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psnet.ahrq.gov/node/45679/psn-pdf
January 03, 2018 - The World Health Organization has
taken a leading role in eliminating health care–associated harms and … surgical-site-infections
https://psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - repeat-prescribing-medications-system-centred-risk-management-model-
primary-care
Systems thinking enables organization-wide … psnet.ahrq.gov/primer/systems-approach
https://psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - accidents, the components of error management, and the principles of becoming a high-reliability
organization … making the transition from a person approach to a system
approach in the context of a high-reliability organization
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psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-third-edition
May 04, 2016 - Citation
Related Resources From the Same Author(s)
Leading High-Reliability 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/right-kind-wrong-why-learning-fail-can-teach-us-thrive
February 06, 2018 - January 13, 2010
The Fearless Organization: Creating Psychological Safety in the Workplace … September 21, 2016
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge … 2023
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization
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psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-awards
March 20, 2019 - The Eisenberg Award honors individuals and organizations who have made important contributions 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/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
October 10, 2010 - Organization Studies. 2006;27(7). doi:10.1177/0170840606065708. … Organization Studies . 2006; 27 (7) .
View more articles from the same authors. … Organization Studies. 2006;27(7). doi:10.1177/0170840606065708.
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psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-intensive-care
April 06, 2011 - Organization Science. 2006;17(2). doi:10.1287/orsc.1060.0185. … Organization Science . 2006; 17 (2) .
View more articles from the same authors. … Organization Science. 2006;17(2). doi:10.1287/orsc.1060.0185.
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psnet.ahrq.gov/issue/reducing-adverse-drug-events
August 09, 2017 - More than 40 organizations share their collective learning experience, from planning for improvement, … 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/making-it-easier-do-right-thing-modern-communication-qi-agenda
January 20, 2016 - December 18, 2014
Health literacy and communication quality in 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/45335/psn-pdf
August 10, 2016 - feasibility-determining-effectiveness-and-cost-effectiveness-medication-
organisation-devices
Medication organization … this feasibility study found that medication adherence did not
improve among those given medication organization
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psnet.ahrq.gov/issue/impact-world-health-organizations-surgical-safety-checklist-safety-culture-operating-theatre
November 03, 2015 - Citation
Related Resources From the Same Author(s)
Effect of the World Health Organization … March 18, 2020
Impact of the World Health Organization surgical safety checklist on patient
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - Board members began to seek out IHI and say, "Are we alone in seeing quality
problems in our organization … 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/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
July 05, 2013 - Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization … December 22, 2010
Creating high reliability in health care organizations.
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psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperative-arena
February 03, 2010 - The authors conclude that organizations must acknowledge the presence and effect of disruptive behaviors … 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/concept-analysis-situational-awareness-nursing
August 12, 2015 - This review examines situational awareness in high reliability organizations and explores how it can … September 27, 2016
A high-reliability organization framework for health care: a multiyear … November 4, 2020
Implementation of a high-reliability organization framework in a large
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psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america
July 08, 2016 - Improving Diagnostic Safety and Quality
April 26, 2023
A high-reliability organization … December 21, 2008
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. … Executives and Administrators
Policy Makers
Medicine
Continuous Quality Improvement
Learning Organization
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - June 14, 2019
The Charter on Professionalism for 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/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - and how they fit into the workflow—will affect their use.( 7 ) Major organization-wide patient care … 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/node/34769/psn-pdf
March 28, 2005 - causes
other than pressures related to the timeline: a dispersion of knowledge to silos within the organization … Those who have worked in a health care organization in which a prominent,
adverse event has occurred