Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare.

Day RM, Demski RJ, Pronovost PJ, et al. J Patient Saf Risk Manag. 2018;23:155-166.

High reliability principles guide health care organizations in their improvement work to augment safety in complex environments. This commentary describes one system's organizational approach to fully cement improvement into their culture, leadership, and infrastructure. The authors explain how they applied high reliability constructs to their work to motivate the integration needed to sustain results.

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