VHA的变革运动:实施高可靠性原则和实践。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-05-01 DOI:10.1097/JHM-D-23-00056

Gerard R Cox, Leigh M Starr

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VHA's Movement for Change: Implementing High-Reliability Principles and Practices.

Motivated by research showing that high-reliability organizations (HROs) in high-risk environments experience fewer adverse events (Anderson & Abrahamson, 2017), we at the Veterans Health Administration (VHA) set out to transform our culture, improve our systems, and empower our workforce to keep veterans safe. Patients are too often harmed because of preventable errors during their care. Even small errors can have devastating results, so we initiated an enterprise-wide journey to integrate HRO principles and practices into operations across our central office, regional networks, and medical centers (VAMCs). We wanted the VHA to gain the complete trust of our patients while implementing evidence-based practices, becoming a learning organization, and implementing robust process improvements. These goals align with the mission of the VHA—to provide exceptional care that improves the health and well-being of America’s veterans—and help advance the system toward zero harm. We believe that an HRO can realize:

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.