-
psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
July 14, 2018 - Study
Implementation of a high-reliability organization framework in a large integrated … Implementation of a high-reliability organization framework in a large integrated health care system: … 2019, the VA implemented a system-wide quality improvement initiative to become a high reliability organization … Implementation of a high-reliability organization framework in a large integrated health care system: … October 2, 2024
Bad behavior in healthcare: an insidious threat to patients, staff, and organizations
-
psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-innovation-and-growth
May 16, 2012 - Book/Report
Classic
The Fearless Organization: Creating … Citation Text:
The Fearless Organization: Creating Psychological Safety in the Workplace for Learning … This book provides a framework for leaders to develop psychological safety in their organization. … Copy URL
Cite
Citation
Citation Text:
The Fearless Organization … Copy Citation
Related Resources From the Same Author(s)
Teaming: How Organizations
-
psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
February 22, 2010 - Commentary
Towards an organization with a memory: exploring the organizational generation … Towards an organization with a memory: exploring the organizational generation of adverse events in health … Towards an organization with a memory: exploring the organizational generation of adverse events in health … November 28, 2018
Creating complex health improvement programs as mindful organizations … April 8, 2011
Patient Safety Organizations: a new paradigm in quality management and
-
psnet.ahrq.gov/issue/charter-professionalism-health-care-organizations
May 25, 2016 - Commentary
The Charter on Professionalism for Health Care Organizations. … The Charter on Professionalism for Health Care Organizations. … This commentary describes the development of guidance to help organizations foster partnerships with … patients and the community , establish a collective mindset across the organization, and create the … The Charter on Professionalism for Health Care Organizations.
-
psnet.ahrq.gov/issue/how-and-when-organization-identification-promotes-safety-voice-among-healthcare-professionals
September 15, 2021 - Study
How and when organization identification promotes safety voice among healthcare … How and when organization identification promotes safety voice among healthcare professionals. … In this study, staff members from a disability healthcare organization in Australia responded to a questionnaire … How and when organization identification promotes safety voice among healthcare professionals. … 2022
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization
-
psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
May 21, 2019 - Commentary
Classic
The collapse of sensemaking in organizations … The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. … ultimately perished, Weick examines the disintegration of role structure and sensemaking within an organization … The purpose is to understand why organizations unravel and how they become more resilient. … The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster.
-
psnet.ahrq.gov/issue/asset-based-quality-improvement-tool-health-care-organizations-cultivating-organization-wide
September 16, 2020 - Commentary
An asset-based quality improvement tool for health care organizations: … cultivating organization wide quality improvement and health care professional engagement. … An asset-based quality improvement tool for health care organizations: cultivating organization wide … An asset-based quality improvement tool for health care organizations: cultivating organization wide … 2017
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations
-
psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
June 19, 2024 - Commentary
Building accountability through patient safety organizations. … Building accountability through patient safety organizations. … This commentary introduces the Patient Safety Improvement Act of 2005 , discusses patient safety organization … Building accountability through patient safety organizations. … September 11, 2009
Patient safety organizations ready for action.
-
psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
June 14, 2023 - Commentary
An organization-specific and modifiable inpatient safety composite measure … An Organization-Specific and Modifiable Inpatient Safety Composite Measure. … An Organization-Specific and Modifiable Inpatient Safety Composite Measure. … October 12, 2022
Learning from safety incidents in high reliability organizations: a
-
psnet.ahrq.gov/issue/what-extent-world-health-organizations-medication-safety-challenge-being-addressed-english
November 02, 2022 - is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations … is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations … In 2017, the World Health Organization (WHO) introduced the third Global Patient Safety Challenge , … is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations
-
psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
March 29, 2023 - Classic
Postoperative adverse events inconsistently improved by the World Health Organization … Postoperative adverse events inconsistently improved by the World Health Organization surgical safety … The World Health Organization surgical safety checklist garnered a great deal of attention after initial … Postoperative adverse events inconsistently improved by the World Health Organization surgical safety … September 21, 2023
Factors causing variation in World Health Organization surgical safety
-
psnet.ahrq.gov/issue/learning-action-guide-putting-learning-organization-work
July 24, 2018 - Classic
Learning in Action: A Guide to Putting the Learning Organization … Citation Text:
Learning in Action: A Guide to Putting the Learning Organization to Work. … Cite
Citation
Citation Text:
Learning in Action: A Guide to Putting the Learning Organization … Citation
Related Resources From the Same Author(s)
Working Knowledge: How Organizations … See More About The Topic
Pharmacists
Non-Health Care Professionals
Learning Organization
-
psnet.ahrq.gov/issue/error-reporting-organizations
May 24, 2006 - Commentary
Error reporting in organizations. … Citation Text:
Error reporting in organizations. Zhao B; Olivera F. … URL
Cite
Citation
Citation Text:
Error reporting in organizations … June 22, 2022
Risk mitigation in large scale systems: lessons from high reliability organizations
-
psnet.ahrq.gov/issue/perioperative-safety-plastic-surgery-world-health-organization-checklist-useful-broad
September 23, 2020 - Study
Perioperative safety in plastic surgery: is the World Health Organization checklist … Perioperative Safety in Plastic Surgery: Is the World Health Organization Checklist Useful in a Broad … Implementation of the World Health Organization surgical safety checklist did not affect complication … Perioperative Safety in Plastic Surgery: Is the World Health Organization Checklist Useful in a Broad
-
psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
March 08, 2023 - Study
Spinal surgery complications: an unsolved problem-Is the World Health Organization … Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist … The World Health Organization Surgical Safety Checklist has been previously studied in various surgical … Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist
-
psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
February 12, 2020 - Newspaper/Magazine Article
Becoming a high-reliability organization through shared … learning of safety events
Citation Text:
Becoming a high-reliability organization through … High reliability organizations consistently examine what goes wrong and remain aware that failure … Cite
Citation
Citation Text:
Becoming a high-reliability organization
-
psnet.ahrq.gov/node/33731/psn-pdf
June 01, 2012 - conversation-charles-vincent-mphil-phd
tapestry of policies and initiatives by many actors—accreditors, non-governmental … organizations,
foundations, and others—each using their particular levers to influence the field (Table … World
Health Organization. [Available at]
21. … Some examples of organizations that influenced the patient safety landscape in the United
States. … (Go to table citation in the text)
Organization Organization Type
Examples of Initiative in Response
-
psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - contributed to patient safety in your organization or the organizations you have worked with. … I would ask, is an organization really a highly reliable organization if it is dependent on any single … I am wondering how organizations can validate that assertion. … in their work and their organization. … , achieve safety and have come to describe a mode of organization called high reliability organizations
-
psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
July 28, 2013 - Book/Report
Classic
The Limits of Safety: Organizations … Citation Text:
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. … Two competing paradigms dominate the study of the hazards associated with complex organizations. … identifies key factors contributing to these records, including a high priority for safety within the organization … The Topic
Quality and Safety Professionals
Safety Scientists
Policy Makers
Learning Organization
-
psnet.ahrq.gov/issue/implementing-high-reliability-organization-principles-practice-rapid-evidence-review
October 21, 2020 - Review
Implementing high-reliability organization principles into practice: a rapid … Implementing high-reliability organization principles into practice: a rapid evidence review. … This review expands upon previous work evaluating implementation strategies for high-reliability organizations … Implementing high-reliability organization principles into practice: a rapid evidence review. … October 21, 2020
A high-reliability organization framework for health care: a multiyear