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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - Book/Report
What Every Health Care Organization Should Know about Sentinel Events … Citation Text:
What Every Health Care Organization Should Know about Sentinel Events. … Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. … May 4, 2015
Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations … Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005.
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - contributed to patient safety in your organization
or the organizations you have worked with. … I would ask, is an organization really a highly reliable
organization if it is dependent on any single … Not every organization is
going to have that kind of leader. … I am
wondering how organizations can validate that assertion. … in
their work and their organization.
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psnet.ahrq.gov/node/845080/psn-pdf
February 22, 2023 - A high-reliability organization mindset. … A high-reliability organization mindset. … https://psnet.ahrq.gov/issue/high-reliability-organization-mindset
The goal for health care organizations … https://psnet.ahrq.gov/issue/high-reliability-organization-mindset
https://psnet.ahrq.gov/primer/high-reliability
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - It is only through consistent reporting that organizations can determine where there are opportunities … This is typically done through a handful of patient safety organizations who have voluntary reporting … Patient safety organizations and emergency medical services. J Allied Health . 2016;45(4):274-277. … organization. … I don't know if that part is really [at] the forefront of many organizations.
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psnet.ahrq.gov/node/61087/psn-pdf
January 01, 2022 - A high-reliability organization framework for health care:
a multiyear implementation strategy and associated … A high-reliability organization framework for health care: a
multiyear implementation strategy and associated … https://psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation … -
strategy-and
The goal of high-reliability organizations is to operate in high-hazard domains with … https://psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
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psnet.ahrq.gov/issue/untenable-expectations-nurses-work-context-medication-administration-error-and-organization
September 21, 2022 - Untenable expectations: nurses' work in the context of medication administration, error, and the organization … Untenable expectations: nurses' work in the context of medication administration, error, and the organization … The results suggest organizations should re-evaluate current attempts at improving medication administration … Untenable expectations: nurses' work in the context of medication administration, error, and the organization … Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics, organization
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psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
October 26, 2022 - Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization … Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization … High reliability organizations encourage staff to self-report errors and hazards for comprehensive review … Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization … Analysis of incident reports from a patient safety organization.
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psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
March 05, 2025 - Review
Operating room organization and surgical performance: a systematic review. … Operating room organization and surgical performance: a systematic review. … Operating room organization and surgical performance: a systematic review.
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - The concept of safety culture originated outside health care, in studies of high reliability organizations … ,
which are organizations that consistently minimize adverse events despite carrying out intrinsically … High reliability organizations maintain a commitment to safety at all levels, from
frontline providers … Studies have documented considerable variation in perceptions
of safety culture across organizations … These surveys ask providers to rate the safety culture in their unit and in the organization as a whole
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psnet.ahrq.gov/node/60885/psn-pdf
September 02, 2020 - Becoming a High Reliability Organization.
September 2, 2020
VHA Forum. Summer 2020;1-12. … https://psnet.ahrq.gov/issue/becoming-high-reliability-organization
High reliability attainment is a … stated goal for health care organizations. … https://psnet.ahrq.gov/issue/becoming-high-reliability-organization
https://psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
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psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey
November 23, 2005 - Commentary
Building a high-reliability organization: one system's patient safety … Citation Text:
Building a high-reliability organization: one system's patient safety journey. … High reliability has yet to be achieved in health care organizations. … Cite
Citation
Citation Text:
Building a high-reliability organization … Monitoring Fetal Health
January 1, 2015
Safety climate in health care organizations
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psnet.ahrq.gov/issue/common-formats-allow-uniform-collection-and-reporting-patient-safety-data-patient-safety
May 20, 2009 - Common formats allow uniform collection and reporting of patient safety data by patient safety organizations … Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations … This article defines common formats and explains their role in the patient safety organization initiative … Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations … 6, 2019
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization
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psnet.ahrq.gov/node/34660/psn-pdf
December 24, 2008 - Building a learning organization.
December 24, 2008
Garvin DA. Building a learning organization. … , postulates that for organizations to truly improve over time
and succeed, they need to become "learning … organizations,” which are skilled at creating, acquiring, and
transferring knowledge and modifying … As a
framework, Garvin states organizations must have the “three Ms”: meaning, management, and
measurement … https://psnet.ahrq.gov/issue/building-learning-organization
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psnet.ahrq.gov/issue/learning-action-guide-putting-learning-organization-work
July 24, 2018 - Classic
Learning in Action: A Guide to Putting the Learning Organization … Citation Text:
Learning in Action: A Guide to Putting the Learning Organization to Work. … Cite
Citation
Citation Text:
Learning in Action: A Guide to Putting the Learning Organization … Citation
Related Resources From the Same Author(s)
Working Knowledge: How Organizations … See More About The Topic
Pharmacists
Non-Health Care Professionals
Learning Organization
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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety. PSNet
[internet]. 2025. … commitment to safety describes how organizations in high-risk fields, such as aviation
and nuclear … power, achieve safety and have come to describe a mode of organization called high reliability
organizations … For instance, few organizations reported that high reliable safety
performance was a top priority for … complex realm of care
delivery, HRO may be applied with variability to the detriment of safety.11 Organizations
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psnet.ahrq.gov/node/41222/psn-pdf
May 01, 2016 - Reducing Unnecessary Hospital Readmissions: The Role
of the Patient Safety Organization (PSO). … https://psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization … -
pso
Patient safety organizations (PSO) present a unique opportunity for informing health care safety … The site provides
access to a variety of PSO and other resources to help organizations reduce readmissions … https://psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
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psnet.ahrq.gov/node/38729/psn-pdf
April 15, 2019 - reports, a set of specialized
checklists, and a detailed resource collection to support patient safety organization … In addition, the group--formerly known as the California Hospital Patient Safety Organization--
coordinates … the Nationwide Alliance of Patient Safety Organizations (NAPSO) to enable learning across the
sector … https://psnet.ahrq.gov/issue/chpso
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - We spoke to them about the risks of cybersecurity to patient safety and how organizations
can prepare … Organizations
should prepare for the loss of communications as well and understand the protocol for … Sarah Mossburg: There are several security frameworks available to healthcare organizations. … types, like small physicians’ practices, small hospitals, and medium and larger organizations. … Depending on their capacity level, the other organizations
may have delays and disruptions as well.
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psnet.ahrq.gov/node/33832/psn-pdf
April 01, 2017 - organization? … KS: I think that if any organization would say it's a high reliability organization that it probably … organization doesn't even know that it is a high reliability organization. … would never have called
themselves high reliability organizations. … They as researchers coined that term, not the organizations.
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - The concept of safety culture originated outside health care, in studies of high reliability organizations … , which are organizations that consistently minimize adverse events despite carrying out intrinsically … High reliability organizations maintain a commitment to safety at all levels, from frontline providers … Studies have documented considerable variation in perceptions of safety culture across organizations … These surveys ask providers to rate the safety culture in their unit and in the organization as a whole