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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - They talked to other organizations. … I cringe when organizations complain that doctors aren't accepting CPOE. … 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/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/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/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/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/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/node/33825/psn-pdf
January 01, 2017 - incomplete; and, at the end of the RCA process (which often involves significant time and resources), most
organizations … Ongoing Need for Improvement
Notwithstanding these critiques, the manner in which most health care organizations … Investigations are usually conducted under significant time pressure, lack
independence from the organization … Problem of many
hands
Many actors, both within and outside the health care organization, may be
implicated … RCA-derived risk controls tend to focus on solutions that are within the
internal control of the organization
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psnet.ahrq.gov/node/40994/psn-pdf
December 18, 2014 - of
leadership engagement, rapid cycle quality improvement projects, and financial incentives, the organization … useful window into the barriers inherent in changing outpatient clinician
workflow and the steps this organization
-
psnet.ahrq.gov/node/60539/psn-pdf
July 10, 2017 - In this study, site visits were conducted at 22
healthcare organization across the United State to determine … Identified facilitators included collaborating within and beyond the organization,
tailoring care to
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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
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - Regina Hoffman: Collaborative learning is a foundational piece of our organization and many other organizations … In terms of intraorganizational learning, or learning within a single facility or organization, there … What actions are you taking as an organization to make sure that this does not happen again? … Regina Hoffman: Every organization is different. … It is important to know that something was done about a safety event and that the organization acted
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - note: Jennifer Daley, MD, is the Chief Medical Officer of Partners Community Healthcare Inc., the
organization … now been involved in trying to improve safety in
both a community-based, very large multihospital organization … RW: What's the role of data when you're sitting centrally in a large organization? … like Tenet, where I assume that most of the physicians don't work for the organization? … RW: An organization like Tenet that's a for-profit organization and has been the subject of some media
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psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates
July 12, 2018 - Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization … Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization
-
psnet.ahrq.gov/node/45950/psn-pdf
July 18, 2017 - Investigators, working through a Patient Safety Organization, sought an alternative to the
widely used … https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - The second thing is that organizations or health care providers are not organized around teams and do … Most organizations will tell you, "We have good communication in our organization." … Is the organization ready to deliver the team training? … In my view, at the end of the day organizations get the behaviors that they measure and reinforce. … The good organizations do that; they create the climate for implementing newly trained skills.
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - The second thing is that organizations or health care providers are not organized around teams and do … Most organizations will tell you, "We have good communication in our organization." … Is the organization ready to deliver the team training? … In my view, at the end of the day organizations get the behaviors that they measure and reinforce. … The good organizations do that; they create the climate for implementing newly trained skills.
-
psnet.ahrq.gov/node/33616/psn-pdf
August 01, 2005 - The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) now generates
patient … safety requirements, updated yearly, for its more than 15,000 accredited and certified health care
organizations … The Leapfrog Group, an organization representing the interests of health care
purchasers, has aggressively … A respected advocacy organization like the Leapfrog Group or the IHI is required to help interpret the … Hospital staffing, organization, and quality of care: cross-national findings.
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psnet.ahrq.gov/issue/he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices
June 14, 2017 - Related Resources From the Same Author(s)
Implementation of the World Health 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/healthcare-climate-framework-measuring-and-improving-patient-safety
November 02, 2010 - Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization … April 5, 2023
High-reliability organizations (HROs): what they know that we don't (Part