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ACP Certificate - Science of High Reliability

10 Total CME


Defined simply, “high reliability” is the study of human performance in complex systems. Introducing The Science of High Reliability, taught by Jeff Norton, an AAPL DE Self Study in which Physician Leaders will explore the systems thinking, analysis of serious safety events, and techniques to minimize mistakes. 

Examining topics like “how human error and latent system weakness combine to cause loss events in healthcare”, “the five behavior-shaping factors of reliable systems”, and “the three steps to culture change”, this curriculum will help physicians to both identify current failures and facilitate positive change in the healthcare organizations in which they work.  

Ultimately, The Science of High Reliability covers strategies and tactics to recognize impactful opportunities, change organizational culture, improve team performance, and exhibit leadership behaviors.

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    Course Objectives

    • Define reliability, and describe how reliability can be measured and expressed.
    • Describe how human errors and latent system weaknesses combine to cause events using Reason’s Swiss Cheese Effect.
    • Describe how culture can shape behavior and prevent human error using Cook and Wood’s Sharp End model.
    • Provide examples of the five (5) behavior-shaping factors and three (3) steps to culture change.
    • Explain both safety and leader behaviors, and their selection process, within a hospital, service line or single unit.
    • Examine leader behaviors and their use within high reliability organizations.
    • Recognize impactful culture change opportunities (e.g., incident reporting, stopping the line, visual control, data movement/presentation, pattern recognition)

    Method of Participation

    To complete this program successfully and claim credit, participants must follow these steps:

    • Read the educational objectives provided on the course summary page.
    • Attend the sessions or watch all the video lectures for this course (if applicable).
    • Read any course materials and complete any required activities.
    • Complete the course evaluation and post-test via your dashboard on the Association website. Successful completion of a given activity's post-test requires a minimum 75% passing score prior to claiming CME credit, with three attempts allowed.
    • CME certificates will be available for printing after claiming CME credit.
    • Estimated time for course completion is equivalent to the CME credit hours.

    Key Dates

    Original Course Release Date: February 2022

    Course Expiration Date: February 2025

    Access to Course Expires: 365 days from date of purchase



    Planner Disclosure: The planners (American Association for Physician Leadership® staff) for this activity have no relevant financial relationships with commercial interests to disclose.

    Faculty Disclosure: The faculty for this activity have no relevant financial relationships with commercial interests to disclose.


    The American Association for Physician Leadership® is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for physicians.


    The American Association for Physician Leadership® designates this enduring material for a maximum of 10 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Cancellation Policy

    • Refunds are available for online courses if the refund is requested within a 72-hour period after purchase and no course materials have been accessed.
    • If the course is accessed at any time, no cancellation or refund will be allowed.
    • If registrations are cancelled within 72 hours of purchase and no access of course material has occurred, then a full refund less a $100 processing fee will be applied.
    • Once 72 hours have passed after purchase, no cancellations or refunds will be allowed.

    Registrations may not be transferred to another person at any time. All refunds will be issued to the original form of payment. Refunds or transfers are not available if testing has occurred or CME is claimed.

    Through the American Board of Medical Specialties (“ABMS”) ongoing commitment to increase access to practice relevant Maintenance of Certification (“MOC”) Activities through the ABMS Continuing Certification Directory, Science of High Reliability has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) and/or an MOC Part II Self-Assessment Activity for the following ABMS Member Boards:

    ABMS MOC Part II CME Activity

    Allergy and Immunology
    Colon & Rectal Surgery
    Family Medicine
    Nuclear Medicine
    Plastic Surgery
    Preventive Medicine
    Psychiatry & Neurology
    Thoracic Surgery

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