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psnet.ahrq.gov/issue/healthcare-411-mistake-proofing-health-care-environment
October 12, 2011 - March 6, 2005
Becoming a High Reliability Organization: Operational Advice for Hospital … April 23, 2008
Healthcare 411: Patient Safety Organizations Proposed Regulation. … May 30, 2018
How PSOs Help Health Care Organizations Improve Patient Safety Culture. … March 31, 2010
Patient Safety Organization (PSO) Program. … May 1, 2017
How PSOs Help Health Care Organizations Improve Patient Safety Culture.
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psnet.ahrq.gov/node/37360/psn-pdf
January 05, 2012 - Building accountability through patient safety
organizations.
January 5, 2012
Ross J. … Building accountability through patient safety organizations. J Perianesth Nurs. 2007;22(5):346-8. … https://psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
This commentary … introduces the Patient Safety Improvement Act of 2005 , discusses patient safety
organization (PSO) … https://psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/39137/psn-pdf
June 07, 2016 - The rise of patient safety organizations.
June 7, 2016
Ivill DS, Kearbey AH. New York Law J. … https://psnet.ahrq.gov/issue/rise-patient-safety-organizations
This news feature discusses legal aspects … of Patient Safety Organizations' (PSO) role in data collection
and evaluation, work product designation … https://psnet.ahrq.gov/issue/rise-patient-safety-organizations
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/39737/psn-pdf
November 30, 2016 - Physician's Guide to Patient Safety Organizations. … https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
This guide reviews the Patient … Improvement Act of 2005 and aims to further physician
knowledge of and participation in Patient Safety Organizations … https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
https://psnet.ahrq.gov/issue … patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/38005/psn-pdf
August 20, 2008 - Building social capital in healthcare organizations:
thinking ecologically for safer care. … Building social capital in healthcare organizations: thinking ecologically for safer
care. … https://psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care … This article describes how building a healthy organization can make hospitals safer for patients and … https://psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
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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/issue/facing-ambiguous-threats
December 24, 2008 - This study describes how organizations respond to signs that may or may not portend future catastrophes … Bohmer and Edmondson have previously described the collective learning process that health care 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/36528/psn-pdf
January 20, 2010 - Creating high reliability in health care organizations. … Creating high reliability in health care organizations. … https://psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
High-reliability organizations … https://psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
https://psnet.ahrq.gov … //#highreliabilityorganizations
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/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - culture of safety and learning requires deep engagement with the unique overall culture of a given organization … Culture change requires profound transformation in the way people in organizations think and feel. … The Fifth Discipline: The Art and Practice of the Learning Organization. … The Heart of Change: Real Life Stories of How People Change Their Organizations. … December 6, 2023
Creating highly reliable accountable care organizations.
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - 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/node/33923/psn-pdf
June 12, 2018 - The collapse of sensemaking in organizations: the Mann
Gulch disaster.
June 12, 2018
Weick KE. … The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. … https://psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
This article is … 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.
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psnet.ahrq.gov/node/44851/psn-pdf
March 16, 2016 - Understanding psychological safety in health care and
education organizations: a comparative perspective … Understanding Psychological Safety in Health Care and
Education Organizations: A Comparative Perspective … https://psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations … -
comparative
Ensuring that workers feel comfortable raising concerns in an organization is crucial … https://psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative
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psnet.ahrq.gov/node/46718/psn-pdf
August 08, 2018 - Workplace Violence Prevention: Implementing Strategies
for Safer Healthcare Organizations. … https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-
organizations … This resource collection
highlights federal, state and professional organization materials exploring … https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-organizations … https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-organizations
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psnet.ahrq.gov/node/33822/psn-pdf
January 01, 2017 - From all of that, I developed a logic train that says organizations cannot be habitually excellent at … DuPont set out to get the
organization to understand that, in spite of all the so-called occupational … If the leadership
and the people in the organization concentrated on what produced excellent results … There are very, very few health
care organizations that can close their books in 6 months. … In a great organization, that number is 0.3.
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psnet.ahrq.gov/node/45011/psn-pdf
May 25, 2016 - High Reliability Organizations: A Healthcare Handbook for
Patient Safety & Quality. … https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality … This publication discusses core elements of high reliability organizations and how to apply them in … https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality … https://psnet.ahrq.gov/primer/high-reliability
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-operational-advice-hospital-leaders
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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/node/34763/psn-pdf
March 07, 2005 - The Limits of Safety: Organizations, Accidents and
Nuclear Weapons.
March 7, 2005
Sagan SD. … https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
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 … https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
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psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings
November 18, 2020 - Multiple organizations have identified using unclear or misleading abbreviations as a threat to patient … 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/44061/psn-pdf
November 16, 2015 - Quality improvement and patient safety organizations in
anesthesiology. … Quality improvement and patient safety organizations in anesthesiology. … https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
The … https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
https … ://psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - MD, MPP, MPH, is president of The Joint Commission, the preeminent
standard setting and accrediting organization … him to speak with us about his role at The Joint
Commission, as well as future directions for the organization … As I thought
more about that in context, it became clear that this organization has really been in continuous … This is a private organization that relies on organizations voluntarily
subscribing to our service; … This is a great organization.