Provider burnout is a significant health care concern. It is unclear whether high reliability organization (HRO) practices can prevent it. The Truman Veterans Affairs Medical Center (VAMC) undertook an initiative implementing HRO principles and assessed for impact on burnout metrics. This became known as the Transformative HRO Initiative Via Employee Engagement (THRIVE2) model. THRIVE2 consisted of Just Culture training, Clinical Team Training, and continuous process improvement through Lean. Truman VAMC was compared with other Veterans Health Affairs (VHA) facilities regarding burnout and employee satisfaction metrics. Truman VAMC saw significant changes in multiple HRO metrics (P < 0.001) as well as improvements in work group psychological safety and employee exhaustion (P < 0.001). High burnout rates decreased by 52% (6.2%-2.95%; P < 0.001). Truman VAMC went from 75th to the No. 1 ranked VHA facility regarding Best Places to Work. These findings have significant national policy implications given the effects of burnout.

David B. Isaacks

Tim M. Anderson

Scott C. Moore

William Patterson

Sushant Govindan

American Journal of Medical Quality

美国医学质量杂志 (AJMQ) 专注于让读者了解有助于优质医疗保健服务的资源、流程和观点。这本经过同行评审的期刊提供了一个交流思想、战略和方法的论坛，以改善医疗保健的提供和管理。

The American Journal of Medical Quality focuses on providing readers with resources, processes, and perspectives that contribute to high-quality healthcare services. This peer-reviewed journal serves as a forum for exchanging ideas, strategies, and methods aimed at improving the delivery and management of healthcare.

《美国医学质量杂志》(American Journal of Medical Quality) 专注于为读者提供有助于优质医疗服务的资源、流程和观点。这本经过同行评审的期刊为交流改善医疗服务提供和管理的思想、战略和方法提供了一个平台。

Category	Quartile
医学	4
医学, 卫生保健与服务	4

High Reliability Organization Principles Improve VA Workplace Burnout

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Journal Info

Category	Quartile
HEALTH CARE SCIENCES & SERVICES	4