Chasing Zero – The Journey to High Reliability

Event Details
Thursday, January 4, 2018
National Rural Health Resource Center (The Center)


A. Clinton (Clint) MacKinney, MD, MS, Associate Professor, Department of Health Management and Policy, College of Public Health, University of Iowa, Deputy Director, Rural Policy Research Institute (RUPRI) Center for Rural Health Policy and Analysis

Medical errors are now the third leading cause of death in the US. Despite a hard-working and well-intended workforce, health care remains unacceptably dangerous. High-reliability organizations operate in complex, high-hazard domains. They anticipate, and detect, potential problems early to prevent catastrophes. However, there are no high-reliability health care organizations. The journey to high reliability and dramatically improved safety is nonetheless critical for our patients.

In this webinar, Dr. MacKinney will discuss the patient safety landscape, how patient harm and death occurs, the High-Reliability Organization, and the rural hospital journey to zero harm.


  • Discuss the degree of harm that occurs in US health care facilities
  • Describe the High-Reliability Organization
  • Understand that the journey to high reliability is not a program, but instead a culture manifest by certain behaviors and attitudes
  • List strategies a rural hospital can employ to begin the journey to high reliability

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,009,121 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.