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psnet.ahrq.gov/node/43841/psn-pdf
January 21, 2015 - Managing competing organizational priorities in clinical
handover across organizational boundaries. … Managing competing organizational priorities in clinical handover
across organizational boundaries. … https://psnet.ahrq.gov/issue/managing-competing-organizational-priorities-clinical-handover-across- … https://psnet.ahrq.gov/issue/managing-competing-organizational-priorities-clinical-handover-across-organizational … https://psnet.ahrq.gov/issue/managing-competing-organizational-priorities-clinical-handover-across-organizational
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www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-change.html
February 01, 2024 - Identify errors common to organizational change. … Begin planning your organizational change strategy. … Organizational Change Exercise
Introduce Slide 74, “Organizational Change Exercise.” … Common Errors
Display Slide 75, “Errors Common to Organizational Change.” … are when trying to make an organizational change.
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www.ahrq.gov/patient-safety/reports/liability/waever.html
August 01, 2017 - Recommendations for Exploring the Intersection of Patient Safety Culture with Organizational Approaches … Recommendation 2: Consider evaluating clinician attitudes and organizational norms surrounding consent … Evaluating clinician perceptions of organizational norms surrounding consent, disclosure, and openness … Organizational culture and leadership. 4th ed. Hoboken, NJ: Jossey-Bass; 2010.
7. … In Sutton RS, Staw BM (eds), Research in Organizational Behavior.
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psnet.ahrq.gov/node/50891/psn-pdf
February 12, 2020 - Nurses as antimicrobial stewards: recognition,
confidence, and organizational factors across nine
hospitals … Nurses as antimicrobial stewards: Recognition, confidence,
and organizational factors across nine hospitals … https://psnet.ahrq.gov/issue/nurses-antimicrobial-stewards-recognition-confidence-and-organizational- … https://psnet.ahrq.gov/issue/nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine … https://psnet.ahrq.gov/issue/nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine
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psnet.ahrq.gov/node/60668/psn-pdf
July 08, 2020 - Preserving organizational resilience, patient safety, and
staff retention during COVID-19 requires a … Preserving organizational resilience, patient safety, and staff retention during
COVID-19 requires a … https://psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during … https://psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid … -19
https://psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid
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psnet.ahrq.gov/node/837866/psn-pdf
August 17, 2022 - A System in Need of Repair: Addressing Organizational
Failures of the U.S.’s Organ Procurement and … https://psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-
procurement-and … https://psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and … https://psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and … psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
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psnet.ahrq.gov/issue/medical-surgical-nurse-leaders-experiences-safety-culture-inductive-qualitative-descriptive
August 05, 2020 - Six overarching themes emerged as well as structural and organizational challenges. … the perspectives and experiences of second victims
May 11, 2022
The influence of organizational … February 16, 2022
Organizational safety climate and job enjoyment in hospital surgical … September 24, 2016
Creating safety culture on nursing units: human performance and organizational
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psnet.ahrq.gov/issue/bridging-gap-between-culture-and-safety-critical-care-context-role-work-debate-spaces
July 15, 2020 - The author defines ‘work debate spaces’ as organizational spaces that serve as a vehicle for organizational … July 14, 2021
The influence of organizational context on quality improvement and patient … April 7, 2021
View More
Related Resources
Organizational learning
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psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations
September 02, 2020 - A just culture must balance organizational context with appropriate accountability after an error. … The authors suggest that medical errors and accidents be addressed from an organizational context with … Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational … December 9, 2020
The effect of the fit between organizational culture and structure on
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - An expert guide from SAMHSA has described organizational-level interventions to prevent and reduce … 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/medication-safety-event-reporting-factors-contribute-safety-events-during-times
June 21, 2023 - 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 … Medication safety event reporting: factors that contribute to safety events during times of organizational … April 26, 2023
Speaking up during the COVID-19 pandemic: nurses' experiences of organizational
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psnet.ahrq.gov/node/47897/psn-pdf
January 01, 2021 - Analysis of
organizational factors in hospitals implementing
TeamSTEPPS. … Analysis of organizational factors in hospitals implementing TeamSTEPPS. … psnet.ahrq.gov/issue/what-influences-sustainment-and-nonsustainment-facilitation-activities-
implementation
Organizational … implementation and cite senior management support, middle management support, and team continuity as
organizational … what-influences-sustainment-and-nonsustainment-facilitation-activities-implementation
https://psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
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www.ahrq.gov/action-alliance/resources/measure-domains.html
April 01, 2025 - Domain 1: Leadership Commitment to Eliminating Preventable Harm: Executive leadership oversees organizational … Domain 2: Strategic Planning and Organizational Policy: Commitment to “zero preventable harm.” … Domain 2: Strategic Planning and Organizational Policy . … tool, when overseen and/or implemented by hospital leaders and executives, can be used to evaluate organizational … Domain 2: Strategic Planning and Organizational Policy AHRQ Comprehensive Unit-based Safety Program
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psnet.ahrq.gov/node/843327/psn-pdf
February 01, 2023 - Speaking up during the COVID-19 pandemic: nurses'
experiences of organizational disregard and silence … 19 pandemic: nurses' experiences
of organizational disregard and silence. … https://psnet.ahrq.gov/issue/speaking-during-covid-19-pandemic-nurses-experiences-organizational-
disregard-and-silence … https://psnet.ahrq.gov/issue/speaking-during-covid-19-pandemic-nurses-experiences-organizational-disregard-and-silence … https://psnet.ahrq.gov/issue/speaking-during-covid-19-pandemic-nurses-experiences-organizational-disregard-and-silence
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psnet.ahrq.gov/node/73917/psn-pdf
October 06, 2021 - Reporting of health information technology system-
related patient safety incidents: the effects of
organizational … Reporting of health information technology system-related
patient safety incidents: the effects of organizational … psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-
incidents-effects
Organizational … The authors suggest strengthening organizational culture may increase reporting. … identifying-patient-safety-problems-associated-information-technology-general-practice
https://psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
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psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
April 26, 2023 - She studies organizational adaptability, reliability, resilience, and safety in health care. … When I got a job at Michigan, I had known that Karl had done his work on organizational culture as a … performance or organizational learning? … What we found in our 1999 paper was that reliability wasn't the outcome of organizational invariance … But I will state that the way people go about their work does matter for organizational mindfulness.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-3.html
June 01, 2021 - The framework is rooted in the organizational sciences and has been field tested in numerous initiatives … Developing collective accountability for any organizational priority is complex, and, once developed, … Potential gains for diagnostic safety and improvement, patient safety improvement,organizational return … Couple staff behavior with feedback by providing
feedback on:
Organizational outcomes. … Shared Control
Boundary spanning
What professional, organizational, or geographic boundaries
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/mcdonald-summit2016-breakout.pdf
June 02, 2025 - Families
Kathryn McDonald
Stanford University
What We Know:
Key Shaping Factors for
Cognitive Work
Organizational … Organizational learning labs could partner to
discover highest value targets
H1: High risk dx situations … Relational Model of Organizational Change: Gittell, Edmondson & Schein, 2011
What We Don’t Know
Enabler … and Show Stoppers
What organizational contextual factors have the
strongest effects on diagnostic … (H5)
Frontline-friendly for patients and professionals
What feedback systems produce ideas for organizational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptx
July 07, 2012 - ensure the safest care for patients
- Ensure staff access to necessary equipment
Alignment With Organizational … Goals5
Nurse managers ensure that the unit’s daily activities are aligned with organizational goals. … that results in:
- Delivery of ever-improving value to customers and stakeholders; contributing to organizational … sustainability
- Improvement of overall organizational effectiveness and capabilities
Organizational … inode=109970
Balanced Scorecard8
Customer results
Internal processes
Staff and organizational growth
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psnet.ahrq.gov/node/73110/psn-pdf
April 07, 2021 - Assessing the need for
organizational second victim support programs. … Assessing the need for organizational second victim support
programs. … https://psnet.ahrq.gov/issue/does-one-size-fit-all-assessing-need-organizational-second-victim-support … https://psnet.ahrq.gov/issue/does-one-size-fit-all-assessing-need-organizational-second-victim-support-programs … https://psnet.ahrq.gov/issue/does-one-size-fit-all-assessing-need-organizational-second-victim-support-programs