Reliability Between Nurse Managers: The Key to the High-Reliability Organization

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Executive SummaryNurse managers are the keys to building high-reliability organizations (HROs) in health care.In HROs, staff can substitute, step in, and take over the care of the patient in a seamless manner.Consistency between units occurs when there is a coherent pattern of safe practice guidelines.The nurse manager council can become the powerhouse to seek out evidence-based practices and to insist on flawless execution between groups and units.

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