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Chapter 1: High Reliability Organizations (HROs): Reflections on the Essence of HRO and the Application of Healthcare

Abstract

Patient safety and quality of care are critical concerns of healthcare consumers, payers, providers, organizations, health systems, and governments. Evidence shows that high reliability methods enable the most efficient, safe, and effective care; however, these methods are not the standard in all healthcare systems.

Nurses—who are on the front line of providing safe and effective care—are ideally situated to drive high reliability. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality, Third Edition, equips nurses and healthcare professionals with the tools necessary to establish an error detection and prevention system. In this new edition, authors Cynthia A. Oster and Jane S. Braaten build on the foundation of previous editions with best practices, relevant exemplars, and important discussions about cultural aspects essential to sustainability—solidifying process improvements and highlighting the contributing factors that lead to enhanced outcomes. New material focuses on practical applications, including:

  • Finding the essence of HRO
  • Health equity
  • Challenges to Just Culture
  • Workplace violence Integrating patient experience

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Notes

EPUB ISBN # 9781646481910

PDF ISBN # 9781646481927

Author Details

Cynthia A. Oster, PhD, MBA, APRN, ACNS-BC, CNS-BC, ANP, FAAN, is the Enterprise Nurse Scientist – Research Program Manager for the Mountain Region of CommonSpirit Health. With more than 40 years of experience, she has held research, clinical, educational, and administrative positions throughout her career.

Sigma Membership

Alpha Kappa at-Large

Type

Book Chapter

ISBN

9781646481903

Format Type

Text-based Document

Study Design/Type

Expert Opinion (nationally/internationally recognized)

Research Approach

N/A

Keywords:

High Reliability, Patient Safety, Quality of Healthcare

Publisher

Sigma Theta Tau International

Version

Publisher's Version

Rights Holder

Copyright © 2025 by Sigma Theta Tau International Honor Society of Nursing - All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Any trademarks, service marks, design rights, or similar rights that are mentioned, used, or cited in this book are the property of their respective owners. Their use here does not imply that you may use them for a similar or any other purpose.

Review Type

None: Professionally Edited Material

Acquisition

Publisher-submission

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[Excerpt from] High Reliability Organizations (3rd ed.)

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