Original ArticlesAchieving a High-Reliability Organization Through Implementation of the ARCC Model for Systemwide Sustainability of Evidence-Based PracticeMelnyk, Bernadette Mazurek PhD, RN, CPNP/PMHNP, FNAP, FAANAuthor Information College of Nursing, The Ohio State University, Columbus. Correspondence: Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN, College of Nursing, The Ohio State University, 1585 Neil Ave, Columbus, OH 43210 ([email protected]). The author declares no conflict of interest. Nursing Administration Quarterly: April/June 2012 - Volume 36 - Issue 2 - p 127-135 doi: 10.1097/NAQ.0b013e318249fb6a Buy Metrics Abstract High-reliability health care organizations are those that provide care that is safe and one that minimizes errors while achieving exceptional performance in quality and safety. This article presents major concepts and characteristics of a patient safety culture and a high-reliability health care organization and explains how building a culture of evidence-based practice can assist organizations in achieving high reliability. The ARCC (Advancing Research and Clinical practice through close Collaboration) model for systemwide implementation and sustainability of evidence-based practice is highlighted as a key strategy in achieving high reliability in health care organizations. © 2012 Lippincott Williams & Wilkins, Inc.