This document contains slides from a presentation by "e-Patient Dave" on engaging patients in high reliability organizations. The presentation discusses how patients can contribute to situational awareness, one of the key principles of HROs, by identifying errors or inconsistencies in their own medical records and test results. It also argues that for patients to truly be partners, they need access to the same medical information as clinicians. However, there are cultural obstacles to sharing information with patients, such as concerns that it will lead to time-wasting questions. Studies show that when patients are given access to doctors' notes, the vast majority want to continue having access and feel it would influence their choice of providers.