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psnet.ahrq.gov/node/40955/psn-pdf
March 08, 2017 - Kaiser Permanente's performance improvement system,
part 4: creating a learning organization. … Kaiser Permanente's performance improvement system, Part 4:
Creating a learning organization. … //psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating-
learning-organization … discusses Kaiser Permanente's efforts to develop a performance improvement system and
become a learning organization … https://psnet.ahrq.gov/issue/building-learning-organization
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - Organized Delivery Systems, which
was a consortium that commissioned research to improve care within their organizations … Sarah Mossburg: What structures and processes do organizations need to have in place to facilitate a … There is a
paper led by Carol Lannon that looks at a maturity grid for learning networks.11
Organizations … As long as healthcare organizations keep
investing in it, that should say they are getting something … Sarah Mossburg: For organizations that are just starting, what advice would you have for them to move
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - Do we have an
organization where staff feel comfortable reporting? … Do we have a learning organization where we are thinking about improvement? … I encourage organizations to use the tools that their
organization is ready for. … There is also a lot of innovation with organizations using RCA2. … Where do healthcare organizations tend to struggle or succeed?
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psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
November 10, 2017 - Classic
Just Culture: Restoring Trust and Accountability in Your Organization … Citation Text:
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition … Citation
Citation Text:
Just Culture: Restoring Trust and Accountability in Your Organization
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psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - licensing
physicians, nurses, and pharmacists; and the Joint Commission on Accreditation of Healthcare
Organizations … We
decided that patient safety was and is the work of the organization, not an activity that could be … We developed durable partnerships with sister
organizations in our community. … Medical Errors and from our participation with the
Institute for Healthcare Improvement (IHI) and other organizations … We have high levels of staff and patient satisfaction compared with peer organizations, with low
staff
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psnet.ahrq.gov/node/48026/psn-pdf
July 10, 2019 - https://psnet.ahrq.gov/issue/network-patient-safety-databases
The Patient Safety Organization (PSO) … This website presents data submitted from PSOs and
other organizations in chartbooks and dashboards. … //psnet.ahrq.gov/issue/network-patient-safety-databases
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/39063/psn-pdf
December 17, 2009 - Improving patient safety requires development of a culture of safety and transformation into a learning
organization—one … and the descriptive nature of most studies, reducing the
generalizability of these studies for other organizations … safety-and-risk-management-interventions-hospitals-systematic-review-literature
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/building-learning-organization … https://psnet.ahrq.gov/issue/building-learning-organization
https://psnet.ahrq.gov/primer/reporting-patient-safety-events … https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - licensing physicians, nurses, and pharmacists; and the Joint Commission on Accreditation of Healthcare Organizations … We decided that patient safety was and is the work of the organization, not an activity that could be … We developed durable partnerships with sister organizations in our community. … Errors and from our participation with the Institute for Healthcare Improvement (IHI) and other organizations … We have high levels of staff and patient satisfaction compared with peer organizations, with low staff
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psnet.ahrq.gov/node/37989/psn-pdf
August 13, 2008 - New patient safety organizations lower roadblocks to
medical error reporting. … New patient safety organizations lower roadblocks to medical error reporting. … https://psnet.ahrq.gov/issue/new-patient-safety-organizations-lower-roadblocks-medical-error-reporting … This article explains how AHRQ's Patient Safety Organization (PSO) initiative will help dismantle barriers … https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - Becoming a high-reliability organization through shared learning of safety events
Klenklen J. … Kaiser Permanente's performance improvement system, part 4: creating a learning organization. … discusses Kaiser Permanente's efforts to develop a performance improvement system and
become a learning organization … Becoming a high-reliability organization through shared learning of safety events
Klenklen J. … Kaiser Permanente's performance improvement system, part 4: creating a learning organization.
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psnet.ahrq.gov/node/35069/psn-pdf
June 22, 2009 - Towards an organization with a memory: exploring the
organizational generation of adverse events in … Towards an organization with a memory: exploring the organizational generation of
adverse events in … https://psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse- … https://psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care … https://psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
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psnet.ahrq.gov/node/47161/psn-pdf
July 25, 2018 - Quality and the health system: becoming a high reliability
organization. … Quality and the health system: becoming a high reliability organization. … https://psnet.ahrq.gov/issue/quality-and-health-system-becoming-high-reliability-organization
The high … reliability organization concept that guides safety in high-risk industries has yet to be universally … https://psnet.ahrq.gov/issue/quality-and-health-system-becoming-high-reliability-organization
https:/
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psnet.ahrq.gov/node/43855/psn-pdf
April 15, 2016 - Perioperative safety in plastic surgery: is the World
Health Organization checklist useful in a broad … Perioperative Safety in Plastic Surgery: Is the World Health
Organization Checklist Useful in a Broad … https://psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful … -
broad
Implementation of the World Health Organization surgical safety checklist did not affect complication … https://psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful-broad
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psnet.ahrq.gov/issue/using-targeted-solutions-tool-wrong-site-surgery-your-organization-risk
February 29, 2012 - Published February 29, 2012
Using the Targeted Solutions Tool for wrong site surgery: is your organization
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - Kendall Hall: Please kick us off by introducing yourselves and your organization. … We help organizations to build patient and family advisory programs. … We listen to what the priorities are
for that particular hospital or organization. … Right
now, we rely on community-based organizations for that insight, but they don’t have any capacity … For organizations that are new to PFE,
it’s a perfectly fine place to start just tracking everything
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psnet.ahrq.gov/node/866248/psn-pdf
July 10, 2024 - Did the organization of primary care practices during the
COVID-19 pandemic influence quality and safety … Did the organization of primary care practices during the
COVID-19 pandemic influence quality and safety … https://psnet.ahrq.gov/issue/did-organization-primary-care-practices-during-covid-19-pandemic-influence … https://psnet.ahrq.gov/issue/did-organization-primary-care-practices-during-covid-19-pandemic-influence-quality-and-safety … https://psnet.ahrq.gov/issue/did-organization-primary-care-practices-during-covid-19-pandemic-influence-quality-and-safety
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - or severe temporary harm). 3
Resources Used and Skills Needed
When implementing this innovation, organizations … Use By Other Organizations
The innovator has received regular inquiries from other EDs about their … suicide and care pathways within the innovating organization, if possible. … In addition, the innovating organization should conduct a gap analysis. … Resources Used and Skills Needed
When implementing this innovation, organizations should consider the
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psnet.ahrq.gov/issue/engaging-patients-patient-safety-advocacy-brief
January 29, 2019 - Geneva; World Health Organization; December 2023. ISBN: 9789240081987. … Geneva; World Health Organization; December 2023. ISBN: 9789240081987. … This publication spotlights actions that various types of organizations and leaders can take to develop … Geneva; World Health Organization; December 2023. ISBN: 9789240081987.
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psnet.ahrq.gov/node/73602/psn-pdf
August 18, 2021 - https://psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
Patient safety organizations … issue/child-health-pso-10-years-emerging-learning-network
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program … https://psnet.ahrq.gov/issue/child-health-patient-safety-organization
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psnet.ahrq.gov/node/46863/psn-pdf
December 05, 2024 - December 5, 2024
Child Health Patient Safety Organization. … annual publication provides common cause analyses of incidents submitted to a pediatric patient
safety organization … psnet.ahrq.gov/issue/common-cause-analysis
https://psnet.ahrq.gov/issue/child-health-patient-safety-organization … https://psnet.ahrq.gov/issue/child-health-patient-safety-organization
https://psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience