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psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
November 10, 2021 - Commentary
Crew resource management: applications in healthcare organizations. … Crew resource management: applications in healthcare organizations. … Crew resource management: applications in healthcare organizations.
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psnet.ahrq.gov/issue/yours-learning-organization
March 18, 2019 - Newspaper/Magazine Article
Is yours a learning organization? … Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134. … Health care systems that embody these concepts are considered "learning organizations"—organizations … United Kingdom's National Health Service (NHS) made a pioneering effort to transform into a learning organization … Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16, 134.
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psnet.ahrq.gov/issue/asset-based-quality-improvement-tool-health-care-organizations-cultivating-organization-wide
September 16, 2020 - Commentary
An asset-based quality improvement tool for health care organizations: … cultivating organization wide quality improvement and health care professional engagement. … An asset-based quality improvement tool for health care organizations: cultivating organization wide … An asset-based quality improvement tool for health care organizations: cultivating organization wide … 2017
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations
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psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
July 28, 2013 - Book/Report
Classic
The Limits of Safety: Organizations … Citation Text:
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. Sagan SD. … 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 … The Topic
Quality and Safety Professionals
Safety Scientists
Policy Makers
Learning Organization
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psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
October 14, 2020 - Commentary
The benefits and burdens of working with patient safety organizations … The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality … Patient safety organizations (PSOs) provide a protected avenue for sharing adverse incident information … to support large-scale learning across health care organizations. … March 21, 2017
Patient Safety Organization (PSO) Program.
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psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership-standards
March 10, 2025 - Book/Report
Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership … Citation Text:
Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards … This white paper provides comprehensive information on leadership standards for health care organizations … July 1, 2022
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge … August 16, 2016
To Do No Harm: Ensuring Patient Safety in Health Care Organizations.
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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
March 07, 2018 - Commentary
Quality improvement and patient safety organizations in anesthesiology … Quality improvement and patient safety organizations in anesthesiology. … Quality improvement and patient safety organizations in anesthesiology. … Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
April 26, 2023 - KS : I would be thinking about the organization at multiple levels. … organization? … KS : I think that if any organization would say it's a high reliability organization that it probably … reliability organization doesn't even know that it is a high reliability organization. … They as researchers coined that term, not the organizations.
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psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care
May 12, 2021 - Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations … Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations … Based on interviews with safety leaders across the United States, this article discusses how different organizations … 2021
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations … Health Care Executives and Administrators
Medicine
Diagnostic Errors
Latent Errors
Learning Organization
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psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
February 11, 2015 - Book/Report
Patient Safety Organizations: Hospital Participation, Value, and Challenges … Citation Text:
Patient Safety Organizations: Hospital Participation, Value, and Challenges. … Patient safety organizations (PSO) encourage transparency and sharing of data to prevent failure. … Copy URL
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Patient Safety Organizations … March 18, 2020
How PSOs Help Health Care Organizations Improve Patient Safety Culture
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psnet.ahrq.gov/issue/choosing-patient-safety-organization
April 01, 2020 - Fact Sheet/FAQs
Choosing a Patient Safety Organization
Citation Text: … Choosing a Patient Safety Organization Rockville, MD: Agency for Healthcare Research and Quality; March … Patient safety organizations (PSOs) collect and analyze protected incident data from across the United … This brochure provides guidance for health care organizations regarding benefits of working with a PSO … Cite
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Choosing a Patient Safety Organization
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psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
January 30, 2019 - Classic
Risk mitigation in large scale systems: lessons from high reliability organizations … Citation Text:
Risk mitigation in large scale systems: lessons from high reliability organizations. … The authors examine high-reliability organizations , such as aviation and nuclear power, which actively … August 7, 2019
Error reporting in organizations. … September 7, 2022
Evidence Brief: Implementation of High Reliability Organization Principles
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psnet.ahrq.gov/issue/interventions-reliability-seeking-health-care-organizations-systematic-review-their-goals-and
October 19, 2022 - Review
Interventions into reliability-seeking health care organizations: a systematic … Interventions into reliability-seeking health care organizations: a systematic review of their goals … Health systems are increasingly aiming to become high-reliability organizations , able to operate for … June 1, 2022
A high-reliability organization framework for health care: a multiyear implementation … September 29, 2021
Interventions and measurements of highly reliable/resilient organization
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psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - Study
Understanding principles of high reliability organizations through the eyes … Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program … portable medication management tool to reduce polypharmacy by using the principles of high reliability organizations … Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program … optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - Background High reliability organizations (HRO) are organizations that operate in complex, high-hazard … standardization: high reliability is better described as a condition of persistent mindfulness within an organization … Characteristics of High Reliability Organizations High reliability organizations use systems thinking … in their report of practices employed by hospitals in the High Reliability Organization Learning Network … Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.
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psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations
July 21, 2021 - Review
Interventions and measurements of highly reliable/resilient organization implementations … Interventions and measurements of highly reliable/resilient organization implementations: a literature … High reliability organizations have developed methods for achieving safety despite hazardous conditions … In this systematic review, the authors summarize the five “hallmarks” of high reliability organizations … April 5, 2023
Interventions into reliability-seeking health care organizations: a systematic
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psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i
July 27, 2022 - Newspaper/Magazine Article
High-reliability organizations (HROs): what they know … Citation Text:
High-reliability organizations (HROs): what they know that we don't (Part I). … This article introduces the concept of high-reliability organizations and summarizes six recurrent … Copy URL
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High-reliability organizations … April 6, 2011
Creating high reliability in health care organizations.
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psnet.ahrq.gov/issue/high-reliability-organization-mindset
April 01, 2020 - Commentary
A high-reliability organization mindset. … A high-reliability organization mindset. … The goal for health care organizations to attain high reliability is established but elusive . … A high-reliability organization mindset. … August 25, 2021
Implementing high-reliability organization principles into practice:
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psnet.ahrq.gov/issue/framework-health-care-organizations-develop-and-evaluate-safety-scorecard
September 17, 2010 - Commentary
A framework for health care organizations to develop and evaluate a safety … A framework for health care organizations to develop and evaluate a safety scorecard. … , and Can this measure be used to improve safety in the organization? … A framework for health care organizations to develop and evaluate a safety scorecard. … An organization-wide approach to measuring and improving safety.
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psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence
October 28, 2020 - Commentary
Developing health care organizations that pursue learning and exploration … Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An … The authors propose a five-point plan by which healthcare organizations can pursue diagnostic excellence … Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An … 2016
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations