High reliability organizations operate in complex, high-hazard domains for extended periods without serious accidents, catastrophic failures, or ecological health threats.
AMA J Ethics. 2024;26(2):E171-178. doi:
10.1001/amajethics.2024.171.
Dr Larry R. Churchill joins Ethics Talk to discuss his article, coauthored with Dr Gail E. Henderson and Professor Nancy M.P. King: “Why Climate Literacy Is Health Literacy.”
Lloyd Duplechan joins Ethics Talk to discuss his article: "How High Reliability Can Facilitate Clinical, Organizational, and Public Health Responses to Global Ecological Health Risks.”
Dr Kimberly A. Singletary joins Ethics Talk to discuss her article, coauthored with Dr Marshall H. Chin: “What Should Antiracist Payment Reform Look Like?”
Learn about the development of the systems for delivery and reimbursement of health care in the U.S. from the unregulated free-market state in 1908 to the complex, highly managed state in which it exists in 2008.
To be a useful tool for assessing quality of physician care, pay-for-performance must be designed to include process measures and to not penalize physicians for treating patients with difficult-to-manage conditions.