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Building a learning organization. | PSNet

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.

The Limits of Safety: Organizations, Accidents and Nuclear Weapons. | PSNet

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

Quality improvement and patient safety organizations in anesthesiology. | PSNet

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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

An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. | PSNet

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

Patient Safety Organizations: Hospital Participation, Value, and Challenges. | PSNet

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 Cite Citation Citation Text: Patient Safety Organizations … March 18, 2020 How PSOs Help Health Care Organizations Improve Patient Safety Culture

The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. | PSNet

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.

Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. | PSNet

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.

In Conversation With… Kathleen Sutcliffe, MN, PhD | PSNet

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.

Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. | PSNet

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

Choosing a Patient Safety Organization | PSNet

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 Citation Citation Text: Choosing a Patient Safety Organization

Is yours a learning organization? | PSNet

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.

Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet

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

Interventions into reliability-seeking health care organizations: a systematic review of their goals and measuring methods. | PSNet

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

Fostering a just culture in healthcare organizations: experiences in practice. | PSNet

psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice

August 10, 2022 - Study Fostering a just culture in healthcare organizations: experiences in practice … Fostering a just culture in healthcare organizations: experiences in practice. … This qualitative study including five healthcare organizations in the Netherlands concluded that open … Fostering a just culture in healthcare organizations: experiences in practice.

Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. | PSNet

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

A high-reliability organization mindset. | PSNet

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:

Studying patient safety in health care organizations: accentuate the qualitative. | PSNet

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

High Reliability | PSNet

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.

High-reliability organizations (HROs): what they know that we don't (Part I). | PSNet

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 Cite Citation Citation Text: High-reliability organizations … April 6, 2011 Creating high reliability in health care organizations.

High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. | PSNet

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 Cite Citation Citation Text: High Reliability Organizations

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