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psnet.ahrq.gov/node/41383/psn-pdf
May 16, 2012 - Teaming: How Organizations Learn, Innovate, and
Compete in the Knowledge Economy. … https://psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy … https://psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
https … ://psnet.ahrq.gov/issue/building-learning-organization
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psnet.ahrq.gov/node/40779/psn-pdf
September 10, 2013 - summarizes patient safety improvement efforts in Tennessee, shares information on their
patient safety organization … ://psnet.ahrq.gov/issue/tennessee-center-patient-safety
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/training-catalog/safetyleaders-home
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Organization … :
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SafetyLeaders
Event Description:
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - Complex Interactions
In high technology organizations, accidents are “normal”
Small errors combine … of adverse events
Example of Highly Reliable Organization
Achieving safety on flight decks of … Collective mind in organizations: heedful interrelating on flight decks. … Some characteristics of one type of high reliability organization. Organ Sci. 1990;1:160-176. … Critical Elements of Safety Culture
Instill core values in members of organization
Those in charge
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psnet.ahrq.gov/training-catalog/armstrong-institute-training-catalog
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Organization … :
Organization
Johns Hopkins Armstrong Institute for Patient Safety
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psnet.ahrq.gov/training-catalog/webinar-series-0
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Organization … :
Organization
American Medical Association (AMA)
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psnet.ahrq.gov/training-catalog/webinar-series-3
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Organization … :
Organization
Hospital Quality Institute
Event
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psnet.ahrq.gov/training-catalog/webinar-series
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Patient Safety Authority
Event
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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.
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psnet.ahrq.gov/training-catalog/upcoming-online-events-0
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Organization … :
Organization
University of California, San Francisco Coordinating
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psnet.ahrq.gov/training-catalog/ashp-learning-center
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Organization … :
Organization
American Society for Health-System Pharmacists (ASHP)
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psnet.ahrq.gov/node/43357/psn-pdf
July 16, 2014 - https://psnet.ahrq.gov/issue/wake-safe
This Web site provides information about a Patient Safety Organization … https://psnet.ahrq.gov/issue/wake-safe
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/training-catalog/upcoming-online-events
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University of California, San Francisco Coordinating
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psnet.ahrq.gov/training-catalog/pharmacy-education-opportunities
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National Community Pharmacists Association (NCPA)
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psnet.ahrq.gov/training-catalog/seminar-library
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Joint Commision Resources
Event
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psnet.ahrq.gov/training-catalog/demand-education-library
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Institute for Safe Medication Practices (ISMP)
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psnet.ahrq.gov/training-catalog/diagnostic-error-medicine-conference
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Organization
Society to Improve Diagnosis in Medicine
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psnet.ahrq.gov/training-catalog/monthly-webinars
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Organization
Quality Reporting Center
Event Description
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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/training-catalog/event-listings
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Organization … :
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Betsy Lehman Center for Patient Safety