University of Minnesota School of Public Health, Minneapolis, MS, USA.
J Nurs Manag. 2010 Jul;18(5):556-63. doi: 10.1111/j.1365-2834.2010.01121.x.
To develop a model for high reliability in health care quality and patient safety.
A high-reliability health organization (HRO) has measurable near perfect performance in quality and safety. High reliability is necessary in health care where the consequences of error are high and the frequency is low.
Despite a decade of intense focus on quality and safety since a series of reports from the Institute of Medicine (IOM), health care is not a completely safe industry and quality is not what it should be to ensure high reliability for patients.
A model for high reliability is presented that includes the individual skills necessary to assure high-reliability teams on a patient care unit. High-reliability teams (HRT) form an essential core of a HRO. These teams and their organizations value a culture of safety every day with every patient encounter.
Nurse managers can lead in creating a HRO by first developing HRTs on their patient care unit.
制定一个高可靠性的医疗质量和患者安全模型。
高可靠性医疗机构（HRO）在质量和安全方面具有可衡量的近乎完美的表现。在医疗保健中，由于错误的后果很高，频率很低，因此需要高度可靠性。
尽管自医学研究所（IOM）发布了一系列报告以来，医疗保健行业已经在质量和安全方面进行了长达十年的集中关注，但它并不是一个完全安全的行业，并且质量也不符合为患者提供高可靠性的要求。
提出了一个高可靠性模型，该模型包括确保患者护理单元高可靠性团队所需的个人技能。高可靠性团队（HRT）是 HRO 的重要核心。这些团队及其组织每天在与每位患者的接触中都重视安全文化。
护士管理人员可以通过首先在其患者护理单元上开发 HRT 来领导创建 HRO。
