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psnet.ahrq.gov/node/854817/psn-pdf
October 25, 2023 - impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-
systematic-review
Healthcare leadership walkarounds (LWs) involve organizational … This systematic review describes the
impact of LWs on organizational and patient outcomes. … Most studies (11 out of 12) measured
organizational or clinical outcomes. … Organizational outcomes included staff perception of safety culture,
near miss reports, teamwork, and
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www.ahrq.gov/chsp/about-chsp/centers-of-excellence/dartmouth.html
August 01, 2017 - It will identify potentially high-impact policy and organizational levers through three lenses by completing … The survey asks leaders about the external environment, organizational characteristics, operational factors … This work involves measuring performance improvement mechanisms across different environmental and organizational … Use of Patient Engagement Innovations in Diverse Healthcare Systems is studying the environmental, organizational … To assess relationships between organizational characteristics, types of health care innovations, and
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapb.html
July 01, 2018 - continuing education/training
Initial year 1999 or later
Subtotal
1,390
264
46
Organizational … Context
PubMed
353
85
36
16 terms used: hospital; organizational change, climate, culture … language; 1999 to present; human subjects
CINAHL
162
162
17
16 terms used: hospital; organizational … language; 1999 to present
ABI Inform Business Global
196
0
0
15 terms used: hospital; organizational … advisory council
1999-present
HSR Project Database
304
131
0
15 terms used: hospital; organizational
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www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
January 01, 2025 - safety management
Organizational learning Organizational contributors
– Latent conditions
– Performance … • Care plan training LTA – inaccurate (organizational practices). … Managing the Risks of Organizational Accidents. Brookfield, VT: Ashgate, 1997.
20 Vincente K. … Managing the Risks of Organizational Accidents. Brookfield, VT: Ashgate, 1997.
25 Reason J. … Managing the Risks of Organizational Accidents.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Bringing about organizational change of any type is difficult. … 1.1 Do organizational members understand why change is needed? … At this early stage, the focus is on urgency at the organizational level. … You should not move ahead until you are confident of organizational readiness. … Organizational Readiness Checklist
Why is change needed?
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Bringing about organizational change of any type is difficult. … 1.1 Do organizational members understand why change is needed? … At this early stage, the focus is on urgency at the organizational level. … You should not move ahead until you are confident of organizational readiness. … Organizational Readiness Checklist
Why is change needed?
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psnet.ahrq.gov/node/36173/psn-pdf
September 29, 2010 - The need for organizational change in patient safety
initiatives. … The need for organizational change in patient safety initiatives. … https://psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
The authors used … a simulation model to analyze organizational response to reported medication errors. … https://psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - Managing the Risks of Organizational Accidents. … Image: Organizational chart showing the unsafe acts algorithm. … Organizational Leadership and Culture 4th ed. San Francisco: John Wiley & Sons; 2010. … Organizational Leadership and Culture 4th ed. San Francisco: John Wiley & Sons; 2010.
Wiegmann. … Managing the Risks of Organizational Accidents .
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex1-text.html
July 01, 2018 - Organizational and individual behaviors
Around patient and family engagement in safety and quality … Organizational context within hospitals
Organizational culture, resources, facilitators, and constraints
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex14.html
July 01, 2018 - Component 2: Patient and family "organizational partnership"
Information about programs. … Partnering with patients at an organizational level. … Component 4: Leadership and implementation
Organizational change.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-ginsberg.pdf
January 01, 2012 - based on large geographical variation in
healthcare spending in US
9
Understanding the Role of Organizational … Culture
• What is the relationship between value and
efficiency and organizational culture? … Value and Efficiency in Healthcare
Value and Efficiency in Health Care
Understanding the Role of Organizational
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psnet.ahrq.gov/node/37079/psn-pdf
October 03, 2011 - Assessment of patient safety research from an
organizational ergonomics and structural perspective. … Assessment of patient safety research from an organizational
ergonomics and structural perspective. … https://psnet.ahrq.gov/issue/assessment-patient-safety-research-organizational-ergonomics-and-structural … perspective
This review analyzed literature on safety improvement strategies within the framework of organizational … https://psnet.ahrq.gov/issue/assessment-patient-safety-research-organizational-ergonomics-and-structural-perspective
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psnet.ahrq.gov/node/41675/psn-pdf
September 12, 2012 - Addressing healthcare-associated infections and
antimicrobial resistance from an organizational
perspective … Addressing healthcare-associated infections and antimicrobial resistance from an
organizational perspective … https://psnet.ahrq.gov/issue/addressing-healthcare-associated-infections-and-antimicrobial-resistance-
organizational … This commentary describes how to prevent health care–associated infections using an organizational … https://psnet.ahrq.gov/issue/addressing-healthcare-associated-infections-and-antimicrobial-resistance-organizational
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixF_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - /handoff communication 1
“Other Organizational Factors”
Physicians pressured to close encounters … same day 1
“Other Organizational Factors” Multiple sources of patient data 1
“Other Organizational … Factors” Using multiple vendors 1
“Other Organizational Factors” Paper/computer disconnect 1
“Other … Organizational Factors”
Poor coordination with house staff
scheduling 1
“Other Organizational Factors … ” Poor connection to a wall 1
“Other Organizational Factors”
Unclear feedback to user on what would
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psnet.ahrq.gov/issue/competitive-imperative-learning
September 25, 2024 - January 7, 2011
Learning from mistakes is easier said than done: group and organizational … February 12, 2018
An organizational learning framework for patient safety. … January 22, 2017
Work Design Drivers of Organizational Learning about Operational Failures … January 10, 2011
What’s past is prologue: organizational learning from a serious patient … See More About The Topic
Hospitals
Health Care Executives and Administrators
Organizational
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psnet.ahrq.gov/node/39103/psn-pdf
November 18, 2009 - Identifying organizational cultures that promote patient
safety. … Identifying organizational cultures that promote patient safety. … https://psnet.ahrq.gov/issue/identifying-organizational-cultures-promote-patient-safety
This study provides … a link between safety climate and organizational culture demonstrating that measured
safety climate … /primer/culture-safety
https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
https
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psnet.ahrq.gov/node/35291/psn-pdf
April 21, 2010 - Use of complex adaptive systems metaphor to achieve
professional and organizational change. … Use of complex adaptive systems metaphor to achieve professional and organizational
change. … https://psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-
organizational-change … The authors share their experience in implementing and sustaining organizational change in a primary … https://psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
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www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
January 01, 2024 - The relative lack of
established organizational efforts in patient safety was both an opportunity and … Press, 1993) –
leadership, culture of safety, redundancy designed into systems, and organizational … We planned on using a
focus on devices as an entrée or pathway to learning more about organizational … memory (or amnesia) for safety-related events and possible harms and
organizational approaches to … Simulation Approaches and Integration into an Organizational Safety Program.
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psnet.ahrq.gov/node/47092/psn-pdf
October 13, 2018 - Organizational response to known medical errors: does
peer review protection impede improvement? … Organizational Response to Known Medical Errors: Does Peer Review Protection
Impede Improvement? … https://psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection … https://psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement … https://psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
https
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psnet.ahrq.gov/node/41934/psn-pdf
May 24, 2016 - Work Design Drivers of Organizational Learning about
Operational Failures: A Laboratory Experiment on … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures- … laboratory-experiment
This paper investigates techniques for engaging frontline employees in proactive organizational … https://psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment … https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance