Achieving a High-Reliability Laboratory: Operational Strategies Designed to Promote Patient Safety and Heighten Quality in the Clinical Lab.

This paper explores the concept of high reliability within clinical laboratories and its critical role in ensuring accurate and trustworthy diagnostic results. It examines the intrinsic connection between quality and reliability in patient care, emphasizing the importance of robust quality management systems and the expertise of laboratory professionals. The paper outlines the 5 pillars of a high-reliability organization and discusses the significance of eliminating preventable harm through standardized protocols. Furthermore, it addresses the complexities of change management, utilizing the Kübler-Ross Change Curve and McKinsey's 7S model to facilitate staff engagement and resilience during transitions. By integrating systematic approaches to quality control and human performance, the paper advocates for a culture of continuous improvement aimed at achieving high reliability and a zero-harm environment in clinical laboratories. Ultimately, the journey toward high reliability is presented as an ongoing commitment to excellence in patient care, highlighting the need for effective leadership and employee collaboration.