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Showing results for "organizations".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38699/psn-pdf
     June 17, 2009 - Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding … https://psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments- … sociotechnical This commentary discusses characteristics of high-reliability organizations that could … https://psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical

202. 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

203. 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

204. 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

205. Keeping patients safe in healthcare organizations: a structuration theory of safety culture. | PSNet
     psnet.ahrq.gov/issue/keeping-patients-safe-healthcare-organizations-structuration-theory-safety-culture
     September 04, 2010 - Review Keeping patients safe in healthcare organizations: a structuration theory … Keeping patients safe in healthcare organizations: a structuration theory of safety culture. … Keeping patients safe in healthcare organizations: a structuration theory of safety culture.

206. Adoption of order entry with decision support for chronic care by physician organizations. | PSNet
     psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
     October 06, 2011 - Study Adoption of order entry with decision support for chronic care by physician organizations … Adoption of order entry with decision support for chronic care by physician organizations. … Adoption of order entry with decision support for chronic care by physician organizations.

207. Patient Safety 101 | PSNet
     psnet.ahrq.gov/patient-safety-101
     March 26, 2025 - UC Davis PSNet Editorial Team | September 15, 2024 High-reliability organizations … Such organizations establish a culture of safety by maintaining a commitment to safety at all levels, … Hazards UC Davis PSNet Editorial Team | September 15, 2024 Health care organizations … UC Davis PSNet Editorial Team | September 15, 2024 High reliability organizations … are organizations that operate in complex, high-hazard domains for extended periods without serious

208. Accelerating what works: using qualitative research methods in developing a change package for a learning collaborative. | PSNet
     psnet.ahrq.gov/issue/accelerating-what-works-using-qualitative-research-methods-developing-change-package-learning
     November 25, 2009 - describes the development of a collaborative change package for improving patient safety in health care organizations … April 13, 2017 Creating complex health improvement programs as mindful organizations: … September 22, 2010 Patient Safety Organizations: a new paradigm in quality management … Health Care Executives and Administrators Medicine Quality Improvement Strategies Learning Organization

209. 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.

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45697/psn-pdf
     August 29, 2018 - Challenges of implementing a communication-and- resolution program where multiple organizations must … Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must … /psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where- multiple-organizations … ://psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations … ://psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38215/psn-pdf
     November 14, 2011 - Learning from other organizations' safety errors. November 14, 2011 Conway JB. … Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. … https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors This brief … article explains step-by-step how health care leadership can learn from failures at other organizations … https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

212. Canadian Incident Analysis Framework. | PSNet
     psnet.ahrq.gov/issue/canadian-incident-analysis-framework
     December 04, 2016 - Performing incident analysis can help organizations understand why adverse events occur and how to … This toolkit provides a framework to help organizations gather insights from staff, patients, and family … Analysis of incident reports from a patient safety organization. … safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39191/psn-pdf
     February 08, 2011 - Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. … https://psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership- … standards This white paper provides comprehensive information on leadership standards for health care organizations … https://psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership-standards … https://psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership-standards

214. CHPSO Annual Reports. | PSNet
     psnet.ahrq.gov/issue/chpso-2019-annual-report
     March 20, 2024 - California Hospital Patient Safety Organization: Sacramento, CA; 2024. … Patient Safety Organizations (PSOs) capture and analyze local data to inform learning among their 490 … California Hospital Patient Safety Organization: Sacramento, CA; 2024. … March 20, 2024 Factors causing variation in World Health Organization surgical safety … November 23, 2016 How PSOs Help Health Care Organizations Improve Patient Safety Culture

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61058/psn-pdf
     October 28, 2020 - Interventions and measurements of highly reliable/resilient organization implementations: a literature … Interventions and measurements of highly reliable/resilient organization implementations: a literature … https://psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization- implementations … 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

216. An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations. | PSNet
     psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety
     June 08, 2010 - tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations … tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations … The tool contains four sections: (1) describing the healthcare organization; (2) gathering general information … tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations … 2010 Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40429/psn-pdf
     July 22, 2011 - Keeping patients safe in healthcare organizations: a structuration theory of safety culture. … Keeping patients safe in healthcare organizations: a structuration theory of safety culture. … https://psnet.ahrq.gov/issue/keeping-patients-safe-healthcare-organizations-structuration-theory-safety … https://psnet.ahrq.gov/issue/keeping-patients-safe-healthcare-organizations-structuration-theory-safety-culture … https://psnet.ahrq.gov/issue/keeping-patients-safe-healthcare-organizations-structuration-theory-safety-culture

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35267/psn-pdf
     April 29, 2018 - High-reliability organizations (HROs): what they know that we don't (Part II). … https://psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-ii This … article concludes a two-part introduction to the concept of high-reliability organizations (HROs). … https://psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-ii https … ://psnet.ahrq.gov//#highreliabilityorganizations https://psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34898/psn-pdf
     April 21, 2011 - Crossing to safety: transforming healthcare organizations for patient safety. … Crossing to safety: transforming healthcare organizations for patient safety. … https://psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety The … authors argue that health care organizations have fallen short of safety goals. … https://psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety

220. 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