The Transformative Journey to Becoming a High-Reliability Organization (HRO)

Healthcare organizations increasingly aim to become high-reliability organizations (HROs) to ensure patient safety and enhance care quality. Becoming an HRO requires more than operational changes; it necessitates a cultural transformation prioritizing safety and continuous improvement. This review outlines the tactics our organization employed to achieve HRO status, focusing on leadership engagement, safety culture, process improvement strategies, and measurement of progress using a newly created HRO dashboard. Our results indicate significant progress in quality and patient safety, emphasizing the importance of a cohesive strategy encompassing goal-setting, adherence to HRO principles, and effective communication. These efforts have demonstrated the necessity of integrating measurement and strategic planning to drive cultural change and improve patient outcomes.

Authors

Publication Details

Journal
Physician leadership journal
Published
2025-08-26
DOI
https://doi.org/10.55834/plj.5702386779
Primary Topic
Complex Systems and Decision Making
Type
article
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article

The Transformative Journey to Becoming a High-Reliability Organization (HRO)

Sabrina Karim, Esmaeil Porsa, Kevin Lin, Steven D. Brass
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Physician leadership journal
Complex Systems and Decision Making
article

The Transformative Journey to Becoming a High-Reliability Organization (HRO)

Sabrina Karim, Esmaeil Porsa, Kevin Lin, Steven D. Brass
article en

Abstract

Healthcare organizations increasingly aim to become high-reliability organizations (HROs) to ensure patient safety and enhance care quality. Becoming an HRO requires more than operational changes; it necessitates a cultural transformation prioritizing safety and continuous improvement. This review outlines the tactics our organization employed to achieve HRO status, focusing on leadership engagement, safety culture, process improvement strategies, and measurement of progress using a newly created HRO dashboard. Our results indicate significant progress in quality and patient safety, emphasizing the importance of a cohesive strategy encompassing goal-setting, adherence to HRO principles, and effective communication. These efforts have demonstrated the necessity of integrating measurement and strategic planning to drive cultural change and improve patient outcomes.

Physician leadership journalVol. 12(5)
Openalex Percentile: Top 74%
Complex Systems and Decision Making
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The Transformative Journey to Becoming a High-Reliability Organization (HRO) — Sabrina Karim, Esmaeil Porsa, et al. · Physician leadership journal (2025) | TGRS Research Map | TGRS