high-reliability

How the Flint Water Crisis Is a Cautionary Tale for Health Care

How the Flint Water Crisis Is a Cautionary Tale for Health Care

Posted by  | Designing Safer Systems, Organizational and Cultural Change, Preventing Patient Harm

There has been no shortage of blame for the poisoning of Flint, Michigan's water supply. In March, a governor-appointed task force issued a report that rebuked local, state and federal authorities for their actions — and inactions — that created the public health crisis. Then, in late April, state prosecutors announced the first charges in the(...)

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A blueprint for high reliability

Posted by  | Measurement of Safety and Quality, Organizational and Cultural Change, Preventing Patient Harm

Across health care, organizations constantly struggle with the challenge of achieving patient safety and quality successes on a large scale—across a hospital or network of hospitals. Too often, they are doomed at the start, because staff don’t even know what the goals are. In other cases, staff have limited capacity to carry out improvement work(...)

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