Direct reliability: strategies to revolutionize healthcare
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The aim of this article is to understand the current climate of high reliability in healthcare and explore comprehensive approaches to measure future healthcare transformation.
Subjects and methods
Literature pertaining to high reliability in industry and healthcare organizations was reviewed, with a focus on publications from 2006–present.
Readiness assessments, components, frameworks and comparisons to external industries have been produced in the literature and discussed within healthcare expertise. High reliability in healthcare organizations remains opaque, with varied structures to recommendations, despite continued interest and accreditation focus. Advancing high-reliability science for healthcare has remained elusive.
Strategies to revolutionize healthcare utilizing reliability should be considered imperative opportunities. These strategies include conceptualizing high-reliability science for healthcare as holistic, incorporating recommended robust process improvements along all spectra of healthcare, standardizing criteria to constitute a high-reliability organization in healthcare and measuring high reliability qualitatively, with the understanding that avoided catastrophic failures should be factored, and emphasizing public trust in medicine as a priority for high reliability. Notably, patient satisfaction and patient perception of reliable healthcare must be included at the forefront. By harnessing these strategies, healthcare will move reliability from an indirect cultural philosophy to the direct, revolutionary spotlight. A spotlight on reliability is positive, commendable and important to honor.
KeywordsHigh reliability Reliability science High-reliability organizations Customer satisfaction Patient satisfaction
Agency for Healthcare Research and Quality
Complex adaptive system
Normal accident theory
Robust process improvements
The author is the sole author of this manuscript.
There are no funding contributions to declare.
Compliance with ethical standards
Consent for publication
The author consents to publication of this article.
There are no competing interests to declare.
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