensuring that improved processes are sustained over time. This article presents common HRO characteristics that apply to all health care organizations and cross-walks them with the IHI Framework for Safe, Reliable, and Effective Care to help leaders build a culture and learning system to support HRO characteristics and safer systems of care.