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psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
August 14, 2019 - literature on effective approaches to improving quality and safety generally focuses on high reliability organizations … and positive deviants —organizations or units that have achieved notable successes. … This systematic review sought to characterize organizations that struggle to improve quality. … The authors identified five domains that exemplify struggling organizations, including lack of a clear
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psnet.ahrq.gov/node/849121/psn-pdf
May 17, 2023 - thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-
improvement-report
Learning from patient safety incidents can help health care organizations … This article provides a template for organizations to review patient safety incidents and classify
them … thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report
https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools … https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
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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/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/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/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
September 05, 2018 - Review
Building cultures of high reliability: lessons from the high reliability organization … Building cultures of high reliability: lessons from the high reliability organization paradigm. … Achieving high reliability remains difficult for many organizations. … This article provides a brief history of the concept of high reliability organizations (HROs) and key … Building cultures of high reliability: lessons from the high reliability organization paradigm.
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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/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/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/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Its definition is: the degree to which an organization equitably enables individuals to find, understand … Failure to incorporate health literacy principles into an organization can lead to miscommunications … operations of a healthcare organization. … Becoming a Health Literate Organization Health literate organizations weave health literacy into all … A Psychometric analysis of the Health Literate Healthcare Organization-10 Item Questionnaire.
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - 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/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - Book/Report
What Every Health Care Organization Should Know about Sentinel Events … Citation Text:
What Every Health Care Organization Should Know about Sentinel Events. … Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. … May 4, 2015
Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations … Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005.
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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/issue/common-formats-allow-uniform-collection-and-reporting-patient-safety-data-patient-safety
May 20, 2009 - Common formats allow uniform collection and reporting of patient safety data by patient safety organizations … Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations … This article defines common formats and explains their role in the patient safety organization initiative … Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations … 6, 2019
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization
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psnet.ahrq.gov/node/60550/psn-pdf
June 03, 2020 - //psnet.ahrq.gov/issue/clinical-efficacy-combined-surgical-patient-safety-system-and-world-health-
organizations … Safety System (SURPASS) is used to address preoperative and
postoperative care, and the World Health Organization … https://psnet.ahrq.gov/issue/clinical-efficacy-combined-surgical-patient-safety-system-and-world-health-organizations … https://psnet.ahrq.gov/issue/clinical-efficacy-combined-surgical-patient-safety-system-and-world-health-organizations
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psnet.ahrq.gov/node/46718/psn-pdf
August 08, 2018 - Workplace Violence Prevention: Implementing Strategies
for Safer Healthcare Organizations. … https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-
organizations … This resource collection
highlights federal, state and professional organization materials exploring … https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-organizations … https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-organizations
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psnet.ahrq.gov/node/50700/psn-pdf
January 01, 2020 - Developing health care organizations that pursue learning
and exploration of diagnostic excellence: … Developing Health Care Organizations That Pursue Learning and
Exploration of Diagnostic Excellence: … https://psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-
diagnostic-excellence … The authors propose a five-
point plan by which healthcare organizations can pursue diagnostic excellence … https://psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence
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psnet.ahrq.gov/node/840478/psn-pdf
November 30, 2022 - Interventions into reliability-seeking health care
organizations: a systematic review of their goals … Interventions into reliability-seeking health care organizations: a
systematic review of their goals … https://psnet.ahrq.gov/issue/interventions-reliability-seeking-health-care-organizations-systematic-review … -
their-goals-and
Health systems are increasingly aiming to become high-reliability organizations, … https://psnet.ahrq.gov/issue/interventions-reliability-seeking-health-care-organizations-systematic-review-their-goals-and
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psnet.ahrq.gov/node/73492/psn-pdf
July 14, 2021 - How can regulatory authorities improve safety in
organizations by influencing safety culture? … How can regulatory authorities improve safety in
organizations by influencing safety culture? … https://psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing- … safety-culture
Healthcare organizations are increasingly investing in promoting culture of safety … https://psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing-safety-culture