Abstract
High reliability organizations have common traits including: preoccupation with failure, sensitivity to operations, reluctance to simplify, deference to expertise and commitment to resilience. Using these traits as the key drivers, we aimed to develop a high reliability unit (HRU) – a medical-surgical clinical microsystem with targeted outcomes related to patient safety, quality improvement, throughput and patient experience within a 12 month period. A Neurology/Neurosurgery medical-surgical unit was identified for a pilot program to create a HRU clinical microsystem in November of 2015. A Hospitalist Medical Director, Nurse Manager and Quality …
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