Table 1

Relationship between high reliability organization (HRO) tenets and individual competencies

HRO tenetCorresponding behavior of care provider
Preoccupation with failure avoidanceAttitude
Reluctance to simplify interpretationMetacognitive skills
Sensitivity to operationsSystems based practices
Commitment to resilienceLeadership and teamwork skills
Deference to expertiseEmotional intelligence; advocacy and assertion