title: Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.
abstract: High-reliability health care organizations are those that provide care that is safe and one that minimizes errors while achieving exceptional performance in quality and safety. This article presents major concepts and characteristics of a patient safety culture and a high-reliability health care organization and explains how building a culture of evidence-based practice can assist organizations in achieving high reliability. The ARCC (Advancing Research and Clinical practice through close Collaboration) model for systemwide implementation and sustainability of evidence-based practice is highlighted as a key strategy in achieving high reliability in health care organizations.
authors.affiliation: College of Nursing, The Ohio State University, 1585 Neil Ave, Columbus, OH 43210, USA. Melnyk.15@osu.edu
authors.forename: Bernadette Mazurek
authors.initials: BM
authors.lastname: Melnyk
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration* / Q000592:standards; D055317:Evidence-Based Practice / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control; D017146:Models, Organizational; D015279:Organizational Culture; D061214:Patient Safety; D011787:Quality of Health Care / Q000592:standards; D017751:Safety Management / Q000458:organization & administration*