Preventable medical errors result in the loss of 200,000 lives per year with associated financial and operational burdens on organizations and society. Widespread preventable patient harm occurs despite increases in healthcare regulations. High reliability organization theory contributes to improved safety and may potentially reverse this trend. This single case study explored the introduction of a safety culture and subsequent improvements in patient safety in a reliability-seeking organization. Fourteen participants from a subacute nursing facility were selected using purposeful sampling criterion. Data were collected through participant interviews, document reviews, and group observation. Five themes emerged from an analysis of collected data including process standardization, checks and redundancy, authority migration, communication, and teamwork. The themes uncovered the need for extensive education and training, communication, and teamwork to improve patient safety. The results of the study may be useful to improve safety and enhance leadership to promote a culture of safe patient care.
High Reliability Organizations, Patient Safety, Subacute Nursing Facility, Case Study
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.
Recommended APA Citation
Padgett, J., Gossett, K., Mayer, R., Chien, W., & Turner, F. (2017). Improving Patient Safety through High Reliability Organizations. The Qualitative Report, 22(2), 410-425. Retrieved from https://nsuworks.nova.edu/tqr/vol22/iss2/4
Health and Medical Administration Commons, Nursing Administration Commons, Organizational Behavior and Theory Commons, Quantitative, Qualitative, Comparative, and Historical Methodologies Commons, Social Statistics Commons