This article describes the creation of a patient safety model, and the results of the model’s test in intensive care units. The model was developed using elements of HRO theory, including development of standard processes, and improved communication. Emphasis was placed on improving organizational learning through application of lessons learned, so that future errors could be prevented.
Implementation of the model described in the study contributed to a reduction of catheter-related blood stream infection rates in Michigan ICUs. Changing culture is a key step in improving patient safety, and is facilitated through intentional and sustainable implementation of HRO theory.
Pronovost, P. J., Berenholtz, S. M., Goeschel, C. A., Needham, D. M., Sexton, J. B., Thompson, D. A., Lubomski, L. H., et al. (2006). Creating high reliability in health care organizations. Health Services Research, 41(4p2), 1599–1617. doi:10.1111/j.1475-6773.2006.00567.x