title: Reliability between nurse managers: the key to the high-reliability organization.
abstract: Nurse 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.
authors.affiliation: Kerfoot & Associates, Indianapolis, IN, USA. karlene@indy.com
authors.forename: Karlene
authors.initials: K
authors.lastname: Kerfoot