TY - JOUR T1 - Towards high-reliability organising in healthcare: a strategy for building organisational capacity JF - BMJ Quality & Safety JO - BMJ Qual Saf SP - 663 LP - 670 DO - 10.1136/bmjqs-2016-006240 VL - 26 IS - 8 AU - Hanan J Aboumatar AU - Sallie J Weaver AU - Dianne Rees AU - Michael A Rosen AU - Melinda D Sawyer AU - Peter J Pronovost Y1 - 2017/08/01 UR - http://qualitysafety.bmj.com/content/26/8/663.abstract N2 - In a high-reliability organisation (HRO), safety and quality (SQ) is an organisational priority, and all workforce members are engaged, continuously learning and improving their work. To build organisational capacity for SQ work, we have developed a role-tailored capacity-building framework that we are currently employing at the Johns Hopkins Armstrong Institute for Patient Safety and Quality as part of an organisational strategy towards HRO. This framework considers organisation-wide competencies for SQ that includes all staff and faculty and is integrated into a broader organisation-wide operating management system for improving quality. In this framework, achieving safe, high-quality care is connected to healthcare workforce preparedness. Capacity-building efforts are tailored to the needs of distinct groups within the workforce that fall within three categories: (1) front-line providers and staff, (2) managers and local improvement personnel and (3) SQ leaders and experts. In this paper we describe this framework, our implementation efforts to date, challenges met and lessons learnt. ER -