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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - Boardsno matter the type of organization or industryrepresent the owner. … JR: Well, it's a matter of channeling attention in the organization. … And when boards do get this bit in their teeth, it changes the agenda within the organization in very … Organizations that successfully manage transformational change always demonstrate strong leadership from … In these organizations, leadership is able to successfully communicate a clear case for change, create
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - Organizations that successfully manage transformational change always demonstrate strong leadership from … In these organizations, leadership is able to successfully communicate a clear case for change, create … a compelling vision of the way things ought to be, and guide the organization through the inevitable … Boardsno matter the type of organization or industryrepresent the owner. … JR: Well, it's a matter of channeling attention in the organization.
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - checklists and tools like I-PASS to facilitate communication among healthcare professionals within an organization … both communication during transitions of care and to foster an overall culture of safety within an organization … Implementation of TeamSTEPPS training within an organization can improve patient safety, reduce clinical … error rates , improve patient satisfaction, and emphasize a wider culture of safety within an organization … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
September 21, 2022 - February 15, 2023
Development and expression of a high-reliability organization. … Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/issue/gaps-specialists-diagnoses
July 28, 2021 - August 25, 2021
Pain management best practices from multispecialty organizations during … Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta-analyses
January 08, 2020 - May 19, 2014
Keeping patients safe in healthcare organizations: a structuration theory … 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/73700/psn-pdf
September 15, 2021 - psnet.ahrq.gov/issue/preliminary-study-patient-safety-and-quality-use-cases-icd-11-mms
The World Health Organization … preliminary-study-patient-safety-and-quality-use-cases-icd-11-mms
https://psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd
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psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
June 18, 2013 - This book provides a discussion of how organizations can learn from failure and implement procedures … May 24, 2016
Creating complex health improvement programs as mindful organizations: from … December 19, 2011
Is yours a learning organization? … The Topic
Health Care Executives and Administrators
Organizational Behaviorists
Learning Organization
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psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - 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/standardizing-patient-safety-taxonomy
September 06, 2011 - consensus standards that support the application of the Joint Commission on Accreditation of Healthcare 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/issue/indiana-medical-error-reporting-system
October 03, 2017 - August 17, 2016
An asset-based quality improvement tool for health care organizations … : cultivating organization wide quality improvement and health care professional engagement. … 7, 2016
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - RW : When you started at IHI, the organization was small and the worlds of safety and quality were also … What was it for your organization? … Why is it so challenging to spread it even within a single health care organization? … I'll raise a couple of tensions that you and the organization sometimes find yourselves in the middle … By 2018, we're predicting that we'll be partnering with other organizations around the country, around
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psnet.ahrq.gov/node/74111/psn-pdf
November 24, 2021 - impact-who-surgical-safety-checklist-relative-its-design-and-intended-use-
systematic-review
The World Health Organization … surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
https://psnet.ahrq.gov/issue/impact-world-health-organization-surgical-safety-checklist-patient-safety
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psnet.ahrq.gov/node/73921/psn-pdf
October 06, 2021 - systematic review of interventions used to enhance
implementation of and compliance with the World Health
Organization … systematic review of interventions used to enhance implementation of and
compliance with the World Health Organization
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psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
May 11, 2022 - Healthcare organizations use multiple proactive and reactive methods of investigating and preventing … December 2, 2020
An asset-based quality improvement tool for health care organizations … : cultivating organization wide quality improvement and health care professional engagement. … Improving Diagnostic Safety and Quality
April 26, 2023
Adopting high reliability organization
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - The organization is responsible for training and assessing clinician competencies for technology
and … Organizations must have ongoing competency assessment and technology training to
support optimal performance … Other tools that organizations can use to prevent these errors include teamwork training and efforts … With the establishment of performance measurement for inpatient glycemic control (3,12), organizations … inadequate training of clinicians on technology are safety threats that must be
actively dealt with by organizations
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psnet.ahrq.gov/issue/patient-safety-and-professional-discourses-implications-interprofessionalism
March 08, 2023 - A sociocultural perspective on learning from incidents in healthcare 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/issue/prehospital-naloxone-and-emergency-department-adverse-events-dose-dependent-relationship
March 02, 2022 - November 10, 2021
Learning from safety incidents in high reliability organizations: a … Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/issue/innovative-collaborative-model-care-undiagnosed-complex-medical-conditions
November 21, 2021 - for reducing the negative impact of adverse events on patients, health professionals and healthcare 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/issue/discussing-undiscussable-powerful-why-and-how-faculty-must-learn-counteract-organizational
November 16, 2022 - Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization … March 12, 2017
Understanding psychological safety in health care and education organizations