Becoming a High Reliability Organization: Structural Limitations to Continuous Quality Improvement in a Large Health Care System

Key Points

• The study aims to identify structural limitations to continuous quality improvement (QI) in health care systems transitioning to high reliability organizations (HROs).
• Assessment of current practices in health care systems regarding high reliability and quality improvement.
• Evaluation of leadership strategies that can promote skill development and protected time for improvement efforts.
• Structural barriers hinder the effective implementation of continuous quality improvement.
• Local leaders need better alignment of system-level goals with the realities of frontline providers.