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[DOI] [PubMed] [Google Scholar] 45.Parikh-Patel A., Gold E.B., Worman H., Krivy K.E., Gershwin M.E

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High Reliability Organization (HRO) 2026-03-26 Across Continuous improvement mindset Willingness to speak up about concerns Proactive identification of risks Method to identify cause of errors Measuring reliability outcomes Process of examining failures An organization that operates safely in complex, high-risk settings communicating incidents without fear of punishment Condition caused by system failure Awareness of how work is actually done Valuing decisions by those closest to the work One of the five core HRO principles Standard behavior expectations Any unexpected safety event Commitment to preventing patient harm Clear and structured information exchange staff at all levels are encouraged to speak up