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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
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psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
February 12, 2020 - Newspaper/Magazine Article
Becoming a high-reliability organization through shared … learning of safety events
Citation Text:
Becoming a high-reliability organization through … High reliability organizations consistently examine what goes wrong and remain aware that failure … Cite
Citation
Citation Text:
Becoming a high-reliability organization
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - Background
High reliability organizations (HRO) are organizations that operate in complex, high-hazard … standardization: high reliability is better described as a condition of persistent mindfulness within an
organization … Characteristics of High Reliability Organizations
High reliability organizations use systems thinking … in their report of practices employed by hospitals in the High Reliability Organization
Learning Network … Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.
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psnet.ahrq.gov/node/38577/psn-pdf
April 22, 2009 - Leading your organization to high reliability.
April 22, 2009
Kemper C, Boyle DK. … Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. … https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability
This commentary describes high … reliability organization theory and offers tools to apply these concepts in
work units and organizations … https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability
https://psnet.ahrq.gov//#highreliabilityorganizations
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psnet.ahrq.gov/issue/who-patient-safety
July 14, 2021 - World Health Organization. … Facebook
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January 16, 2019
World Health Organization … With this in mind, the World Health Organization and its partners launched the World Alliance for Patient … World Health Organization.
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psnet.ahrq.gov/issue/diagnostic-safety-toolkit
December 05, 2024 - Citation Text:
Child Health Patient Safety Organization. Diagnostic Safety Toolkit. … Twitter
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May 27, 2020
Child Health Patient Safety Organization … Shaped with data collected by a patient safety organization , this five section toolkit features tactics … Cite
Citation
Citation Text:
Child Health Patient Safety Organization
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Is yours a learning organization?
June 16, 2011
Garvin DA, Edmondson A, Gino F. … Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16,
134. … https://psnet.ahrq.gov/issue/yours-learning-organization
Key tenets of improving patient safety at the … Health care systems that embody these concepts are
considered "learning organizations"—organizations … https://psnet.ahrq.gov/issue/yours-learning-organization
https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/node/50827/psn-pdf
January 22, 2020 - Becoming a high-reliability organization through shared
learning of safety events
January 22, 2020 … https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events … High reliability organizations consistently examine what goes wrong and remain aware that failure can … https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
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psnet.ahrq.gov/node/48141/psn-pdf
July 24, 2019 - Evidence Brief: Implementation of High Reliability
Organization Principles. … https://psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles … This brief evaluated published accounts of frameworks for implementing high reliability organizations … https://psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
https
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psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-multi-professional-edition
February 14, 2024 - Geneva, Switzerland: World Health Organization; October 2011. ISBN: 9789241501958. … Geneva, Switzerland: World Health Organization; October 2011. ISBN: 9789241501958. … This multi-professional patient safety curriculum guide was developed by the World Health Organization … Geneva, Switzerland: World Health Organization; October 2011. ISBN: 9789241501958.
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psnet.ahrq.gov/issue/who-global-report-patient-safety
May 01, 2024 - Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458. … Twitter
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June 5, 2024
Geneva, Switzerland: World Health Organization … care worldwide and the status of plan objective implementation in the six regions of World Health Organization … Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
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psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-care
November 18, 2011 - Book/Report
Seven Leadership Leverage Points for Organization-Level Improvement in … Citation Text:
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. … Cite
Citation
Citation Text:
Seven Leadership Leverage Points for Organization-Level … Learning from other organizations' safety errors. … Administrators
Epidemiology of Errors and Adverse Events
Quality Improvement Strategies
Learning Organization
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psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
December 24, 2008 - Website
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization … Citation Text:
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization … Patient safety organizations (PSO) present a unique opportunity for informing health care safety improvement … The site provides access to a variety of PSO and other resources to help organizations reduce readmissions … Citation
Citation Text:
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization
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psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
May 27, 2020 - Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association. … Twitter
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December 5, 2024
Child Health Patient Safety Organization … publication provides common cause analyses of incidents submitted to a pediatric patient safety organization … Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association.
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psnet.ahrq.gov/node/41262/psn-pdf
April 04, 2012 - Achieving a high-reliability organization through
implementation of the ARCC model for systemwide
sustainability … Achieving a high-reliability organization through implementation of the ARCC model for
systemwide sustainability … https://psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model … -
systemwide
This commentary discusses how applying concepts from high reliability organizations and … https://psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
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psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
July 28, 2013 - Book/Report
Classic
The Limits of Safety: Organizations … Citation Text:
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. … 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 … The Topic
Quality and Safety Professionals
Safety Scientists
Policy Makers
Learning Organization
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psnet.ahrq.gov/issue/chpso-2019-annual-report
March 20, 2024 - California Hospital Patient Safety Organization: Sacramento, CA; 2024. … Patient Safety Organizations (PSOs) capture and analyze local data to inform learning among their 490 … California Hospital Patient Safety Organization: Sacramento, CA; 2024. … March 20, 2024
Factors causing variation in World Health Organization surgical safety … November 23, 2016
How PSOs Help Health Care Organizations Improve Patient Safety Culture
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psnet.ahrq.gov/node/34950/psn-pdf
June 23, 2009 - Competition and health plan performance: evidence from
health maintenance organization insurance markets … Competition and health plan performance: evidence from
health maintenance organization insurance markets … https://psnet.ahrq.gov/issue/competition-and-health-plan-performance-evidence-health-maintenance-
organization-insurance … This study of 341 health maintenance organizations found that plans in markets with greater competition … https://psnet.ahrq.gov/issue/competition-and-health-plan-performance-evidence-health-maintenance-organization-insurance
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psnet.ahrq.gov/issue/clinical-efficacy-combined-surgical-patient-safety-system-and-world-health-organizations
November 03, 2015 - Safety System (SURPASS) is used to address preoperative and postoperative care, and the World Health Organization … Citation
Related Resources From the Same Author(s)
Effect of the World Health Organization … September 5, 2013
Impact of the World Health Organization surgical safety checklist on … May 24, 2023
Factors causing variation in World Health Organization surgical safety checklist
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psnet.ahrq.gov/node/867345/psn-pdf
December 11, 2024 - Implementation of a high-reliability organization
framework in a large integrated health care system … Implementation of a high-reliability organization framework in a
large integrated health care system … https://psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health … 2019, the VA implemented a system-wide quality improvement initiative to become a high reliability
organization … https://psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system