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High reliability safety: The checklist

A high reliability organization (HRO) is one that works with complex and hazardous systems every day and still retains a highly safe and error-free environment. The first recognized HROs were the United States Navy nuclear aircraft carriers, the Federal Aviation Administration’s air traffic control systems, and nuclear power plant operations. These entities operate using complicated and dangerous processes, yet they have the fewest safety incidents. In the past several years, hospitals and healthcare systems have also striven to become HROs.

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