Regional Transformation: An Integrated System's Approach to Magnet Designation Utilizing High-Reliability Organization Implementation Strategies.

Background: Synergistic opportunity exists between Magnet-aspiring environments and High Reliability Organization (HRO) cultures to elevate safety, quality, new knowledge, continuous improvement, hierarchical flattening, and frontline empowerment. Local Problem: Variation existed across a region's 15 hospitals regarding Magnet-readiness, leadership engagement, journey strategies, and resource capacity. Methods: Quality improvement (QI) methodology and a hybrid-hub-spoke-model (HHSM) were used to support region-wide Magnet designation, improve patient outcomes, and advance nursing research. Interventions: HRO strategies were used region-wide to strengthen implementation and enculturation of Magnet excellence infrastructure. Results: Nine facilities achieved Magnet recognition. Magnet sites demonstrated significantly lower falls with injury (P = .012), lower health care-associated infections and hospital-acquired pressure injuries than non-Magnet sites. Nursing research studies increased 223%. Conclusions: Utilizing a HHSM and HRO strategies represent effective methods for supporting region-wide Magnet designation and continuous QI. [ABSTRACT FROM AUTHOR]