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psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
March 10, 2021 - Patient safety organizations. … This commentary discusses patient safety organizations as learning organizations—groups that are able … Patient safety organizations. … Interview
In Conversation with Timothy Vogus about High Reliability Organization … Kaiser Permanente's performance improvement system, part 4: creating a learning organization
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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/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/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/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/building-learning-organization
June 16, 2011 - Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. … Garvin, a Harvard Business School professor, postulates that for organizations to truly improve over … time and succeed, they need to become "learning organizations,” which are skilled at creating, acquiring … As a framework, Garvin states organizations must have the “three Ms”: meaning, management, and measurement … Building a learning organization. Harv Bus Rev. 1993;71(4):78-91.
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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/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/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
July 31, 2019 - Book/Report
High Reliability Organizations: A Healthcare Handbook for Patient Safety … Citation Text:
High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. … This publication discusses core elements of high reliability organizations and how to apply them … Copy URL
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High Reliability Organizations
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psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
January 18, 2011 - Commentary
Studying patient safety in health care organizations: accentuate the qualitative … Studying patient safety in health care organizations: accentuate the qualitative. … Finally, a series of action steps are given for organizations to implement qualitative methods into their … Studying patient safety in health care organizations: accentuate the qualitative. … October 19, 2022
Building cultures of high reliability: lessons from the high reliability organization
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psnet.ahrq.gov/issue/implementation-patient-safety-organizations-expected-end-year
January 10, 2007 - Commentary
Implementation of patient safety organizations expected by end of year … This article briefly discusses the role of patient safety organizations (PSOs) as stipulated by the
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psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
January 05, 2012 - Commentary
Crossing to safety: transforming healthcare organizations for patient … Crossing to safety: transforming healthcare organizations for patient safety. … The authors argue that health care organizations have fallen short of safety goals. … Crossing to safety: transforming healthcare organizations for patient safety. … May 12, 2015
Crew resource management: applications in healthcare organizations.
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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/theres-science-team-development-interventions-organizations
January 15, 2020 - Review
There's a science for that: team development interventions in 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/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/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/creating-safe-spaces-organizations-talk-about-safety
March 18, 2019 - Study
Creating safe spaces in organizations to talk about safety. … Creating safe spaces in organizations to talk about safety. Nurs Econ. 2004;22(6):344-51, 354. … Creating safe spaces in organizations to talk about safety. Nurs Econ. 2004;22(6):344-51, 354.
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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
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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