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psnet.ahrq.gov/node/34782/psn-pdf
November 01, 2016 - The authors discuss the organizational tension that exists in balancing efficiency with reliability … They provide four
case examples to illustrate their points and contrast organizational successes with … They offer a series of recommendations to enhance reliability and minimize
risk within organizational
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psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
February 03, 2021 - December 18, 2017
Organizational and social-psychological conditions in healthcare and … View More
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Fighting MRSA infections in hospital care: how organizational … September 1, 2018
The Second Victim Experience and Support Tool: validation of an organizational … See More About The Topic
Hospitals
Health Care Executives and Administrators
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psnet.ahrq.gov/node/44910/psn-pdf
March 09, 2016 - /issue/systematically-identified-failure-route-successful-health-system
Identifying and addressing organizational … systematically-identified-failure-route-successful-health-system
https://psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and … https://psnet.ahrq.gov/issue/strategies-learning-failure
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
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psnet.ahrq.gov/node/33587/psn-pdf
June 15, 2024 - Kalisch's model also implies that organizational conditions can promote normalization of deviance—even … Evaluation of organizational nurse staffing plans should include not
just the average needs of nursing … Second, organizational and unit culture influence missed nursing care. … Improvements in the work
environment, unit safety climate, organizational culture, and teamwork skills … Considerable organizational attention, quality improvement, and safety research are needed to
develop
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psnet.ahrq.gov/node/47675/psn-pdf
November 28, 2023 - https://psnet.ahrq.gov/issue/sops-surveys
Surveys are established mechanisms for organizational assessment … Topics covered include organizational characteristics
required for successful web-based distribution
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psnet.ahrq.gov/node/34759/psn-pdf
July 13, 2016 - His book Managing the Risks of
Organizational Accidents is less theoretical and may be more appropriate … https://psnet.ahrq.gov/issue/human-error
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
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psnet.ahrq.gov/issue/hassle-dispensary-pilot-study-proactive-risk-monitoring-tool-organisational-learning-based
January 21, 2015 - Download Citation
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Managing competing organizational … priorities in clinical handover across organizational boundaries. … June 16, 2019
Organizational conditions for engagement in quality and safety improvement … December 1, 2010
What’s past is prologue: organizational learning from a serious patient … More About The Topic
General Hospitals
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psnet.ahrq.gov/node/50777/psn-pdf
January 08, 2020 - relationship between national culture and safety culture, and how national
culture influences an individual’s organizational … The authors provide practical suggestions and directions for future
research on organizational patient
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psnet.ahrq.gov/node/44280/psn-pdf
July 15, 2015 - innovation-practice-multidisciplinary-medication-safety-initiative
Robust processes that enable review and analysis of medical errors are critical to support organizational … shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance … https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/43703/psn-pdf
December 19, 2014 - AHRQ's Patient Safety
Indicators (PSIs): is variation in PSI composite score
related to hospital organizational … of AHRQ's patient safety indicators (PSIs): is
variation in PSI composite score related to hospital organizational … some distinctions in leadership and
communication, overall the relationship between PSI score and organizational
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psnet.ahrq.gov/issue/medical-disrespect
September 27, 2023 - Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational … July 3, 2016
Work Design Drivers of Organizational Learning about Operational Failures … View More
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Hospitals
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psnet.ahrq.gov/issue/errors-organizations
August 14, 2019 - August 23, 2011
The effect of the fit between organizational culture and structure on … January 14, 2011
Managing the Risks of Organizational Accidents. … View More
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Quality and Safety Professionals
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psnet.ahrq.gov/node/848105/psn-pdf
April 26, 2023 - psnet.ahrq.gov/issue/gooddxorg
Effective feedback is an important component of individual, team and organizational … The website includes resources
targeted towards a multitude of clinical specialties and organizational
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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - Managing the Risks of Organizational Accidents.
March 28, 2005
Reason JT. … ISBN: 9781840141047
https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
Written 7 … https://psnet.ahrq.gov/issue/managing-risks-organizational-accidents
https://psnet.ahrq.gov/issue/human-error
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psnet.ahrq.gov/node/43823/psn-pdf
June 07, 2017 - found differing perceptions of safety culture between clinical (medical and nursing) leadership
and organizational … Clinical leadership consistently perceived a weaker safety culture compared to organizational leadership … ,
indicating that organizational leadership may not be aware of frontline workers' concerns.
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psnet.ahrq.gov/node/851071/psn-pdf
June 28, 2023 - errors that contributed to failed transplants and patient deaths at one liver transplant center and the
organizational-level … utmc-nurse-tossed-out-kidney-ruined-it-national-experts-say-error-rare
https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
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psnet.ahrq.gov/node/73860/psn-pdf
September 22, 2021 - Fifty-four safety recommendations were identified, the majority of which were organizational factors … (e.g.,
communication, organizational culture).
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psnet.ahrq.gov/issue/resilience-engineering-concepts-and-precepts
January 12, 2011 - October 18, 2010
What’s past is prologue: organizational learning from a serious patient … October 13, 2010
Towards an organization with a memory: exploring the organizational … June 22, 2009
Organizational Learning from Experience in High-Hazard Industries: Problem … June 19, 2007
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psnet.ahrq.gov/node/49866/psn-pdf
June 01, 2019 - Thus, residents are particularly susceptible to the effects of organizational culture
and may quickly … The paper concludes that education on communication without
attention to changing organizational culture … This is again a question of resources, organizational culture, and prioritization. … Organizational culture has a very strong effect on willingness of health care providers to be assertive … Educating junior or less powerful staff on how to
speak up cannot overcome an organizational culture
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digital.ahrq.gov/location/usa-ca-placerville
January 01, 2023 - comprehensive plan for health IT implementation and integration by assessing specific clinical and organizational … comprehensive plan for health IT implementation and integration by assessing specific clinical and organizational