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psnet.ahrq.gov/node/60195/psn-pdf
April 01, 2020 - what-every-health-lawyer-should-know-about-patient-safety-and-quality-
improvement-act-2005
Patient safety organizations … what-every-health-lawyer-should-know-about-patient-safety-and-quality-improvement-act-2005
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program … https://psnet.ahrq.gov/issue/choosing-patient-safety-organization
https://psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement
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psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
January 21, 2011 - Commentary
Organization and representation of patient safety data: current status … Organization and representation of patient safety data: current status and issues around generalizability … Organization and representation of patient safety data: current status and issues around generalizability
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psnet.ahrq.gov/node/72837/psn-pdf
September 01, 2022 - Steering Committee members consist
of two representatives from each organization: one representing the … costs associated with the intervention, the programs require
ongoing financial support from their organizations … Additionally, interested organizations may be able to identify opportunities for enhanced
reimbursement … disorder services under behavioral health services.5
Adoption Considerations Use by Others (Use By Other Organizations … )
Within the Portland metro area, there are four organizations participating in Project Nurture: Kaiser
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
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. … That first step is figuring out the strategic priorities that the organization is really focused on. … Quality Improvement Organizations. Accessed February 1, 2021.
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - Those organizations with safety directors, or even lower in the organization, safety managers, need to … in their organizations to turn it into real actions that change the environment. … AF: If you're in a small organization you're going to wear multiple hats. … Very few organizations actually achieve that. … In an organization like that, it has less to do with the intelligence of anyone in the organization and
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psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-errors-role-pharmacovigilance-centres
May 18, 2022 - Geneva, Switzerland: World Health Organization; October 2014. ISBN: 9789241507943. … Geneva, Switzerland: World Health Organization; October 2014. ISBN: 9789241507943. … Drawing from the experience of national organizations working to reduce medication errors , this report … Geneva, Switzerland: World Health Organization; October 2014. ISBN: 9789241507943.
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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - Responses are framed with discussion of six thought processes that must occur at an organization for … reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations … and Administrators
Organizational Behaviorists
Policy Makers
Root Cause Analysis
Learning Organization
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psnet.ahrq.gov/issue/rise-patient-safety-organizations
September 29, 2017 - Newspaper/Magazine Article
The rise of patient safety organizations. … Citation Text:
The rise of patient safety organizations. Ivill DS, Kearbey AH. New York Law J. … This news feature discusses legal aspects of Patient Safety Organizations ' (PSO) role in data collection … Cite
Citation
Citation Text:
The rise of patient safety organizations
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psnet.ahrq.gov/node/45480/psn-pdf
November 16, 2016 - Improving patient safety reporting with the common
formats: common data representation for Patient Safety
Organizations … Improving patient safety reporting with the common formats:
Common data representation for Patient Safety Organizations … This commentary introduces the Patient Safety Organization program, including its work to collect data … //psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/issue/engaging-frontline-staff-performance-improvement-american-organization-nurse-executives
February 13, 2008 - Study
Engaging frontline staff in performance improvement: the American Organization … Engaging Frontline Staff in Performance Improvement: The American Organization of Nurse Executives Implementation … Engaging Frontline Staff in Performance Improvement: The American Organization of Nurse Executives Implementation
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psnet.ahrq.gov/issue/associations-patient-safety-outcomes-models-nursing-care-organization-unit-level-hospitals
August 20, 2014 - Study
Associations of patient safety outcomes with models of nursing care organization … Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals … Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals
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psnet.ahrq.gov/node/37590/psn-pdf
April 13, 2018 - Just Culture: Restoring Trust and Accountability in Your
Organization, Third Edition. … https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition … https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - There's literature and a lot of analysis of high reliability organizations—organizations that deal with … at every level knows they have a critical role to play in safety in that organization. … Well, no high reliability organization on the planet has an entirely blame-free culture. … organization and makes the accreditation work much harder, I would think. … That's where high reliability organizations are.
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psnet.ahrq.gov/node/47092/psn-pdf
October 13, 2018 - organizational-response-known-medical-errors-does-peer-review-protection-
impede-improvement
Patient safety organizations … explored communication activities from
the Pennsylvania Patient Safety Authority to determine how organizations … The authors conclude that even with confidentiality protections, health care organizations remain reluctant … organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program … whats-past-prologue-organizational-learning-serious-patient-injury
https://psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
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psnet.ahrq.gov/node/37334/psn-pdf
February 01, 2011 - A framework for health care organizations to develop and
evaluate a safety scorecard. … A framework for health care organizations to develop and
evaluate a safety scorecard. … https://psnet.ahrq.gov/issue/framework-health-care-organizations-develop-and-evaluate-safety-scorecard … , and Can this measure be used to improve safety in the organization? … tracking-progress-patient-safety-elusive-target
https://psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
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psnet.ahrq.gov/node/34661/psn-pdf
March 07, 2005 - teaching-smart-people-learn
Argyris, a Harvard Business School professor, theorizes that companies and organizations … As individuals, they
effectively analyze and problem solve within the organization but become defensive … design and implement their actions and to develop a deeper understanding
of their role within the organization
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psnet.ahrq.gov/node/47165/psn-pdf
June 13, 2018 - https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
In learning organizations … issue/changing-how-we-think-about-healthcare-improvement
https://psnet.ahrq.gov/issue/building-learning-organization … issue/quality-improvement-series
https://psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - fact, up to 27% of these findings are related to the first
diagnosis of malignancies.2 The innovating organization … physician’s notes, 2) determining whether the patient is in or out of
network with the innovating organization … Obtaining leader support and buy-in from the organization is necessary. … The month before launch, the innovating organization introduced the innovation to the ED clinicians … and
maintaining current patients, via the follow-up plans developed for the patients3
Use by Other Organizations
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psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - Quality Improvement Organizations. Accessed February 1, 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. … That first step is figuring out the strategic priorities that the organization is really focused on.
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - Ideally, patient safety leaders in the organization are invited to attend huddles periodically to keep … them updated on the huddle process and current and emerging safety issues across the organization. … Pocket card with patient safety huddle agenda
Current Context High reliability organizations … 3,4 Although this primer focuses on huddles as a mechanism to ensure patient safety in health care organizations … Related Glossary Term(s)
Mindfulness
Situational Awareness
High Reliability Organizations