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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/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/node/34655/psn-pdf
May 21, 2019 - //psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
The author proposes that, as organizations … Using examples from air traffic control and NASA, Weick proposes that organizations should focus on … The
author also promotes praising reliability within the organization. … Finally, the author describes the
importance of storytelling in organizations, which allows people to
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psnet.ahrq.gov/node/36528/psn-pdf
January 20, 2010 - Creating high reliability in health care organizations. … Creating high reliability in health care organizations. … https://psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
High-reliability organizations … https://psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
https://psnet.ahrq.gov … //#highreliabilityorganizations
https://psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
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psnet.ahrq.gov/node/37334/psn-pdf
February 01, 2011 - A framework for health care organizations to develop and
evaluate a safety scorecard. … A framework for health care organizations to develop and
evaluate a safety scorecard. … https://psnet.ahrq.gov/issue/framework-health-care-organizations-develop-and-evaluate-safety-scorecard … , and Can this measure be used to improve safety in the organization? … tracking-progress-patient-safety-elusive-target
https://psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
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psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals-and-other-health
August 09, 2023 - Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations … Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations … Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations … August 5, 2020
Can teamwork promote safety in organizations?
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - For example, if a medication error occurs, healthcare organizations can complete a root cause
analysis … Without a structured RCA process in place, healthcare
organizations would struggle to prevent the same … At many organizations, researchers found that
RCA processes were primarily used to meet accreditation … By setting clear criteria for which events to analyze in-depth, RCA2 helps healthcare
organizations … The RCA2 toolkit offers a flexible approach to root cause analysis, allowing healthcare organizations
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psnet.ahrq.gov/node/37360/psn-pdf
January 05, 2012 - Building accountability through patient safety
organizations.
January 5, 2012
Ross J. … Building accountability through patient safety organizations. J Perianesth Nurs. 2007;22(5):346-8. … https://psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
This commentary … introduces the Patient Safety Improvement Act of 2005 , discusses patient safety
organization (PSO) … https://psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/39137/psn-pdf
June 07, 2016 - The rise of patient safety organizations.
June 7, 2016
Ivill DS, Kearbey AH. New York Law J. … https://psnet.ahrq.gov/issue/rise-patient-safety-organizations
This news feature discusses legal aspects … of Patient Safety Organizations' (PSO) role in data collection
and evaluation, work product designation … https://psnet.ahrq.gov/issue/rise-patient-safety-organizations
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/44851/psn-pdf
March 16, 2016 - Understanding psychological safety in health care and
education organizations: a comparative perspective … Understanding Psychological Safety in Health Care and
Education Organizations: A Comparative Perspective … https://psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations … -
comparative
Ensuring that workers feel comfortable raising concerns in an organization is crucial … https://psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative
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psnet.ahrq.gov/issue/2006-john-m-eisenberg-patient-safety-and-quality-awards
October 08, 2008 - Citation Text:
Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations, … September 27, 2006
Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations … The Eisenberg Award honors individuals and organizations who have made vital accomplishments in improving … Citation
Citation Text:
Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations
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psnet.ahrq.gov/node/39737/psn-pdf
November 30, 2016 - Physician's Guide to Patient Safety Organizations. … https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
This guide reviews the Patient … Improvement Act of 2005 and aims to further physician
knowledge of and participation in Patient Safety Organizations … https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
https://psnet.ahrq.gov/issue … patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/38005/psn-pdf
August 20, 2008 - Building social capital in healthcare organizations:
thinking ecologically for safer care. … Building social capital in healthcare organizations: thinking ecologically for safer
care. … https://psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care … This article describes how building a healthy organization can make hospitals safer for patients and … https://psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
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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/issue/workforce-perceptions-hospital-safety-culture-development-and-validation-patient-safety
November 18, 2009 - of hospital safety culture: development and validation of the patient safety climate in healthcare organizations … of hospital safety culture: development and validation of the patient safety climate in healthcare organizations … This study describes the development of the Patient Safety Climate in Healthcare Organizations survey … of hospital safety culture: development and validation of the patient safety climate in healthcare organizations
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psnet.ahrq.gov/node/837974/psn-pdf
August 31, 2022 - Fostering a just culture in healthcare organizations:
experiences in practice. … Fostering a just culture in healthcare organizations:
experiences in practice. … https://psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice
A … This qualitative study including five healthcare organizations in the Netherlands
concluded that open … https://psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice
https
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psnet.ahrq.gov/issue/what-extent-world-health-organizations-medication-safety-challenge-being-addressed-english
November 02, 2022 - is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations … is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations … In 2017, the World Health Organization (WHO) introduced the third Global Patient Safety Challenge , … is the World Health Organization's Medication Safety Challenge being addressed in English hospital organizations
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psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - The NPSG program
aimed to provide a common improvement framework to enable organizations, especially … patient safety standard by identifying healthcare disparities in the population served by the healthcare
organization … Healthcare organizations in the United States can improve patient safety by using the NPSGs to identify … Failure of hospitals and healthcare
organizations to maintain optimal performance on patient safety … An implementation resource that healthcare organizations can use to incorporate NPSGs into their daily
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psnet.ahrq.gov/node/33923/psn-pdf
June 12, 2018 - The collapse of sensemaking in organizations: the Mann
Gulch disaster.
June 12, 2018
Weick KE. … The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. … https://psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
This article is … ultimately perished, Weick
examines the disintegration of role structure and sensemaking within an organization … The purpose is to understand why organizations
unravel and how they become more resilient.
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - checklists and tools like I-PASS to facilitate communication among healthcare professionals within an organization … both communication during transitions of care and to foster an overall culture of safety within an organization … Implementation of TeamSTEPPS training within an organization can improve patient safety, reduce clinical … error rates , improve patient satisfaction, and emphasize a wider culture of safety within an organization … February 26, 2025
Perspective
High Reliability Organization