Abstract
Synergistic opportunity exists between Magnet-aspiring environments and High Reliability Organization (HRO) cultures to elevate safety, quality, new knowledge, continuous improvement, hierarchical flattening, and frontline empowerment. Variation existed across a region's 15 hospitals regarding Magnet-readiness, leadership engagement, journey strategies, and resource capacity. Quality improvement (QI) methodology and a hybrid-hub-spoke-model (HHSM) were used to support region-wide Magnet designation, improve patient outcomes, and advance nursing research. HRO strategies were used region-wide to strengthen implementation and enculturation of Magnet excellence infrastructure. Nine facilities achieved Magnet recognition. Magnet sites demonstrated significantly lower falls with injury (P =.012), lower health care-associated infections and hospital-acquired pressure injuries than non-Magnet sites. Nursing research studies increased 223%. Utilizing a HHSM and HRO strategies represent effective methods for supporting region-wide Magnet designation and continuous QI.
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