ArticleFederal practitioner : for the health care professionals of the VA, DoD, and PHS2024
The Role of High Reliability Organization Foundational Practices in Building a Culture of Safety.
Article in Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
5 citing papers in PubMed.
- Health and Well-Being of Military Nurses in High-Reliability, High-Stress Environments: A Qualitative Study in the Slovenian Armed Forces.International nursing review · 2026Article
- Managing Resistance to Change Along the Journey to High Reliability.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026Article
- Critical points of multiple defenses and system resilience reconstruction: a QCA configuration analysis and governance implications of maritime accidents.Frontiers in public health · 2026Article
- Achieving Psychological Safety in High Reliability Organizations.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025Article
- Assessing the effectiveness of leader rounding for high reliability: a quality improvement initiative.BMJ open quality · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: High reliability organizations are designed to operate under complex conditions for extended periods by strengthening systems that help serious adverse events for patients. The US Department of Veterans Affairs formally began its enterprise-wide journey to high reliability in 2019. Four foundational practices were identified to advance a culture of safety across all Veterans Health Administration facilities. This article describes these practices, summarizes supporting evidence from the literature, and illustrates strong practices for improving safety. Observations: A literature review was conducted from 2018 to March 2023 to identify recent evidence outlining the value of implementing the 4 foundational high reliability organization practices to improve patient safety. This evidence was used to create and implement formal processes for the foundational practices. For each foundational practice, a representative example of a strong practice within the Veterans Health Administration is provided. Conclusions: Effective and sustained application of the foundational organization practices described can support a health care organization's journey to high reliability. Collectively, the 4 foundational practices can be adopted and implemented by other organizations in the continued pursuit of high reliability in health care.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.