Creating high reliability teams in healthcare through in situ simulation training

William Riley, Elizabeth Lownik, Carmen Parrotta, Miller R.N. Kristi, Stan Davis

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


The importance of teamwork on patient safety in healthcare has been well established. However, the theory and research of healthcare teams are seriously lacking in clinical application. While conventional team theory assumes that teams are stable and leadership is constant, a growing body of evidence indicates that most healthcare teams are unstable and lack constant leadership. For healthcare organizations to reduce error and ensure patient safety, the true nature of healthcare teams must be better understood. This study presents a taxonomy of healthcare teams and the determinants of high reliability in healthcare teams based on a series of studies undertaken over a five-year period (2005–2010).

Original languageEnglish (US)
Pages (from-to)14-31
Number of pages18
JournalAdministrative Sciences
Issue number1
StatePublished - Dec 2011
Externally publishedYes


  • Active failures
  • Behavior markers
  • High reliability
  • In situ simulation
  • Interdisciplinary teams
  • Team formation

ASJC Scopus subject areas

  • General Business, Management and Accounting


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