New Sigma book is a must-have for every healthcare professional

INDIANAPOLIS—The new edition of High Reliability Organizations: A Healthcare High Reliability Organizations, Second EditionHandbook for Patient Safety and Quality by Cynthia A. Oster and Jane S. Braaten builds onto the foundation of the first edition. In this book, you will find an overview of HRO science as an organizing framework for quality and patient safety, practical applications of HRO science, and tools that can be applied to current quality and safety practices.

Written with clinical nurses and nurse administrators in mind, Oster and Braaten provide practical tools and descriptions of practice to improve and enhance patient safety and quality outcomes. The new edition of High Reliability Organizations includes high reliability performance during a pandemic, organizational learning and tiered safety huddles, high reliability in infection prevention and ambulatory care, and much more. “At the highest level,” Braaten said, “nurses use evidence-based knowledge, relationship skills, and advocacy skills to protect patients when they are at their most vulnerable. This is the heart of high reliability.”

The goal of HRO principles in healthcare, author Cynthia Oster added, is to “provide every patient, every time, a highly reliable quality and safe experience no matter where care is provided along the healthcare continuum.”

To download a free sample chapter as well as instructor’s guide and student workbook, visit the Sigma Repository.

This book is available to purchase at

The EPUB electronic version of this book is fully accessible and in compliance with Section 508, WCAG 2.1 Level A and AA standards, making it fully compatible with assistive software for readers with print disability.

High Reliability Organizations: A Healthcare Handbook for Patient Safety
By Cynthia A. Oster, PhD, MBA, APRN, ACNS-BC, ANP, FAAN, and Jane S. Braaten, PhD, APRN, CNS, ANP, CPPS, CPHQ
Published by Sigma, 2020
ISBN-13: 9781948057776
EPUB ISBN: 9781948057783
PDF ISBN: 9781948057790
MOBI ISBN: 9781948057806
Price: US $64.95
Paperback, 576 pages
Trim size: 8.5x11

About the authors:

Cynthia A. Oster, PhD, MBA, APRN, ACNS-BC, ANP, FAAN, is a Patient Safety Nurse Scientist at Emory Healthcare and an adjunct Assistant Professor at the Nell Hodgson Woodruff School of Nursing at Emory University, Atlanta, Georgia. With 40 years of experience, she has held research, clinical, educational, and administrative positions throughout her career.

Jane S. Braaten, PhD, APRN, CNS, ANP, CPPS, CPHQ, is a Patient Safety Manager and Nurse Scientist at Centura Health. She has held positions within Centura Health as Director of Cardiology Services, Cardiac and Intensive Care Clinical Nurse Specialist, Cardiac Nurse Practitioner, and Manager/Charge RN/Staff RN of intensive care and telemetry units.

About Sigma:
The Sigma Theta Tau International Honor Society of Nursing (Sigma) is a nonprofit organization with the mission of developing nurse leaders anywhere to improve healthcare everywhere. Founded in 1922, Sigma has more than 135,000 active members and 550 chapters at institutions of higher education and healthcare partners from Armenia, Australia, and Botswana to Thailand, the United States, and Wales. Sigma members include clinical nurses and administrators, academic nurse educators and researchers, policymakers, entrepreneurs, and others working to fulfill the organization’s vision of connected, empowered nurse leaders transforming global healthcare. Learn more at