ARTICLEImproving Patient Safety: Patient-Focused, High-Reliability Team TrainingMcKeon, Leslie M. PhD, RN, CNAA, BC; Cunningham, Patricia D. DNSc, PFNP, APRN, BC; Oswaks, Jill S. Detty DNSc, CRNAAuthor Information Acute and Chronic Care Department (Drs McKeon and Oswaks) and Primary Care and Public Health Department (Dr Cunningham), The University of Tennessee Health Science Center, College of Nursing, Memphis. Corresponding Author: Leslie M. McKeon, PhD, RN, CNAA, BC, Acute and Chronic Care Department, The University of Tennessee Health Science Center, College of Nursing, 877 Madison Ave, Suite 600, Memphis, TN 38163 (firstname.lastname@example.org). This research was supported by grants from Sigma Theta Tau Epsilon Chi and UTHSC Faculty Fellowship. Accepted for publication: May 31, 2008 Journal of Nursing Care Quality: January-March 2009 - Volume 24 - Issue 1 - p 76-82 doi: 10.1097/NCQ.0b013e31818f5595 Buy Metrics Abstract Healthcare systems are recognizing “human factor” flaws that result in adverse outcomes. Nurses work around system failures, although increasing healthcare complexity makes this harder to do without risk of error. Aviation and military organizations achieve ultrasafe outcomes through high-reliability practice. We describe how reliability principles were used to teach nurses to improve patient safety at the front line of care. Outcomes include safety-oriented, teamwork communication competency; reflections on safety culture and clinical leadership are discussed. © 2009 Lippincott Williams & Wilkins, Inc.