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psnet.ahrq.gov/node/34763/psn-pdf
March 07, 2005 - The Limits of Safety: Organizations, Accidents and
Nuclear Weapons.
March 7, 2005
Sagan SD. … https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
Two competing … paradigms dominate the study of the hazards associated with complex organizations. … identifies key factors contributing to these records, including a high priority
for safety within the organization … https://psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
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psnet.ahrq.gov/node/45011/psn-pdf
May 25, 2016 - High Reliability Organizations: A Healthcare Handbook for
Patient Safety & Quality. … https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality … This publication discusses core elements of high reliability organizations and how to apply them in … https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality … https://psnet.ahrq.gov/primer/high-reliability
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-operational-advice-hospital-leaders
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psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-conditions
February 26, 2025 - This new sentinel event alert explores how organizations can change their culture to promote reporting … It highlights bright spots: organizations that use a just culture approach to investigating errors, … The Joint Commission proposes actions for all organizations to take, including developing incident reporting
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - The NPSG program aimed to provide a common improvement framework to enable organizations, especially … Goals for each year are identified based on feedback from clinicians, healthcare organizations, insurers … 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 … An implementation resource that healthcare organizations can use to incorporate NPSGs into their daily
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psnet.ahrq.gov/issue/interactions-between-context-health-care-organisation-and-failure-situational-impact-failure
May 17, 2012 - Organizations are encouraged to learn from their failures but are not always able to do so. … includes 49 studies that describe post-failure learning or non-learning behavior within healthcare organizations … June 2, 2021
Learning from safety incidents in high reliability organizations: a systematic … December 17, 2009
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See More About The Topic
Hospitals
Learning Organization
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 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 … Toward zero harm: Mackenzie Health’s journey toward becoming a high reliability organization and eliminating
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - Kendall Hall : Please kick us off by introducing yourselves and your organization. … We help organizations to build patient and family advisory programs. … We listen to what the priorities are for that particular hospital or organization. … That first step is figuring out the strategic priorities that the organization is really focused on. … Quality Improvement Organizations. Accessed February 1, 2021.
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psnet.ahrq.gov/node/47092/psn-pdf
October 13, 2018 - organizational-response-known-medical-errors-does-peer-review-protection-
impede-improvement
Patient safety organizations … explored communication activities from
the Pennsylvania Patient Safety Authority to determine how organizations … The authors conclude that even with confidentiality protections, health care organizations remain reluctant … organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program … whats-past-prologue-organizational-learning-serious-patient-injury
https://psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
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psnet.ahrq.gov/node/44061/psn-pdf
November 16, 2015 - Quality improvement and patient safety organizations in
anesthesiology. … Quality improvement and patient safety organizations in anesthesiology. … https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
The … https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
https … ://psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
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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/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/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - Quality Improvement Organizations. Accessed February 1, 2021. … Kendall Hall : Please kick us off by introducing yourselves and your organization. … We help organizations to build patient and family advisory programs. … We listen to what the priorities are for that particular hospital or organization. … That first step is figuring out the strategic priorities that the organization is really focused on.
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psnet.ahrq.gov/node/60885/psn-pdf
September 02, 2020 - Becoming a High Reliability Organization.
September 2, 2020
VHA Forum. Summer 2020;1-12. … https://psnet.ahrq.gov/issue/becoming-high-reliability-organization
High reliability attainment is a … stated goal for health care organizations. … https://psnet.ahrq.gov/issue/becoming-high-reliability-organization
https://psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
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psnet.ahrq.gov/node/74235/psn-pdf
January 12, 2022 - Where trust flourishes: perceptions of clinicians who
trust their organizations and are trusted by their … Where trust flourishes: perceptions of clinicians who trust their
organizations and are trusted by their … https://psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and … https://psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted … https://psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted
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psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations
June 17, 2009 - Commentary
Safety cultural preconditions for organizational learning in high-risk organizations … Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. … Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. … Resources From the Same Author(s)
Mapping research on culture and safety in high-risk organizations … June 17, 2009
How can regulatory authorities improve safety in organizations by influencing
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psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
July 19, 2017 - Nurses, organizations work to address alarm fatigue.
Citation Text:
Trossman S. … Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7. … Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7.
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - MD, MPP, MPH, is president of The Joint Commission, the preeminent
standard setting and accrediting organization … him to speak with us about his role at The Joint
Commission, as well as future directions for the organization … As I thought
more about that in context, it became clear that this organization has really been in continuous … This is a private organization that relies on organizations voluntarily
subscribing to our service; … This is a great organization.
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psnet.ahrq.gov/node/44977/psn-pdf
March 01, 2020 - Choosing a Patient Safety Organization
March 1, 2020
Rockville, MD: Agency for Healthcare Research … https://psnet.ahrq.gov/issue/choosing-patient-safety-organization
Patient safety organizations (PSOs … This brochure provides guidance for health care organizations regarding benefits of working with a PSO … https://psnet.ahrq.gov/issue/choosing-patient-safety-organization
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/60271/psn-pdf
April 29, 2020 - Pain management best practices from multispecialty
organizations during the COVID-19 pandemic and public … Pain Management Best Practices from Multispecialty
Organizations During the COVID-19 Pandemic and Public … https://psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid … https://psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid … -19-pandemic-and
https://psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid
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psnet.ahrq.gov/node/73088/psn-pdf
March 31, 2021 - Nurses’ perspectives on the impact of management
approaches on the blame culture in health-care
organizations … Nurses’ perspectives on the impact of management approaches on the blame culture in health-
care organizations … //psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-
care-organizations … https://psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations … https://psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations