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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.

TABLE OF CONTENTS
Part 1: High Reliability: The Imperative Remains
Chapter 1: High Reliability Organizations (HROs): Reflections on the Essence of HRO and the Application to Healthcare
Chapter 2: Drivers for Patient Safety
Chapter 3: Current Quality Drivers
Chapter 4: Organizational Culture and Psychological Safety: Breaking Down Barriers
Chapter 5: Safety Leadership: Commitment to High Reliability Organizing
Chapter 6: Health Equity and High Reliability: Connecting the Dots for Patient Safety
Part 2: HRO Concepts and Application to Practice: Preoccupation With Failure
Chapter 7: Using Failure Mode and Effects Analysis to Predict Failure
Chapter 8: Paying Attention to Close Calls and Near Misses
Part 3: HRO Concepts and Application to Practice: Reluctance to Simplify
Chapter 9: Human Factors Engineering for Reducing and Recovering From Error
Chapter 10: 10: Root Cause Analysis: Effective Investigations for High Reliability
Chapter 11: Fostering Just Culture in High Reliability Organizations: How Far Have We Come?
Part 4: HRO Concepts and Application to Practice: Sensitivity to Operations
Chapter 12: Alarm Safety: Working Solutions
Chapter 13: Innovative Technology, Standardization, and the Impact on High Reliability
Chapter 14: Tiered Safety Huddles
Part 5: HRO Concepts and Application to Practice: Deference to Expertise
Chapter 15: The Current Need for Interprofessional Collaborative Care and Teamwork
Chapter 16: Meaningful Patient Engagement: Best Practice for High Reliability
Chapter 17: Pediatric Patient Safety: Utilizing Safety Coaching as a Strategy Toward Zero Harm
Part 6: HRO Concepts and Application to Practice: Commitment to Resilience
Chapter 18: Designing Resilience Into the Work Environment
Chapter 19: Building High Reliability Through Simulation
Chapter 20: Building Resilience Through Team Training: Rapid Response and In-Hospital Cardiac Arrest Events
Chapter 21: Sustaining a Culture of Safety
Part 7: Assimilation Into Practice Across the Continuum
Chapter 22: Ambulatory Care: The Frontier for High Reliability
Chapter 23: The Synthesis Among Magnet Recognition Program Model Components and High Reliability Organizational Principles
Chapter 24: Realizing High Reliability: Bedside Scientist and Nurse Scientist Collaboration
Chapter 25: Ensuring High Reliability in Acute Stroke Treatment
Part 8: Translation Into Practice
Chapter 26: High Reliability Performance During a Pandemic
Chapter 27: Building a High Reliability Head and Neck Operating Room Team
Chapter 28: High Reliability in Prevention of Harm From Workplace Violence (WPV)
Chapter 29: Building a Foundation for High Reliability: Creating Effective Teams and Tools in Healthcare

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.

Jane S. Braaten, PhD, APRN, CNS, ANP, CPPS, CPHQ, is a Director of Quality & Patient Safety Officer and nurse scientist at AdventHealth, Parker Hospital. She has held positions as director, clinical nurse specialist, nurse practitioner, and manager/charge RN/staff RN of cardiac, intensive care, and telemetry units.