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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - Changing the System
3
System Failures
System failures are latent problems that arise from managerial and organizational … Preconditions for unsafe acts –
Latent failures
Organizational … Human and organizational factors of healthcare data breaches: the Swiss cheese model of data breach causation
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
August 20, 2024 - Jane Fogg, MD, MPH
Physician Director of Organizational Transformation, Professional Satisfaction
American … Fogg, MD, MPH
Physician Director of Organizational Transformation
Physician Satisfaction, American … Overview of Solutions for Burnout
Culture and organizational
resilience: our leaders, our
practice … All rights reserved.32
AMA Professional Satisfaction
• Measurement: AMA Organizational Biopsy®
• Act … She joined the AMA PS2 team
October 2023 is currently the Physician
Director of Organizational Transformation
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
January 01, 2022 - • Surveys of providers and staff about the extent to which their
organizational culture supports patient … Safety Culture Assessed
Across SOPS Surveys
• Communication About Error
• Communication Openness
• Organizational
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - To accomplish this coordination, high-quality prevention requires an organizational culture and operational … It was created by a core team with expertise in pressure ulcers and organizational change at the Boston … 1.1 Do organizational members understand why change is needed?
… 6.2 What types of ongoing organizational support do we need to keep the new practices in place?
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - To accomplish this coordination, high-quality prevention requires an organizational culture and operational … It was created by a core team with expertise in pressure ulcers and organizational change at the Boston … 1.1 Do organizational members understand why change is needed?
… 6.2 What types of ongoing organizational support do we need to keep the new practices in place?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
May 01, 2017 - Goals and standard work are integrated across organizational levels. … Integration and Observation
Consistency of standard work across levels of the organization, and with organizational … Integration of standard work across organizational levels and alignment across the organization of safety … The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed., San Francisco … The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed., San Francisco
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-18-assessing-readiness.pdf
September 01, 2015 - Checklist for assessing practice readiness
Practice or organizational leadership is interested in … Practice or organizational leadership is willing to participate in ongoing communication
with the … Practice has sufficient organizational and financial stability to avoid becoming too
distracted … Practice or organizational leadership is willing to participate in ongoing
communication with the … Practice has sufficient organizational and financial stability to avoid becoming too
distracted
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship7.html
August 01, 2024 - could be used to assess whether interventions affect the capacity of systems and the commitments of organizational … Examples could be derived from the following resources: The Safer Dx Checklist is a 10-item organizational
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapb.html
March 01, 2013 - Documentation of Organizational Self-Assessment: An organization's recordkeeping of its identifiable … External Audit: A review of a health care organization by a separate organizational entity that examines … Organizational Policies and Procedures: Refers to the principles and methods, whether formalized, authorized
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-tai-seale.pdf
April 01, 2015 - Implementing the PCMH principles was seen by organizational leadership and staff as consistent with … factors were identified as
important for the successful
implementation of PCMH transformation:
an organizational … provided to front-line physicians and staff; adequate organizational infrastructure; and
multidisciplinary
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
November 01, 2004 - Each member of the collaborative has made an organizational commitment to
improving patient safety by … Like any
major organizational or technological change, system redesign needs to be
managed. … Human factors in organizational design and
management-VII. … Knowledge for action: a guide to
overcoming barriers to organizational change. … Conducting action research: relationships between
organizational members and researchers.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - Organizational climate and health care outcomes. … The relationship between patient safety culture and the implementation of organizational patient safety … Attend monthly executive partnership meetings
Foster organizational learning and actively participate … Organizational climate and health care outcomes. … The relationship between patient safety culture and the implementation of organizational patient safety
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-table32.html
March 01, 2013 - marketing activities that a community resource could be engaging in
Nature and strength of the inter-organizational … Organizational infrastructure
The way in which a clinic/clinician and/or community resource organizes … and governance structure (i.e., this domain contains measures of the presence or degree to which such organizational
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www.ahrq.gov/news/events/qi-listening-session.html
March 01, 2025 - The event will cover topics including organizational use and value, measure selection and enhancement
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www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - Program develops and supports surveys of providers and staff that assess the extent to which their organizational … Organizational Learning—Continuous Improvement. Overall Rating on Patient Safety.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
March 01, 2015 - President and CEO, Qualis Health
• Organizational stability and resources involves the presence of … When they and their
organizational leaders embrace a shared
vision and own practice transformation, … Conversely, other practices may have a reasonable level
of organizational stability and resources but … The development of an online decision support tool for
organizational readiness for change. … Measuring organizational attributes of
primary care practices: development of aA new instrument.
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www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
January 01, 2024 - Organizational factors, such as nursing leadership
and effective teamwork, appeared to be closely link … Elicit the organizational and individual barriers to safe medication practices within the
nursing home … Assess the nursing home climate and culture to determine organizational readiness to
embrace innovation … The research team had a great deal of
experience exploring nursing homes’ organizational capacity to … as nursing homes build their
organizational capacity to create and sustain improvement.
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www.ahrq.gov/sites/default/files/2025-04/elder-report.pdf
January 01, 2025 - Acquire a strong background in organizational change theory
The research goal of this award was to use … For each step, we were
then able to note which categories of human factors (technical, organizational … In contrast, the steps of ordering and
implementation had predominantly organizational problems with … Render’s patient safety survey research
Acquire a strong background in organizational change theory … Audited graduate level seminar at UC School of Business in Organizational Theory
Met regularly with
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-sops101-webcast-2023-kirchner.pdf
January 01, 2023 - • Surveys of providers and staff about the extent to which their
organizational culture supports patient … Safety Culture Assessed
Across SOPS Surveys
• Communication About Error
• Communication Openness
• Organizational
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/addressing-emerging-needs-09132023-edgeman-levitan.pdf
October 01, 2023 - Process of care measures
Clinical outcomes
Patient safety
Business Outcomes
Malpractice risk
Organizational … narratives linked to patient and workforce experiences
Organization’s
Use of Patient
Narratives
Organizational