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Highly Reliable Health Care in the Context of Oncology Nursing: Part II

Norma Sheridan-Leos
CJON 2014, 18(3), 273-275 DOI: 10.1188/14.CJON.273-275

The principles of reliability science are used in various high-risk and high-tech industries to improve quality and safety. In part one of this two-part series, three of the five principles (the principles of anticipation) were discussed as they pertain to delivering oncology care in challenging and variable circumstances. This article will address the final two principles (the principles of containment) and examine how a healthcare organization responds when an error in treatment has occurred.


Goldenhar, L.M., Brady, P.W., Sutcliffe, K.M., & Muething, S.E. (2013). Huddling for high reliability and situation awareness. <i>British Medical Journal Quality and Safety, 22</i>, 899-906.

Hines, S., Luna, K., Lofthus, J., Marquardt, M., & Stelmokas, D. (2008). <i>Becoming a high reliability organization: Operational advice for hospital leaders.</i> Rockville, MD: Agency for Healthcare Research and Quality.

Institute for Safe Medication Practices. (2012). ISMP's list of high-alert medications. Retrieved from <a target="_blank" href='http://www.ismp.org/Tools/institutionalhighAlert.asp'>http://www.ismp.or...

Institute of Medicine. (2004). <i>Keeping patients safe: Transforming the work environment of nurses.</i> Washington DC: National Academies Press.

Luria, J.W., Muething, S.E., Schoettker, P.J., & Kotagal, U.R. (2006). Reliability science and patient safety. <i>Pediatric Clinics of North America, 53</i>, 1121-1133.

Lyman, G.H., & Sparreboom, A. (2013). Chemotherapy dosing in overweight and obese patients with cancer. <i>Nature Reviews. Clinical Oncology, 10</i>, 451-459.

Niedner, M.F., Muething, S.E., & Sutcliffe, K.M. (2013). The high-reliability pediatric intensive care unit. <i>Pediatric Clinics of North America, 60</i>, 563-580.

Reason, J.T. (1997). <i>Managing the risks of organizational accidents.</i> Aldersthor, England: Ashgate Publishing.

Riley, W. (2009). High reliability and implications for nurse leaders. <i>Journal of Nursing Management, 17</i>, 238-246.

Sheridan-Leos, N. (2014). Highly reliable health care in the context of oncology nursing: Part I. <i>Clinical Journal of Oncology Nursing, 18</i>, 151-153.

Sheridan-Leos, N., Schulmeister, L., & Hartranft, S. (2006). Failure mode and effect analysis: A technique to prevent chemotherapy errors. <i>Clinical Journal of Oncology Nursing, 10</i>, 393-398.

Sogaard, M., Thomsen, R.W., Bossen, K.S., Sorensen, H.T., & Norgaard, M. (2013). The impact of comorbidity on cancer survival. <i>Clinical Epidemiology, 5</i>(Suppl. 1), 3-29.

Villa-Torres, E., Albert-Mari, A., Almenar-Cubells, D., & Jimenez-Torres, N.V. (2009). Cisplatin preparation error; patient management and morbidity. <i>Journal of Oncology Pharmacy Practice, 15</i>, 249-253.

Weick, K.E., & Sutcliffe, K.M. (2007). <i>Managing the unexpected: Resilient performance in an age of uncertainty</i> (2nd ed.). San Francisco, CA: Jossey-Bass.