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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
March 20, 2008 - Organizational and clinical changes designed to prevent errors and improve
safety were initiated. … Minnesota and the University of North Dakota
evaluated the short-term impact of implementation on the organizational … Another hospital
emphasized organizational learning by sharing survey results and action plans at their … protocols, hospitals
were asked to examine clinical processes that come with “baggage,” including organizational … Quantitative measures collected in two of the three interventions suggest that organizational
change
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www.ahrq.gov/professionals/systems/system/delivery-system-initiative/casalino/paper/idkeydsr1.html
February 01, 2014 - The model also adds organizational culture and leadership. … Culture and leadership also strongly influence the processes used to provide care and probably influence organizational
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Also, controlled
trials are often not possible for PSPs requiring large-
scale organizational change … local sentinel patient safety events)
– Patient safety culture (not to be confused with
the larger organizational … characteristics (e.g., size, organizational complexity, or financial status); safety culture, teamwork … , and leadership involvement; and
availability of implementation and management tools (e.g., organizational … implementation difficulty, we used
three categories: difficult, for PSPs that require large scale
organizational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - These challenges arise from the organizational context and the human
beings working in it.6 As Lorenzi … same decision-support paradigm may take on a very different guise,
depending on the clinical and organizational … These malleable contextual dimensions, including
clinical, social, and organizational factors, may be … Unless there
is a miraculous alignment of organizational priorities and study
objectives (such as that … Organizational factors that influence
information technology diffusion in academic health
sciences
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - been developed and implemented in
health care organizations.7, 8, 9, 10, 11 Diverse approaches to organizational … 8, 9, 10, 11 However, patient safety remains a challenge because of the difficulty in
sustaining organizational … one and, therefore, requires an
organizational solution. … The organizational changes that support the VTE Safety Toolkit and On-line Provider Training
Module … Making a case
for organizational change in patient safety initiatives.
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-checklist.html
January 01, 2017 - Foster organizational learning and actively participate in the process of learning from defects.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
May 01, 2017 - Foster organizational learning.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - Leading organizational
learning in health care. Qual Saf Health Care 2002
11:51–6.
8. … On organizational learning. Boston:
Blackwell Publishers, Inc.; 1999.
12. Senge PM. … The evolving field of organizational
learning. In: Argyris C, Schön D, editors. … Organizational learning volume II. … House officer education and
organizational obstacles to quality improvement.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Organizational Learning – Continuous
Improvement .................................................. … Organizational Learning – Continuous Improvement
1. … MITSS
also provides an organizational assessment tool and a comprehensive work plan.
8. … Areas addressed include the following:
High Priority Practices
Organizational Responsibilities
… Organizational Learning – Continuous Improvement
Composite 7. Response to Mistakes
Composite 8.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - Organizational factors identified in
discussion as critical to successful implementation of CPOE include … In: Organizational factors in aviation
accidents. … Assessing organizational safety risk
using questionnaire survey methods. 11th International
Symposium … Organizational change and a culture of
safety. In: Enhancing patient safety and reducing
errors. … Organizational culture as a source of high
reliability. Calif Manage Rev 1987;29(2):112–27.
19.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - Here we discuss James Reason’s model of
organizational accidents.9 Central to Reason’s approach is the … important to consider
2
the actions of the people involved and to analyze the conditions and organizational … They also can originate with
decisions that are made at a higher organizational level but have direct … Managing the risks of organizational
accidents. Aldershot, UK: Ashgate; 1997.
10. … Organizational-historical analysis of the “failures to
respond to alarm” problem.
-
www.ahrq.gov/sops/events/webinars/health-it.html
December 01, 2018 - use the survey items as a supplement to the Hospital Survey on Patient Safety Culture to assess how organizational
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
June 01, 2014 - of the relationship between this framework and other conceptual models, the Donabedian Model and the Organizational … In particular, we find the Donabedian and Organizational Design models to be valuable, somewhat contrasting … Organizational Design Model
The Context of our framework—which includes the clinical setting … For our purposes, a key strength of the Organizational Design Model is that it acknowledges that, to … definitions of coordination pertaining to a diverse set of patient populations, health care scenarios, and organizational
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/famolaro-0914slides.pdf
January 01, 2014 - Organizational Learning
5. Staff Training
6. Communication About Error
7. … Medical Office Survey Composites
75%
80%
80%
86%
86%
0% 20% 40% 60% 80% 100%
Staff Training
Organizational
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/checklist.html
March 01, 2017 - Foster organizational learning by disseminating “learn from defect” lessons.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.pdf
June 02, 2025 - You will be asked to rank the level (1-4) of your practice in six
domains: organizational capacity, … INSTRUCTIONS:
This instrument is organized under six domains: 1) Organizational Capacity, 2) Chronic … For the example below, "Domain 1: Organizational Capacity, Theme 1. 1 "The Mission..." the score for … Domain 1: Organizational Capacity:
THEME: Level 1 Level 2 Level 3 Level 4
#1.1
The
Mission
of … Domain 1: Organizational Capacity: For CSHCN and Their Families
THEME: Level 1 Level 2 Level 3 Level
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www.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - In addition, practices may select organizational evidence (e.g., use of standing orders, expanded role … team, it is important to be clear about the expectations of what they will contribute and because of organizational … Nurture leadership and create a culture of continuous learning and evidence-based practice
A maxim of organizational … Provide organizational and leadership support for evidence-based practice and quality improvement
Like … more general skill building, such as teaching practice members to be savvy consumers of clinical and organizational
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
December 01, 2017 - And one of the things that was pointed out, there is such a thing as an organizational culture, but there's … One of the things to keep in mind when you're doing your organizational assessment, and right now I'm … So let's look at organizational culture. Let's look at the levels of organizational culture. … So if I'm doing an organizational assessment, first of all, my underlying assumption is safety is a system … Communication and openness, about 61 percent, and organizational learning nationally is fairly in the
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
August 12, 2014 - And one of the things that was pointed out, there is such a thing as an organizational culture, but there … One of the things to keep in mind when you’re doing your organizational assessment, and right now I’m … So let’s look at organizational culture. Let’s look at the levels of organizational culture. … So if I’m doing an organizational assessment, first of all, my underlying assumption is safety is a system … Communication and openness, about 61 percent, and organizational learning nationally is fairly in the
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - In addition, practices may select organizational
evidence (e.g., use of standing orders, expanded role … team, it is important to be clear about the
expectations of what they will contribute and because of organizational … Provide organizational and leadership support for evidence-based practice and
quality improvement
Like … who are committed to ensuring that people receive the most up-to-date care embrace
learning as an organizational … more general skill building, such as teaching practice
members to be savvy consumers of clinical and organizational