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psnet.ahrq.gov/node/43003/psn-pdf
March 05, 2014 - The reporting program offers insights about how to promote and enhance
organizational learning. … saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety
https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/39891/psn-pdf
October 06, 2010 - organisational-safety-indicators-some-conceptual-considerations-and-
supplementary-qualitative
This article discusses the limitations of organizational … describes the Operational
Safety Condition method and how this qualitative approach can be used in organizational
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psnet.ahrq.gov/node/39506/psn-pdf
March 23, 2011 - issue/readiness-organisational-change-among-general-practice-staff
This study found that readiness for organizational … readiness-organisational-change-among-general-practice-staff
https://psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
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psnet.ahrq.gov/node/41185/psn-pdf
March 24, 2012 - learning-near-misses-quick-fixes-closing-swiss-cheese-holes
This study identified three different scenarios associated with organizational … psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/39683/psn-pdf
June 08, 2011 - surgical-team-training-promoting-high-reliability-nontechnical-skills
This commentary explains how instilling an understanding of human factors, organizational … surgical-team-training-promoting-high-reliability-nontechnical-skills
https://psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
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psnet.ahrq.gov/node/46620/psn-pdf
January 30, 2018 - https://psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
Organizational structure influences … This
commentary explores the optimal placement of patient safety in an organizational framework and
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psnet.ahrq.gov/node/43495/psn-pdf
December 15, 2014 - established culture of safety to help clinicians develop behaviors
compliant with a code of conduct as an organizational … behaviors-undermine-culture-safety
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/organizational-assessment-disruptive-clinician-behavior-findings-and-implications
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psnet.ahrq.gov/node/42978/psn-pdf
February 26, 2014 - The authors suggest that leadership provide resources, engage staff, and commit to
organizational learning … report-mid-staffordshire-nhs-foundation-trust-public-inquiry
https://psnet.ahrq.gov/issue/leadership-committed-safety
https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—I. … Organizational Change in the Face of Highly Public Errors—I. … https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer … https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute … errors and injuries, and relentlessly inquiring into the causes
and solutions, increases our collective organizational
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psnet.ahrq.gov/node/35894/psn-pdf
June 18, 2013 - mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-
intensive-care
The authors analyzed the organizational … development of a new pediatric intensive care unit and discuss
their observations in terms of the organizational
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psnet.ahrq.gov/node/34973/psn-pdf
September 29, 2017 - Disclosure of medical errors: ethical considerations for
the development of a facility policy and organizational … Disclosure of medical errors: ethical considerations for the development of a facility policy and
organizational
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psnet.ahrq.gov/node/37074/psn-pdf
October 03, 2011 - Perioperative patient safety: correct patient, correct
surgery, correct side--a multifaceted, cross-
organizational … Perioperative patient safety: correct patient, correct surgery, correct
side--a multifaceted, cross-organizational
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psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
June 18, 2013 - February 6, 2019
Work Design Drivers of Organizational Learning about Operational Failures … November 26, 2008
Organizational Learning from Experience in High-Hazard Industries: … View More
See More About The Topic
Health Care Executives and Administrators
Organizational
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psnet.ahrq.gov/node/44023/psn-pdf
November 16, 2015 - This commentary
advocates for HAI reduction efforts to focus on organizational characteristics that … https://psnet.ahrq.gov/primer/health-care-associated-infections
https://psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection
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psnet.ahrq.gov/node/43011/psn-pdf
May 20, 2014 - early-warnings-weak-signals-and-learning-healthcare-disasters
This commentary examines how minor risks, when propagated and not addressed, may result in
organizational … early-warnings-weak-signals-and-learning-healthcare-disasters
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
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psnet.ahrq.gov/node/45994/psn-pdf
January 01, 2019 - They found that both job satisfaction and organizational constraints were significant
predictors of … hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction
https://psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
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psnet.ahrq.gov/node/47373/psn-pdf
November 14, 2018 - https://psnet.ahrq.gov/issue/blame-what-does-it-look
A just culture balances organizational context … The
author highlights how accountability enables individual and organizational learning through constructive
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psnet.ahrq.gov/node/43466/psn-pdf
September 27, 2016 - Exploring safety systems for dispensing in community
pharmacies: focusing on how staff relate to
organizational … Exploring safety systems for dispensing in community pharmacies:
focusing on how staff relate to organizational
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psnet.ahrq.gov/node/46516/psn-pdf
December 16, 2017 - suggests a model to
track and communicate the financial burden associated with physician burnout to gain organizational … perspective/burnout-among-health-professionals-and-its-effect-patient-safety
https://psnet.ahrq.gov/issue/organizational-framework-reduce-professional-burnout-and-bring-back-joy-practice
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - Normalizing Safety Cultures in Health Care Settings The field of organizational learning tells us the … On Organizational Learning. 2nd ed. Malden, MA: Blackwell Publishing; 1999.
6. Schon DA. … Exploration and exploitation in organizational learning. Organ Sci. 1991;2:71-87.
9. Feldman MS. … Organizational routines as a source of continuous change. Organ Sci. 2000;11:611-629.
10. … Organizational learning. Annu Rev Sociol. 1988;14:319-340.