# High Reliability Health Care: Getting There from Here

- **期号**: SRE Weekly Issue #94（2017-10-22）
- **作者**: —
- **链接**: https://www.jointcommission.org/assets/1/6/Chassin_and_Loeb_0913_final.pdf

## 简介

This article by the Joint Commission opened my eyes to just how far medicine in the US is from being a High Reliability Organization (HRO). It’s long, but I’m really glad I read it.

> HROs recognize that the earliest indicators of threats to organizational performance typically appear in small changes in the organization’s operations.

> […] in several instances, particularly those involving the rapid identification and management of errors and unsafe conditions, it appears that today’s hospitals often exhibit the very opposite of high reliability.

## 正文

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