The High-Reliability Pediatric Intensive Care Unit

Matthew F. Niedner, Stephen E. Muething, Kathleen M. Sutcliffe

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations


In health care, reliability is the measurable capability of a process, procedure, or health service to perform its intended function in the required time under actual or existing conditions (as opposed to the ideal circumstances under which they are often studied). This article outlines the current state of reliability in a clinical context, discusses general principles of reliability, and explores the characteristics of high-reliability organizations as a desirable future state for pediatric critical care.

Original languageEnglish (US)
Pages (from-to)563-580
Number of pages18
JournalPediatric clinics of North America
Issue number3
StatePublished - Jun 2013
Externally publishedYes


  • High-reliability organization
  • Patient safety
  • Psychological safety
  • Quality improvement
  • Reliability
  • Safety culture

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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