TABLE 2.

Cross Walk Between Core Pillars of High Reliability Organizations and VIONE

High Reliability Organization Pillars	VIONE
Leadership Commitment Safety and reliability is reflected in leadership’s vision, decisions, and actions	Decisions and actions to adopt a systems-based approach to improve safety and reliability of prescribing practices; and Empowerment of staff to directly and proactively assess risk and reduce harm from polypharmacy.
Safety Culture Throughout the organization, safety values and practices are used to prevent harm and learn from mistakes	Education about the risks of potentially inappropriate medications; and Collective mind-set for identification and correction of medication errors without fear of retribution.
Continuous Process Improvement Across the organization, teams use effective tools for continuous learning and improvement	Ongoing practice of continuous assessment of polypharmacy and planning for cessation of medications as appropriate; and Ongoing refinement and the systemwide spread of program.
Demonstrate Safety and Reliability Outcomes	Reduced adverse effects due to polypharmacy potentially inappropriate medications; and Improved quality of care.