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Related Experiment Video

Updated: Mar 1, 2026

Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement

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Achieving High Reliability Through Cultural Mindfulness.

Patrick J Cawley¹, Danielle B Scheurer

¹Patrick J. Cawley, MD, FACHE, is vice president for health affairs at the Medical University of South Carolina (MUSC) and CEO of MUSC Health in Charleston. Danielle B. Scheurer, MD, is chief quality officer of MUSC Health and a practicing hospitalist.

Frontiers of Health Services Management

|May 25, 2017

Summary

Healthcare needs radical transformation for better safety and quality. Implementing high-reliability principles, like those in aviation, can help reduce errors and prevent catastrophes in medical settings.

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Last Updated: Mar 1, 2026

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Area of Science:

Healthcare Quality Improvement
Patient Safety
Organizational Culture

Background:

Healthcare quality and safety initiatives are widespread but require more radical transformation.
High-risk industries like aviation and nuclear power achieve reliability through cultural mindfulness.
Healthcare faces complex challenges necessitating the adoption of high-reliability principles.

Purpose of the Study:

To explore the application of high-reliability principles in healthcare.
To investigate the implementation of a high-reliability culture in an academic health system.

Main Methods:

Examining safety improvement strategies from high-risk industries.
Implementing a high-reliability culture at the Medical University of South Carolina.

Main Results:

Organizations in high-risk industries maintain high reliability through cultural mindfulness.
Academic health systems can benefit from instilling high-reliability principles.

Conclusions:

Radical transformation is needed for significant error reduction and consistent quality in healthcare.
Adopting high-reliability principles can enhance safety and quality in healthcare operations.