Building a High-Reliability Organization: A Toolkit for Success, Second Edition is centered around improving hospital processes for patient safety and quality care through high-reliability practices. The book's authors look at the role leadership played in transforming their facilities into high-reliability organizations (HRO). By implementing top-down processes that translate throughout the organization, leaders can create environments that foster high reliability, patient safety, and care.

Updated for 2019, the book’s second edition provides methodology intended to improve processes and standardization across organizations. Through the use of checklists, the authors demonstrate how situational awareness and structure can be created, leading to the HRO goal of preventing adverse events and errors.

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