Development of 'SWARM' as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning

摘要

The future of quality and safety improvement relies on development of an appropriate supportive infrastructure, which Chassin and Loeb have described as a culture of high reliability. ' Specifically, a high reliability system will yield a learning organization, which, in turn, will design, improve, share knowledge, and develop problem-solving capabilities for the institution. Consequently, the stable future of health care remains dependent on a rational approach to the design of a "faster, better, cheaper" environment.' Central to this paradigm is the use of accurate information to direct our efforts toward both performance and performance improvement.