The Veterans Health Administration (VHA) is undergoing a transformational modernization at a scale and scope not experienced since General Omar Bradley’s leadership of the Veterans Administration in the 1940s. At the center of this modernization is a culture change that will be realized throughout VHA –our transformation into a high reliability organization (HRO). An …

Leaders throughout VHA need metrics to help guide their efforts toward HRO maturity; metrics must balance the need to demonstrate clinical impact while, at the same time, ensuring that robust safety culture is a key mediator to positive impacts.

Adoption of these HRO principles in health care offers promise of increased excellence; however, major barriers to widespread implementation include difficulty in adopting organization-level safety culture principles into practice; competing priorities between HRO and other large-scale organizational transformation initiatives such as ...

Mar 14, 2025 · HSR Home » Publications » Management_briefs » Management Briefs eBrief-no157 -- Implementation of High Reliability Organi...Management Briefs eBrief-no157 -- Implementation of High Reliability Organization Principles

The Veterans Health Administration (VHA) is undergoing a transformational modernization at a scale and scope not experienced since General Omar Bradley's leadership of the Veterans Administration in the 1940s.

Welcome to the Summer issue of HSR&D's FORUM, which focuses on Becoming a High Reliability Organization. The Veterans Health Administration (VHA) is undergoing a transformational modernization at a scale and scope not experienced since General Omar Bradley's leadership of the Veterans Administration in the 1940s.

As VA embarks on becoming an enterprise-wide High Reliability Organization (HRO), we hope lessons from the LET pilot evaluation may elucidate effective strategies to implement facilitators and reduce barriers.

Jan 31, 2019 · QUALITY ASSESSMENT OF INCLUDED PRIMARY STUDIES ... Abbreviations: HRO – high reliability organization; QI – quality improvement; SSE – serious safety event ... leen Sutcliffe, 3rd Edi ion, Wiley & Sons, New York, NY., that has a Mindful Organizing Scale (p. 43) that is notewo thy. This scale was originally published in 2007, so it fell ...

Jan 25, 2022 · VA ESP Project #09-199; 2019. Download PDF: Brief, Supplemental Materials Background The ESP Coordinating Center (ESP CC) is responding to a request from the VA National Center for Patient Safety for a rapid evidence review on implementing High Reliability Organization (HRO) principles into practice.

Welcome to the Summer issue of HSR&D's FORUM, which focuses on Becoming a High Reliability Organization. The Veterans Health Administration (VHA) is undergoing a transformational modernization at a scale and scope not experienced since General Omar Bradley's leadership of the Veterans Administration in the 1940s.