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psnet.ahrq.gov/node/44889/psn-pdf
April 13, 2017 - An organizational learning framework for patient safety.
April 13, 2017
Edwards MT. … An Organizational Learning Framework for Patient Safety. … https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
Organizations are encouraged … https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
https://psnet.ahrq.gov/
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psnet.ahrq.gov/node/42504/psn-pdf
August 14, 2014 - The effect of an organizational network for patient safety
on safety event reporting. … The effect of an organizational network for patient safety on safety event
reporting. … https://psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
An … https://psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
https
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psnet.ahrq.gov/node/43839/psn-pdf
January 28, 2015 - Institute for Health
Research in the United Kingdom to address four patient safety research gaps: how organizational … culture
and context influence evaluations of interventions, organizational boundaries that affect handovers … https://psnet.ahrq.gov/issue/patient-safety-11
https://psnet.ahrq.gov/issue/managing-competing-organizational-priorities-clinical-handover-across-organizational
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psnet.ahrq.gov/node/850928/psn-pdf
June 21, 2023 - AHRQ Hospital Survey on Patient Safety Culture™ (SOPS®), these researchers examined individual
and organizational … Findings indicate that nurses have
lower patient safety perceptions compared to other job types and that organizational … factors such as
organizational learning, leadership support, and ease of handoffs and information exchange
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psnet.ahrq.gov/node/34747/psn-pdf
August 04, 2009 - The Improvement Guide: A Practical Approach to
Enhancing Organizational Performance. 2nd ed. … https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance … https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance … -2nd-ed
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
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psnet.ahrq.gov/node/73918/psn-pdf
October 06, 2021 - members from a disability
healthcare organization in Australia responded to a questionnaire regarding organizational … Findings highlight the importance of organizational identification and management
commitment to safety … hierarchy-and-medical-error-speaking-when-witnessing-error
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
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psnet.ahrq.gov/node/45557/psn-pdf
October 27, 2016 - Time-out: the professional and organizational ethics of
speaking up in the OR. … Time-out: The Professional and Organizational Ethics of Speaking Up in the OR. … https://psnet.ahrq.gov/issue/time-out-professional-and-organizational-ethics-speaking-or
Time-outs are … https://psnet.ahrq.gov/issue/time-out-professional-and-organizational-ethics-speaking-or
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/43821/psn-pdf
April 25, 2016 - Navigating care transitions: a process model of how
doctors overcome organizational barriers and create … https://psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-
organizational-barriers-and … https://psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and … https://psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
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psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - An expert guide from SAMHSA has described organizational-level interventions to prevent
and reduce burnout … The Collaborative strongly recommends focusing on the five
domains of external factors (organizational … Excessive workload and lack of organizational support are factors
that have been identified as contributing … The Mayo Clinic produced a detailed guide for implementing organizational strategies to prevent and … reduce burnout by addressing individual, work unit, organizational, and national factors across seven
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psnet.ahrq.gov/issue/swiss-cheese-model
March 27, 2005 - Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997. … Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997. … Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997. … Citation
Related Resources From the Same Author(s)
Managing the Risks of Organizational … March 30, 2011
Managing the Risks of Organizational Accidents.
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psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably
May 27, 2020 - Commentary
Why accountability sharing in health care organizational cultures means … Citation Text:
Why accountability sharing in health care organizational cultures means patients are … Cite
Citation
Citation Text:
Why accountability sharing in health care organizational
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psnet.ahrq.gov/node/39454/psn-pdf
October 04, 2017 - Through an examination of the causes of
human and organizational errors, as well as singular cases of … upon the ground covered in Reason’s two other classic texts, Human Error and Managing the
Risks of Organizational … failure-and-rescue
https://psnet.ahrq.gov/issue/human-error
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
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psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety
August 01, 2018 - The authors conclude that improvements in organizational efficiency have led to "going solid," which … May 27, 2011
The effect of the fit between organizational culture and structure on medication … December 19, 2009
Organizational and cultural changes for providing safe patient care … More About The Topic
Facility and Group Administrators
Quality and Safety Professionals
Organizational
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psnet.ahrq.gov/node/843411/psn-pdf
February 01, 2023 - Three
overarching themes were identified – the role of (1) people, including the organizational and … teams, as well as frontline staff implementing the QI initiatives, (2) processes, such as local and
organizational … integration and planning for sustainability, and (3) the organizational environment such as
resources
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psnet.ahrq.gov/node/74719/psn-pdf
February 02, 2022 - used the functional resonance analysis
method (FRAM) to develop recommendations for strengthening organizational … Recommendations included improving team communication, organizational learning, and relationships. … failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
https://psnet.ahrq.gov/primer/failure-rescue
https://psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
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psnet.ahrq.gov/node/849325/psn-pdf
January 01, 2024 - Medication safety event reporting: factors that contribute
to safety events during times of organizational … Medication safety event reporting: factors that contribute to
safety events during times of organizational
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psnet.ahrq.gov/node/866246/psn-pdf
July 10, 2024 - In this study, physicians reported
three major barriers to speaking up: organizational deafness, disconnect … Fostering clear feedback pathways, genuine connection between physicians
and managers, and an organizational … incident-reporting-more-attention-safety-action-feedback-loop-please
https://psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
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psnet.ahrq.gov/issue/doctors-are-more-dangerous-gun-owners-rejoinder-error-counting
June 24, 2020 - Such systems do not account for the "higher order" organizational characteristics that constitute the … December 15, 2014
The effect of the fit between organizational culture and structure … View More
See More About The Topic
Quality and Safety Professionals
Organizational
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psnet.ahrq.gov/node/43040/psn-pdf
March 05, 2014 - framework-analysing-risk-and-safety-clinical-medicine-0
This commentary outlines a systems approach to patient safety at various organizational … factors strategy for analyzing errors (The
London Protocol), derived from James Reason’s model of organizational … framework-analysing-risk-and-safety-clinical-medicine-0
https://psnet.ahrq.gov/primer/systems-approach
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents … https://psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - Yet, similar to VAP, organizations with advanced safety and
organizational learning systems go for lengths … Sarah Mossburg: Could you speak more about how organizational context is an important part of setting … Zero harm needs to be positioned in the context of an organizational
commitment to safety as a core … Sarah Mossburg: You mentioned the importance of a culture of safety and organizational context, which … priority, safety culture
and organizational learning, accountability and transparency, and patient