-
psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - conceptualized as having five
elements—person, tasks, tools/technologies, physical environment, and the organization … Safe organizations put effort
into analyzing the work system and attempting to predict and plan for … This is precisely what the High
Reliability Organization approach (14,15), along with other organizations … However, health
care organizations should be strongly encouraged to design and implement systematic … Work organization and ergonomics. Appl Ergon. 2000;31:649-662. [go to
PubMed]
7.
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psnet.ahrq.gov/node/34771/psn-pdf
May 06, 2016 - managing-unexpected-sustained-performance-complex-world-3rd-edition
According to Weick and Sutcliffe, high-reliability organizations … than would be anticipated as they have developed ways of "managing the
unexpected" better than most organizations
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psnet.ahrq.gov/node/43681/psn-pdf
June 03, 2016 - psnet.ahrq.gov/issue/learning-failure-need-independent-safety-investigation-healthcare
High reliability organizations … system failures that would draw from other high-risk
industries practices and provide guidance to organizations
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psnet.ahrq.gov/node/44493/psn-pdf
September 19, 2016 - interventions-health-organisations-reduce-impact-adverse-events-second-and-
third-victims
This survey of health care organizations … Many organizations lacked protocols for responding to serious adverse events, especially in
primary
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psnet.ahrq.gov/node/46455/psn-pdf
April 24, 2018 - This assessment tool will enable organizations across a range of care environments to determine
opportunities … In addition, the tool provides an
opportunity for organizations to submit their data anonymously to
-
psnet.ahrq.gov/node/37077/psn-pdf
October 03, 2011 - The authors' approach is derived from the
seminal study of sensemaking in organizations, an account … sensemaking-safety-and-cooperative-work-intensive-care-unit
https://psnet.ahrq.gov//#sensemaking
https://psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
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psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - However, some health care organizations still fail to recognize that, within each system, multiple interlinked … After analyzing serious errors, organizations try to "fix" the cause of the error by concentrating their … Organizations often develop error prevention strategies following a serious event that focus solely on … The Fifth Discipline: The Art and Practice of the Learning Organization. … Key Elements That Organizations Should Consider When Developing System Strategies to Reduce or Eliminate
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psnet.ahrq.gov/node/38504/psn-pdf
September 06, 2011 - 2009-update
The National Quality Forum's Safe Practices for Better Healthcare provide a blueprint for organizations … The
practices are defined so that organizations can measure the relationship between implementation
-
psnet.ahrq.gov/node/35832/psn-pdf
August 04, 2009 - The authors provide a general overview of patient safety, discuss
the leading organizations involved … their goals, and share a list of safety interventions and practices as
prioritized by these noted organizations
-
psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - In most organizations, this conversation is recorded in the medical record and the patient is asked … For some organizations, an absence of 45 minutes triggers the elopement protocol and
patient search. … Notification of appropriate administrative personnel.(12)
Procedures differ among organizations. … Other organizations use
midnight as the indicator.(10,12) Providers should consult with organization … Adequate
communication of such an event across the entire organization is essential so that a concerted
-
psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - A number of theorists who have studied high-technology organizations that manage to operate without … These theorists have developed the theory of
highly reliable organizations.(1,5) For example, on the … First, there is the inculcation of core values in members of an
organization or profession. … Collective mind in organizations: heedful interrelating on flight decks. … Some characteristics of one type of high reliability organization. Organ Sci. 1990;1:160-176.
6.
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psnet.ahrq.gov/issue/impact-world-health-organizations-surgical-safety-checklist-safety-culture-operating-theatre
November 03, 2015 - Citation
Related Resources From the Same Author(s)
Effect of the World Health Organization … March 18, 2020
Impact of the World Health Organization surgical safety checklist on patient
-
psnet.ahrq.gov/node/37241/psn-pdf
December 16, 2011 - impact-safety-organizing-trusted-leadership-and-care-pathways-reported-
medication-errors
Case studies of high-reliability organizations … While limitations exist with error reporting
data, the authors conclude that organizations should avoid
-
psnet.ahrq.gov/node/41586/psn-pdf
January 01, 2013 - strategies-improving-patient-safety-culture-hospitals-systematic-review
Developing a culture of safety is essential for creating high reliability organizations … Although
safety culture can be measured and compared across institutions, the methods organizations
-
psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - The
contribution of abbreviations to medication error is well documented, and several organizations … that abbreviation use therefore be restricted or limited.(1,6-8) JCAHO now requires that health care
organizations … establish a list of prohibited abbreviations (1) and that such organizations implement policies
to … Hesitancy to challenge or question
prescribers may be a cultural norm within the organization. … High reliability organizations such as the airline industry and military
have striven to decrease risk
-
psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - Meaning, those at the top of the organization (or the org chart) have a clear line of sight on what needs … believe that they should just show up at work, do their 8 hours, and then leave—because they believe the organization … RW : We've been talking generally about organizations. Let's shift to health care. … according to a well-learned protocol that is invariant from one clinician to the next, is valuable for the organization … One thing they shouldn't have to contend with is variation in how the organization labels or does things
-
psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - Meaning, those at the top of the organization (or the org chart) have a clear line of sight on what needs … believe that they should just show up at work, do their 8 hours, and then leave—because they believe the organization … RW : We've been talking generally about organizations. Let's shift to health care. … according to a well-learned protocol that is invariant from one clinician to the next, is valuable for the organization … One thing they shouldn't have to contend with is variation in how the organization labels or does things
-
psnet.ahrq.gov/node/33685/psn-pdf
May 01, 2009 - It sounds like the
point you're making is that even if it costs the organization or the individual providers … , the ethics are such
that it's a cost organizations should be willing to bear. … WW: Most organizations are looking for returns on investment of up to 20%. … But it
would have a 5- or 8-year endpoint, which allows the organization to right-size without bankruptcy … Organizations that can design medical records
allowing for better and easier data mining can actually
-
psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety
October 13, 2018 - to monitor, measure, and improve safety at the patient, provider, unit , and system levels in the organization … for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations … October 11, 2017
The Charter on Professionalism for Health Care Organizations.
-
psnet.ahrq.gov/node/38577/psn-pdf
April 22, 2009 - Leading your organization to high reliability.
April 22, 2009
Kemper C, Boyle DK. … Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. … https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability
This commentary describes high … reliability organization theory and offers tools to apply these concepts in
work units and organizations … https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability
https://psnet.ahrq.gov//#highreliabilityorganizations