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Related Concept Videos

Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Purpose of Health Records I01:11

Purpose of Health Records I

The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Patient-centered Care01:13

Patient-centered Care

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Related Experiment Video

Updated: May 7, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

High-reliability health care: getting there from here.

Mark R Chassin1, Jerod M Loeb

  • 1The Joint Commission.

The Milbank Quarterly
|September 14, 2013
PubMed
Summary

Hospitals can improve patient safety by adopting high-reliability science principles. This involves leadership commitment, a strong safety culture, and effective process improvement tools for sustained excellence.

Keywords:
high reliabilitypatient safetyquality improvementsafety culture

Related Experiment Videos

Last Updated: May 7, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Healthcare Quality and Safety
  • High-Reliability Organizations (HROs)
  • Organizational Change Management

Background:

  • Despite extensive efforts, preventable patient harm persists in healthcare.
  • Hospitals struggle with sustained quality improvement and "project fatigue."
  • High-reliability science offers a model for achieving superior safety levels, comparable to aviation and nuclear power.

Purpose of the Study:

  • To adapt high-reliability science principles for healthcare settings.
  • To develop a framework for assessing hospital readiness and progress toward high reliability.
  • To define stages of maturity for achieving consistent institutional excellence.

Main Methods:

  • Integrated expertise from The Joint Commission, literature, and high-reliability industry experts.
  • Developed and iteratively tested a conceptual and practical framework with hospital leaders.
  • Defined fourteen components and stages of maturity for reaching high reliability.

Main Results:

  • Direct application of HRO safety practices is not feasible in current hospitals.
  • Identified incremental changes crucial for healthcare high reliability.
  • Key changes include leadership commitment to zero harm, a robust safety culture, and effective process improvement tools.

Conclusions:

  • Hospitals can achieve significant progress toward high reliability through targeted organizational changes.
  • Further research and practical application are needed to validate the proposed framework for high-reliability healthcare.