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psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
December 24, 2008 - Website
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization … Citation Text:
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization … Patient safety organizations (PSO) present a unique opportunity for informing health care safety improvement … The site provides access to a variety of PSO and other resources to help organizations reduce readmissions … Citation
Citation Text:
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization
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psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
October 09, 2024 - In learning organizations , leadership behavior creates a supportive learning environment where concrete … July 15, 2020
Creating complex health improvement programs as mindful organizations: … August 3, 2009
Patient Safety Organizations: a new paradigm in quality management and … Administrators
Organizational Behaviorists
Epidemiology of Errors and Adverse Events
Learning Organization
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psnet.ahrq.gov/node/836752/psn-pdf
March 16, 2022 - The necessary leadership skillsets for the high-reliability
organization framework adoption within acute … healthcare
organizations. … reliability organization framework
adoption within acute healthcare organizations. … https://psnet.ahrq.gov/issue/necessary-leadership-skillsets-high-reliability-organization-framework- … adoption-within-acute
High reliability organizations (HROs) often operate in complex, hazardous conditions
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psnet.ahrq.gov/node/33832/psn-pdf
April 01, 2017 - organization? … KS: I think that if any organization would say it's a high reliability organization that it probably … organization doesn't even know that it is a high reliability organization. … would never have called
themselves high reliability organizations. … They as researchers coined that term, not the organizations.
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - Carole Stockmeier: For over 20 years, I’ve had the pleasure of helping healthcare organizations learn … In a learning organization, an event of harm
creates a zero harm gap that we yearn to close. … You just spoke to the fact that harm does happen even in organizations that have a zero-harm goal. … And, when we do have an event of harm, the
role of the leader is to help the organization pick itself … the vision, mission, strategy, goals,
and most importantly, the day-to-day words and actions of the organization
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psnet.ahrq.gov/issue/new-patient-safety-organizations-lower-roadblocks-medical-error-reporting
May 20, 2009 - Commentary
New patient safety organizations lower roadblocks to medical error reporting … New patient safety organizations lower roadblocks to medical error reporting. … This article explains how AHRQ's Patient Safety Organization (PSO) initiative will help dismantle barriers … New patient safety organizations lower roadblocks to medical error reporting. … July 20, 2009
Patient safety organizations ready for action.
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psnet.ahrq.gov/node/73543/psn-pdf
July 28, 2021 - July 28, 2021
Academic Medical Center Patient Safety Organization. … https://psnet.ahrq.gov/issue/amc-pso-resource-center
Patient Safety organizations (PSO) are in a unique … https://psnet.ahrq.gov/issue/amc-pso-resource-center
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program … https://psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture … https://psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
https
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - Regina Hoffman: Collaborative learning is a foundational piece of our organization and many other organizations … In terms of intraorganizational learning, or learning within a single facility or organization, there … What actions are you taking as an organization to make sure that this does not happen again? … Regina Hoffman: Every organization is different. … It is important to know that something was done about a safety event and that the organization acted
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psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
February 26, 2025 - The hospitals improved collaboration with local social service organizations and step-down care providers … use their economic power and permanency to invest in the local community and partner with community organizations … Organizations should make efforts to vet and develop relationships with community partners and hospitals … and training of multidisciplinary patient care teams
Additional care navigators
Use By Other Organizations … Organizations should make efforts to vet and develop relationships with community partners and hospitals
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psnet.ahrq.gov/node/866243/psn-pdf
July 10, 2024 - https://psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations … -
approach
Error reporting and analysis is a key element of a learning organization. … https://psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach … https://psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach
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psnet.ahrq.gov/issue/theres-science-team-development-interventions-organizations
January 15, 2020 - Review
There's a science for that: team development interventions in organizations
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - contributed to patient safety in your organization
or the organizations you have worked with. … I would ask, is an organization really a highly reliable
organization if it is dependent on any single … Not every organization is
going to have that kind of leader. … I am
wondering how organizations can validate that assertion. … in
their work and their organization.
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psnet.ahrq.gov/node/38426/psn-pdf
February 18, 2009 - Patient safety organizations ready for action.
February 18, 2009
Clancy CM. … Patient Safety Organizations ready for action. AORN J. 2009;89(2):385-7. … https://psnet.ahrq.gov/issue/patient-safety-organizations-ready-action
This commentary discusses the … AHRQ rule defining the role of patient safety organizations (PSOs) in
safety improvement and elaborates … https://psnet.ahrq.gov/issue/patient-safety-organizations-ready-action
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - The Joint Commission does not operate health care organizations, nor does it design organization
systems … its surgery Universal Protocol do
provide both general and prescriptive guidance as to how specific organization … Good organization systems are designed by and "owned" by organizations themselves. … Here, the Universal Protocol frames the system expectations, and the
organization designs the system … Joint Commission
on Accreditation of Healthcare Organizations Web site.
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psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report
May 13, 2015 - Book/Report
Goals and Priorities for Health Care Organizations to Improve Safety … Citation Text:
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT … Health care organizations and clinicians are aware of the unintended consequences associated with … Cite
Citation
Citation Text:
Goals and Priorities for Health Care Organizations
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psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations
May 11, 2016 - Challenges of implementing a communication-and-resolution program where multiple organizations … Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate … support, physical distance of the liability insurer from the site of care, and a lack of trust among the organizations … Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate
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psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies
February 22, 2017 - Study
Hospital rating organizations' quality and patient safety scores: analysis … Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. … This study compared ratings of four national hospital rating organizations: Hospital Compare , Healthgrades … Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies.
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psnet.ahrq.gov/node/38248/psn-pdf
December 27, 2008 - AHRQ presses on: no rule yet, but agency taps 10 safety
organizations. … No rule yet, but agency taps 10 safety organizations. Modern
healthcare. 2008;38(45):8-9. … https://psnet.ahrq.gov/issue/ahrq-presses-no-rule-yet-agency-taps-10-safety-organizations
This article … reports on AHRQ's progress in naming and supporting patient safety organizations and
describes the … /issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
August 12, 2020 - Newspaper/Magazine Article
10 Leadership mindsets for high reliability organizations … Citation Text:
10 Leadership mindsets for high reliability organizations. … Cite
Citation
Citation Text:
10 Leadership mindsets for high reliability organizations … April 20, 2022
Development and expression of a high-reliability organization.
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psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability
March 01, 2023 - Race differences in reported harmful patient safety events in healthcare system high reliability organizations … Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations … Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations … Race differences in reported "near miss" patient safety events in health care system high reliability organizations … evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations