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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - It looks at human failure, technical failure, and organizational failure. … Latent conditions are sorted into two categories: technical failures and organizational failures. … In this model, 20 separate event cause types are given in four categories: technical, organizational, … , external,
OK: Organizational, knowledge transfer,
OM: Organizational, management,
HEX: Human, … This is coded as OM—organizational, management.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-9.html
July 01, 2022 - organization] has recognized the patient safety benefits of medication reconciliation and has made this an organizational
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-9.html
July 01, 2022 - organization] has recognized the patient safety benefits of medication reconciliation and has made this an organizational
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www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
March 01, 2021 - Can we impact staff perception of organizational safety culture in long-term care through innovative … governance and priority-setting,
interventions that expand patient/family/resident engagement in organizational … Can patient safety be defined at an organizational level, and, if so, how can it best be measured and … to CMS by hospitals, what applicable measures could be assembled that could demonstrate/reflect an organizational … Strengthening Healthcare Infrastructure for Patient Safety
How does organizational design influence
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
September 01, 2023 - reduce harm
from diagnostic failure depend on two workplace characteristics: psychological safety and organizational … The Potential of Psychological Safety and
Organizational Safety Culture To Improve Diagnostic
Safety … Organizational culture refers to the collective attitudes, beliefs, and values of an organization; a … safety, engagement of individuals, and training to support
improvement.8
Psychological safety and an organizational … Strategies at the Organization Level
Organizational leadership can support and incentivize event reports
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www.ahrq.gov/research/findings/final-reports/ptflow/appendix-d.html
April 01, 2020 - Common challenges included staff resistance and entrenched organizational culture. … trigger such as a crisis or new leader serves as a "wake-up call" that prompts the hospital to make (2) organizational … The Improvement Guide: A Practical Approach to Improving Organizational Performance
Gerald J.
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy1/index.html
December 01, 2017 - Working with patients and families as advisors at the organizational level is a critical part of patient … Families as Advisors shows how hospitals can work with patients and family members as advisors at the organizational
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3.html
July 01, 2018 - Organizational Context.
Strategies and Interventions.
Dissemination. … Perceptions of the involvement of patient and family members on an organizational level . … for this scan indicated that patients and family members are often motivated to get involved at an organizational … Despite a willingness of certain patients to get involved at an organizational level, there are also … Facilitators for providers include those factors discussed in the organizational context section.
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www.ahrq.gov/nursing-home/learning-modules/index.html
March 01, 2023 - Emotional and Organizational Support for Staff series
This series of three learning modules features
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/context.html
October 01, 2015 - grant efforts took place during a complex time in health care and within a rich milieu of State and organizational … Alignment With Existing Entities
In many States, an existing QI partnership provided an organizational
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www.ahrq.gov/ncepcr/reports/grants-impact/external.html
February 01, 2017 - grant efforts took place during a complex time in health care and within a rich milieu of State and organizational … Alignment With Existing Entities
In many States, an existing QI partnership provided an organizational
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www.ahrq.gov/practiceimprovement/systemredesignsafetynet/systemredesign-slides.html
December 01, 2017 - Also shown are elements of organizational capacity for system redesign, such as senior leadership support … Offer training that supports the development of improvement infrastructures and organizational capacity … Example: Include theory and tools for organizational change and for improvement as a management philosophy … Examples: Provide team training; provide technical assistance in organizational change processes). … Inadequate HIT capacity for supporting clinical, organizational, and financial operations
Potential
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-234-fullreport.pdf
June 17, 2014 - For 2013, there were 737 organizational NPIs excluded. … Given the relatively high proportions of already-counted dental
providers within the organizational … who serve Medicaid-enrolled children under an organizational NPI only. … Another situation that could be represented by encounters with an organizational NPI is delivery
of … Given the documented evidence that including the organizational NPIs would result in double-
counting
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www.ahrq.gov/patient-safety/reports/liability/index.html
August 01, 2017 - Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary
Error Disclosure Training and Organizational … Pronovost
Error Disclosure Training and Organizational Culture
Jason M. Etchegaray, Thomas H. … Thomas
Applying a Novel Organizational Change Scale in a Multisite Patient Safety Initiative
Douglas
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - The AMEDD leadership made a priority of collecting baseline data on staff
perceptions related to the organizational … problem-solving processes, and (3) perceptions
regarding the organizational leadership’s concern for … A positive safety climate
includes the active involvement of the organizational leadership in safety … The findings indicate that the
AMEDD patient safety organizational climate is relatively positive, although … Profiles in patient safety: organizational
barriers to patient safety.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex3.html
July 01, 2018 - Describe elements of organizational culture and infrastructure related to patient and family engagement
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2.html
November 01, 2014 - Horizon Hospital—Lakeview Healthcare
Factors
Categories
Organizational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - and metrics
Local focused implementation – implementation at unit level
Frontline staff engagement
Organizational … Understanding what position may have the greatest influence may help
13
Three Levels of Organizational … Culture
17
HSOPS Dimensions
Supervisor/manager expectations and actions promoting patient safety
Organizational … 38
38
Summary and Next Steps
39
What is your organizational culture? … How can you utilize the components of the culture of safety model to assess and improve your organizational
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguideap.html
October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity
Appendix: Evaluation Items … Previous Page
Table of Contents
An Organizational Guide to Building Health Services … Are there any formal organizational documents, such as mission or vision statements or strategic plans … designing a data collection instrument)
How easy or difficult is it to obtain the following:
Organizational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
January 07, 2005 - needs and go through several iterations to ensure
fit between the conceptual intervention and the organizational … This approach is often used to ensure the fit of the innovation to the particular
organizational context … Changing practice takes a considerable amount of individual and
organizational effort, and that effort … Many users must
initiate organizational and process changes before research findings can be
consistently … Once key organizational personnel commit to the innovation, the innovation is
incorporated into the