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Total Results: 7,249 records

Showing results for "organizations".

161. Psn-Pdf (pdf file)
     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

162. Building social capital in healthcare organizations: thinking ecologically for safer care. | PSNet
     psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
     June 23, 2009 - Commentary Building social capital in healthcare organizations: thinking ecologically … Building social capital in healthcare organizations: thinking ecologically for safer care. … This article describes how building a healthy organization can make hospitals safer for patients and … Building social capital in healthcare organizations: thinking ecologically for safer care.

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50865/psn-pdf
     February 05, 2020 - Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program … Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program … https://psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione … portable medication management tool to reduce polypharmacy by using the principles of high reliability organizations … https://psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program

164. Psn-Pdf (pdf file)
     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

165. National Patient Safety Goals | PSNet
     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

166. In Conversation With... Libby Hoy and Stephen Hoy | PSNet
     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.

167. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
     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

168. Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. | PSNet
     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 View More See More About The Topic Hospitals Learning Organization

169. Psn-Pdf (pdf file)
     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

170. Developing a reporting culture: learning from close calls and hazardous conditions. | PSNet
     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

171. Psn-Pdf (pdf file)
     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

172. Psn-Pdf (pdf file)
     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

173. Meaningful Measurement in Patient and Family Engagement | PSNet
     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.

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855058/psn-pdf
     October 31, 2023 - My work largely focuses on the organization, delivery, and financing of care, and how the healthcare … When you’re working in an organization where there are clear power differentials and stressful conditions … families, and clinicians to worry about their safety in the healthcare environment and erode trust in the organization … within an organization is important. … It is one of those things that can tip people over in their decision to leave a unit, leave an organization

175. Psn-Pdf (pdf file)
     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

176. Psn-Pdf (pdf file)
     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.

177. Psn-Pdf (pdf file)
     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

178. Ambiguity and workarounds as contributors to medical error. | PSNet
     psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
     December 23, 2008 - This commentary discusses the role organizations play in producing and contributing to medical errors … The authors contrast characteristics of error-prone organizations with high-performing ones and provide … specific illustrations of how each type of organization designs and executes work, responds to problems … The authors suggest that health care organizations should not strive to become factories of repetition

179. Psn-Pdf (pdf file)
     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

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854993/psn-pdf
     November 01, 2023 - Building cultures of high reliability: lessons from the high reliability organization paradigm. … Building cultures of high reliability: lessons from the high reliability organization paradigm. … https://psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-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