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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Another problem I have with zero harm is that setting idealized goals is not how organizations become … best practices throughout the organization. … I would just say it's not by holding organizations accountable for zero as a goal, it's going to be through … Eric Thomas: There could be organizations that have the resources to try realistically to move toward … It is rare that we have organizations staffed by leaders that can do that.
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psnet.ahrq.gov/node/73499/psn-pdf
July 14, 2021 - July 14, 2021
Health Ethics & Governance, World Health Organization. … Geneva, Switzerland: World Health
Organization; 2021.
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psnet.ahrq.gov/node/851452/psn-pdf
July 19, 2023 - Prescribing errors were categorized as prescriber-, prescription-, technology-, or organization-related … Most errors were organization-related.
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psnet.ahrq.gov/node/850360/psn-pdf
June 14, 2023 - Based on
2,073 oxytocin-related medication errors reported to one patient safety organization, the authors … taking-closer-look-medication-errors-involve-oxytocin
https://psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
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psnet.ahrq.gov/node/837516/psn-pdf
June 22, 2022 - psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
A baseline expectation in a safe organization … systematic-review-factors-enable-psychological-safety-healthcare-teams
https://psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-innovation-and-growth
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psnet.ahrq.gov/node/837707/psn-pdf
July 20, 2022 - patient safety efforts in the United States lack urgency and commitment, even as the World Health
Organization … They call on policy makers and safety agencies to collaborate with the
Patients for Patient Safety US organization
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psnet.ahrq.gov/issue/global-report-epidemiology-and-burden-sepsis-current-evidence-identifying-gaps-and-future
September 30, 2020 - Geneva, Switzerland; World Health Organization: September 2020. ISBN 9789240010789. … Linkedin
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October 7, 2020
Geneva, Switzerland; World Health Organization … Geneva, Switzerland; World Health Organization: September 2020. ISBN 9789240010789.
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psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
July 14, 2021 - World Health Organization. … Facebook
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May 9, 2013
World Health Organization … World Health Organization.
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psnet.ahrq.gov/issue/health-worker-safety-priority-patient-safety
October 07, 2020 - Geneva, Switzerland: World Health Organization; September 17, 2020. … Linkedin
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September 30, 2020
Geneva, Switzerland: World Health Organization … Geneva, Switzerland: World Health Organization; September 17, 2020.
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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - up to 27% of these findings are related to the first diagnosis of malignancies. 2 The innovating organization … the 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 at … and maintaining current patients, via the follow-up plans developed for the patients 3
Use by Other Organizations
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psnet.ahrq.gov/node/74848/psn-pdf
February 16, 2022 - This organization supports
community efforts in the United States to engage policymakers in work toward … It will build its efforts on the World Health Organization plan by
moving forward with a framework to
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psnet.ahrq.gov/node/39946/psn-pdf
October 20, 2023 - include reduction both fall
and blood- or blood-product events reported to the state patient safety organization … psnet.ahrq.gov/issue/mha-keystone-center-patient-safety-and-quality
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - Regina Hoffman: Collaborative learning is a foundational piece of our organization and many other
organizations … Organizations must have an infrastructure in place to
collect information from various sources, whether … What actions are you
taking as an organization to make sure that this does not happen again? … The information that Patient Safety Organizations
(PSOs) receive is intended to be protected under the … There is some level of taking
that information and using it to inform healthcare organizations of ways
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psnet.ahrq.gov/node/837511/psn-pdf
June 22, 2022 - striving-high-reliability-healthcare-qualitative-study-implementation-hospital-
safety
Achieving high reliability is a goal for every healthcare organization … psnet.ahrq.gov/primer/high-reliability
https://psnet.ahrq.gov/issue/development-and-expression-high-reliability-organization
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psnet.ahrq.gov/node/73696/psn-pdf
September 15, 2021 - collaborative
Based on analysis of four years of data submitted to the Child Health Patient Safety Organization … factors-related-serious-safety-events-childrens-hospital-patient-safety-collaborative
https://psnet.ahrq.gov/issue/child-health-patient-safety-organization
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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - , or does the organization begin to tolerate it, which ultimately makes it at risk because it turns a … Organizations must educate the professionals in the workforce to understand the risks, and ultimately … Our organization is still in the process of incorporating just culture principles into policies, but … Some organizations would punish the nurse (i.e., retrain, reprimand, or dismiss) because she violated … Just culture principles and tools provide a useful and necessary construct to aid organizations in dealing
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psnet.ahrq.gov/issue/returning-roots-culture-review-and-re-conceptualisation-safety-culture
December 16, 2020 - Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization … January 17, 2018
Postoperative adverse events inconsistently improved by the World Health Organization
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psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
March 09, 2022 - Geneva, Switzerland; World Health Organization; May 5, 2022. … Twitter
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May 25, 2022
Geneva, Switzerland; World Health Organization … Geneva, Switzerland; World Health Organization; May 5, 2022.
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psnet.ahrq.gov/node/47926/psn-pdf
May 22, 2019 - May 22, 2019
Canadian Patient Safety Institute and Health Standards Organization. … The framework was
developed in consultation with health leaders, policy makers, health teams, organization
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - I think a lot of
organizations didn't take that step of fixing the workflows first. … They talked to other organizations. … In a lot of organizations they've really underinvested in that training. … MG: Well, it probably depends on how large the organization is. … These
are tough changes for people and organizations to really make happen.