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psnet.ahrq.gov/issue/who-draft-guidelines-adverse-event-reporting-and-learning-systems
October 21, 2010 - Geneva, Switzerland: World Health Organization; 2005. … Geneva, Switzerland: World Health Organization; 2005. … Geneva, Switzerland: World Health Organization; 2005.
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Carole Stockmeier: For over 20 years, I’ve had the pleasure of helping healthcare organizations learn … In a learning organization, an event of harm creates a zero harm gap that we yearn to close. … You just spoke to the fact that harm does happen even in organizations that have a zero-harm goal. … And, when we do have an event of harm, the role of the leader is to help the organization pick itself … Toward zero harm: Mackenzie Health’s journey toward becoming a high reliability organization and eliminating
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psnet.ahrq.gov/training-catalog/medical-mistakes-and-what-doctors-can-learn-pilots
July 21, 2025 - Print
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Organization … :
Organization
American Academy of Ophthalmology
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psnet.ahrq.gov/training-catalog/leading-healthcare-quality-and-safety
September 14, 2025 - Print
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Organization … :
Organization
Coursera
Event Description: Ensuring
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psnet.ahrq.gov/node/38155/psn-pdf
July 03, 2013 - patient-safety-and-quality-improvement-final-rule
This final rule outlines how to become a Patient Safety Organization … issue/patient-safety-and-quality-improvement-final-rule
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Health care organizations struggle with too many
competing demands to make safety the only workplace … Accreditation and awarding organizations come up with neat little checklists to
quantify it for their … First and foremost, this science pushes us to
view the organization as a collection of routines and … Collective mind in organizations: heedful interrelating on flight decks. … The Fifth Discipline: The Art & Practice of the Learning Organization. New York, NY.
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psnet.ahrq.gov/training-catalog/capture-falls-collaboration-and-proactive-teamwork-used-reduce-falls-program
August 11, 2025 - Print
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Organization … :
Organization
University of Nebraska College of Allied Health Professions
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psnet.ahrq.gov/node/39076/psn-pdf
March 26, 2014 - still-hard-share-psos-making-progress-still-face-tech-hurdles
This article discusses the AHRQ Patient Safety Organization … still-hard-share-psos-making-progress-still-face-tech-hurdles
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/46769/psn-pdf
November 07, 2018 - kentucky-institute-patient-safety-and-quality
The Kentucky Institute for Patient Safety and Quality offers the support of a patient safety organization … psnet.ahrq.gov/issue/kentucky-institute-patient-safety-and-quality
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/training-catalog/medicine-patient-safety-conference-2025
January 01, 2025 - Print
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Organization … :
Organization
George Washington University School of Medicine and Health
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - Psychological Safety in High-Reliability Organizations and Healthcare Settings
Optimizing patient safety … High-reliability organizations (HROs) adopt many learning approaches following
safety incidents that … psychological safety with a focus on mental health organizations. … form of assessment for measuring psychological safety, but modified surveys at the
individual and organization … The Fearless Organization: Creating Psychological Safety in the Workplace for
Learning, Innovation,
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psnet.ahrq.gov/issue/national-patient-safety-alerting-system
April 15, 2020 - Francis report , this three-stage reporting system was launched to help National Health Service organizations … The first stage alerts organizations of a new patient safety hazard , the second distributes practices … 24, 2019
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization … May 1, 2016
Patient Safety Organization (PSO) Program.
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - However, some health care
organizations still fail to recognize that, within each system, multiple interlinked … After analyzing serious errors, organizations try to "fix" the cause of the error by concentrating their … Organizations often develop error prevention strategies following a serious event that focus solely on … The Fifth Discipline: The Art and Practice of the Learning Organization. … Key Elements That Organizations Should Consider When Developing System Strategies to Reduce
or Eliminate
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psnet.ahrq.gov/issue/safety-climate-new-developments-conceptualization-theory-and-research
July 14, 2021 - Related Resources From the Same Author(s)
How can regulatory authorities improve safety in organizations … Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - We partner with like-minded, high-quality organizations to complement the services we offer to the
community … They were conducting interviews with organizations
about the impact of patient and family engagement … At our organization, it begins with our students and with our recruiting. … With patient safety, organizations often start and stop, start and stop, try different things, but this … The CEO had to challenge the leadership of the organization.
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - Background High reliability organizations (HRO) are organizations that operate in complex, high-hazard … standardization: high reliability is better described as a condition of persistent mindfulness within an organization … Characteristics of High Reliability Organizations High reliability organizations use systems thinking … in their report of practices employed by hospitals in the High Reliability Organization Learning Network … Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.
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psnet.ahrq.gov/training-catalog/save-date-qsc-2025
January 01, 2025 - Print
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Organization … :
Organization
American College of Surgeons (ACS)
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psnet.ahrq.gov/training-catalog/safety-pediatric-dental-care
August 10, 2025 - Print
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Organization … :
Organization
American Academy of Pediatric Dentistry
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - The Joint Commission does not operate health care organizations, nor does it design organization
systems … its surgery Universal Protocol do
provide both general and prescriptive guidance as to how specific organization … Good organization systems are designed by and "owned" by organizations themselves. … Here, the Universal Protocol frames the system expectations, and the
organization designs the system … Joint Commission
on Accreditation of Healthcare Organizations Web site.
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psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review
November 15, 2023 - Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887. … Linkedin
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March 20, 2024
Geneva, Switzerland: World Health Organization … Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887.