Veterans Affairs Connecticut Healthcare System, West Haven, CT.
Cognosante LLC, Falls Church, VA.
Am J Med Qual. 2022;37(6):504-510. doi: 10.1097/JMQ.0000000000000086. Epub 2022 Oct 7.
In 2020, the US Department of Veterans Affairs Connecticut Healthcare System began its journey to becoming a high-reliability organization as part of Veterans Affairs efforts to become an enterprise-wide high-reliability organization through the Veterans Health Administration. The initiative was launched to create safe enterprise-wide health care systems and environments with robust continuous process improvements as a method for providing patients with safer and higher quality care. In this article, the authors describe a continuous process improvement initiative aimed at implementing system-wide initiatives along the journey to becoming a high-reliability organization. The initiatives are described from the perspectives of individuals representing staff from the frontline to executive leadership. The authors believe that the processes, strategies, and example initiatives described can be readily adopted and implemented in other health care organizations along the journey to high reliability.
2020 年，美国退伍军人事务部康涅狄格医疗保健系统开始了成为高可靠性组织的征程，这是退伍军人事务部通过退伍军人健康管理局努力成为全企业高可靠性组织的一部分。这项倡议旨在创建安全的全企业医疗保健系统和环境，并进行强有力的持续流程改进，为患者提供更安全、更高质量的护理。在本文中，作者描述了一项持续的流程改进计划，旨在实施全系统的倡议，以实现成为高可靠性组织的目标。这些倡议是从代表从一线员工到执行领导层的个人的角度来描述的。作者认为，所描述的流程、策略和示例倡议可以在其他医疗保健组织中沿高可靠性之旅轻松采用和实施。
