High Reliability Organizations


High-Reliability Organizations


Statement of Need

Over the last two decades, patient safety improvement efforts in healthcare have focused on the hospital setting. There is growing evidence that illustrates patient harm often begins in medical office settings resulting in preventable harm.  To begin to address this issue, education on Just Culture and High-Reliability Organization (HRO) principles is needed to ensure the medical office environment fosters transparency in event reporting, balanced accountability, and a focus on a preoccupation with failure and sensitivity to daily operations.

Target Audience

This activity is intended for clinicians, mid-level and executive healthcare leadership, health profession students, and any other persons interested in High-Reliability Organizations.

Educational Objectives

Upon completion of this activity learners should be able to:

  1. Examine an organization’s demonstration of safety as a core value through actions to be mindful and identify problems and issues when they occur.

  2. Employ patients, families, and care partners in leadership, governance, and safety and improvement efforts.

  3. Implement a systems approach to workforce safety.

  4. Develop and maintain appropriate activities and actions to become a high-reliability organization prioritizing patient safety and patient outcomes.

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME). The University of North Texas Health Science Center is accredited by the ACCME to provide continuing medical education for physicians. The University of North Texas Health Science Center designates this live activity for a maximum of .75 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The University of North Texas Health Science Center is accredited by the American Osteopathic Association to award continuing medical education to physicians. The University of North Texas Health Science Center at Fort Worth designates this program for a maximum of .75  AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the  participation in this activity.

The University of North Texas Health Science Center at Fort Worth is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Centers Commission on Accreditation. This activity provides up to .75 contact hour(s). 

This activity is approved for .75 credit(s) accepted by the National Board of Public Health Examiners' Certified Public Health (CPH) recertification program.

The University of North Texas Health Science Center certifies this activity for .75 hours of participation.

Faculty and Disclosures

In accordance with the appropriate accrediting bodies, all planners, teachers, and authors with control over activity content are required to disclose to the provider any relevant financial relationships (those held by the planner or significant other, currently or within the last 24 months) with commercial interests. Accredited providers are required to provide this information to learners before the start of an activity.

The following is a list of the faculty, along with any information they have disclosed regarding their relevant financial relationships.

The faculty and planning committee have nothing to disclose.


   Teresa Wagner, DrPH, MS, CPH, RD/LD, CPPS, CHWI, DipACLM, CHWC

   Assistant Professor, Department of Lifestyle Health Sciences
   University of North Texas Health Science Center at Fort Worth, School of Health Professions
   Clinical Executive for Health Literacy, SaferCare Texas
   Fellow and Project Director, Texas Center for Health Disparities


David Farmer 2 - Interprofessional Education and Practice   

   David Farmer, PhD, LPC, LMFT, FNAP
   Director, Interprofessional Education and Practice

picture of Kate Taylor

   Kate Taylor, DNP, CPPS
   Clinical Executive, SaferCare Texas




All information contained within this activity is intended for educational purposes only. Physicians and other health care professionals are encouraged to consult other sources and confirm the information contained on this site. No single reference or service can take the place of medical training, education, and experience. This website does not define a standard of care, nor is it intended to dictate an exclusive course of management. This information should not substitute for a visit or consultation with a health care provider.

Technical Requirements

This activity is best experienced using the most current browser (or one back) of Firefox, Chrome, Safari, Internet Explorer, or Microsoft Edge. For all activities featuring audio, you must have a sound card and speakers. To view graphic images and references that appear in separate "pop-up" windows, you must have JavaScript and session cookies enabled on your computer. Adobe Acrobat Reader may be required for certain activities.

Release Date: July 1, 2021
Expiration Date: July 1, 2023

Select the Continue button below to begin. You may return later if you are unable to complete the activity at this time.