Awarded second place in the 2021 AJN Book of the Year Awards in Professional Issues! Patient safety and quality of care are critical concerns of healthcare consumers, payers, providers, organizations, health systems, and governments. Although a strong body of knowledge shows that high reliability methods enable the most efficient, safe, and effective care, these methods have yet to be completely implemented across healthcare. According to authors Cynthia Oster and Jane Braaten, nurses - who are on the frontline of providing safe and effective care - are ideally situated to drive high reliability. High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality, Second Edition, equips nurses and healthcare professionals with the tools necessary to establish an error detection and prevention system. This new edition builds on the foundation of the first book with best practices, relevant exemplars, and important discussions about cultural aspects essential to sustainability. New material focuses on high reliability performance during a pandemic, organizational learning and tiered safety huddles, high reliability in infection prevention and ambulatory care, the emerging eld of human factors engineering within healthcare, and creating a virtual resource toolkit for frontline staff. "Enhancing your people's adaptive capacity on the front lines makes all the difference-that is where resilience gets made and eroded. Healthcare systems, however, have a hard time getting that message through. Adding protocols, guidelines, policies, processes, and structures is easy, Oster and Braaten observe, but we should instead be understanding and supporting how practitioners on the front lines make successful outcomes occur in complex, dynamic environments. In this new edition of their push to change patient safety thinking, they have an A-list lineup of contributors exploring just how that might work in their (and your) area of patient care." Sidney W. A. Dekker, MA, MSc, PhD Professor Safety Science Innovation Lab Griffith University, Australia, and Delft University, the Netherlands "Oster and Braaten have captured the essence of high reliability organizations, and this highly readable guide inspires organizations to do the right things to protect their patients while providing them with the tools to do so. The authors' experiences in these fields show, as each chapter is filled with attention to human aspects of high reliability as well as practical recommendations for creating high performance. These authors-themselves considered experts in the field-have assembled an impressive group of contributors to create this comprehensive text that answers both the 'why' and the 'how' of quality and patient safety efforts. They bring a fresh, contemporary approach to a complex organizational challenge and a guide to achieving the state of high reliability, even in challenging times." Janet Houser, PhD, RN Provost, Regis University, Denver Author, Nursing Research: Reading, Using and Creating Evidence, 5th Edition  "This is an outstanding resource for anyone interested in the theory and practice of high reliability organizing in healthcare. The 32 chapters in this thoughtfully organized handbook present a wide-ranging mix of theoretical frameworks, practices, and implementation strategies. The attention to the critical role of leadership, culture, and context in enhancing the reliability of healthcare delivery is especially noteworthy. This timely update is a welcome addition to the literature." Rangaraj Ramanujam, PhD Richard M. and Betty Ruth Miller Professor of Healthcare Management Owen Graduate School of Management Vanderbilt University "The global quest to prevent patient harm and improve care quality and safety is paramount across all healthcare delivery settings. The second edition of High Reliability Organizations elucidates the connection among human and organizational factors, effectively integrating theory with pragmatic examples of health systems' progress and challenges. Shifting practice paradigms require effective use of innovation and technology to advance and sustain improved patient safety outcomes. Noteworthy new information includes content on the COVID-19 pandemic, resilience-building strategies, ambulatory care delivery, and telehealth considerations." Ann Scott Blouin, PhD, RN, LFACHE President, PSQ Advisory, Ltd. Board and Executive Committee Member, Institute for Healthcare Improvement Assistant Professor, Marcella Niehoff School of Nursing, Loyola University Chicago CYNTHIA A. OSTER, PhD, MBA, APRN, ACNS-BC, CNS-BC, ANP, FAAN, is a Patient Safety Nurse Scientist at Emory Healthcare and an adjunct Assistant Professor at the Nell Hodgson Woodruff School of Nursing at Emory University. With 40 years of experience, she has held research, clinical, educational, and administrative positions throughout her career. JANE S. BRAATEN, PhD, APRN, CNS, ANP, CPPS, CPHQ, is a Patient Safety Manager