The path to safe and reliable healthcare.

The ability to deliver safe and reliable healthcare is the goal of all healthcare delivery systems. To bridge the current performance gaps in quality and safety, organizations need to apply a systematic model that effectively addresses both culture and reliable processes of care. The model described in this article provides a comprehensive approach to improving the quality of care in any clinical domain. It also provides a roadmap for people working in clinical improvement to assess the strengths and current needs within their care systems, so they can be strategic and systematic in their work, essential elements for success. The concepts and tools provided can be readily applied to improve the quality and safety of care delivered. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.