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psnet.ahrq.gov/node/36889/psn-pdf
May 28, 2024 - surveys-patient-safety-culture
Safety culture has been described as a key to establishing high reliability organizations … Medical Office, Nursing Home, Community Pharmacy, Ambulatory Surgery Center), user guides health
care organizations … Organizations can also use the AHRQ database to compare their Surveys on Patient
Safety Culture™ (SOPS
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psnet.ahrq.gov/node/37261/psn-pdf
December 19, 2011 - Creating complex health improvement programs as
mindful organizations: from theory to action. … Creating complex health improvement programs as mindful organizations: from
theory to action. … https://psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory … https://psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory-action … https://psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory-action
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psnet.ahrq.gov/node/37406/psn-pdf
March 28, 2012 - Learning from preventable adverse events in health care
organizations: development of a multilevel model … Learning from preventable adverse events in health care
organizations: development of a multilevel model … https://psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development … https://psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model … https://psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
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psnet.ahrq.gov/node/41463/psn-pdf
September 24, 2015 - Lucian Leape issues a
challenge to health care organizations to eliminate disruptive behavior, identifying … The
second part discusses the role a culture of respect plays in developing high-reliability organizations … and
identifies specific strategies organizations can use to address disruptive and disrespectful behaviors … The
chilling effect of disrespectful behavior, and how an organization responded, is discussed in an
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - Establishing a just culture within an organization requires action on three fronts: building awareness … Our organization is still in the process of incorporating just culture principles into policies, but … Some organizations would punish the nurse (i.e., retrain, reprimand, or dismiss) because she violated … Just culture principles and tools provide a useful and necessary construct to aid organizations in dealing … Organizations must educate the professionals in the workforce to understand the risks, and ultimately
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psnet.ahrq.gov/node/836775/psn-pdf
March 23, 2022 - When it comes to improvement and
innovation, healthcare organizations must balance multiple, sometimes … This commentary outlines how healthcare organizations can manage
multiple complex aims in relation to … business-case-investing-physician-well-being
https://psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
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psnet.ahrq.gov/node/41222/psn-pdf
May 01, 2016 - Reducing Unnecessary Hospital Readmissions: The Role
of the Patient Safety Organization (PSO). … https://psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization … -
pso
Patient safety organizations (PSO) present a unique opportunity for informing health care safety … The site provides
access to a variety of PSO and other resources to help organizations reduce readmissions … https://psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
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psnet.ahrq.gov/node/33560/psn-pdf
June 15, 2024 - explanation as to why the error occurred
How the error's effects will be minimized
Steps the physician (and organization … This may also require changes in how organizations approach error
disclosure. … Research and Quality has developed the Communication and Optimal Resolution (CANDOR) toolkit to help
organizations … Current Context
Disclosure of errors and adverse events is now endorsed by a broad array of organizations … It also calls for health care organizations to create an
environment conducive to disclosure by integrating
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psnet.ahrq.gov/node/46840/psn-pdf
June 20, 2018 - Interventions to improve employee health and well-being
within health care organizations: a systematic … Interventions to improve employee health and well-being within
health care organizations: A systematic … https://psnet.ahrq.gov/issue/interventions-improve-employee-health-and-well-being-within-health-care-
organizations … https://psnet.ahrq.gov/issue/interventions-improve-employee-health-and-well-being-within-health-care-organizations … https://psnet.ahrq.gov/issue/interventions-improve-employee-health-and-well-being-within-health-care-organizations
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psnet.ahrq.gov/node/35619/psn-pdf
June 24, 2010 - Studying patient safety in health care organizations:
accentuate the qualitative. … Studying patient safety in health care organizations: accentuate the qualitative. … https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative … Finally, a series of action steps are given for organizations to implement
qualitative methods into … https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
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psnet.ahrq.gov/node/837508/psn-pdf
June 22, 2022 - 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
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psnet.ahrq.gov/node/45456/psn-pdf
October 27, 2016 - On the relationship between safety climate and
occupational burnout in healthcare organizations. … On the relationship between safety climate and occupational burnout
in healthcare organizations. … https://psnet.ahrq.gov/issue/relationship-between-safety-climate-and-occupational-burnout-healthcare-
organizations … https://psnet.ahrq.gov/issue/relationship-between-safety-climate-and-occupational-burnout-healthcare-organizations … https://psnet.ahrq.gov/issue/relationship-between-safety-climate-and-occupational-burnout-healthcare-organizations
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psnet.ahrq.gov/node/45283/psn-pdf
June 29, 2016 - Goals and Priorities for Health Care Organizations to
Improve Safety Using Health IT. … https://psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it … -
revised-report
Health care organizations and clinicians are aware of the unintended consequences … https://psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report … https://psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report
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psnet.ahrq.gov/node/841761/psn-pdf
December 21, 2022 - https://psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date … https://psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept … https://psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept
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psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - Resources Used and Skills Needed
To implement the intervention, organizations need the following: 9 … Getting Started with This Innovation
To begin, organizations should ensure completion of training modules … Organizations should integrate the Fall TIPS Program into local quality plans. … To maintain organization wide buy-in,organizations should have processes for consistent reporting on … Organizations should evaluate real-time issues that may impact program implementation such as restrictions
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psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - Development of high reliability remains an elusive goal for health care organizations. … This website collects evidence and existing tools to help organizations work toward high reliability … April 6, 2016
What Every Health Care Organization Should Know about Sentinel Events.
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psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
April 01, 2008 - PSNet also has gone well beyond the published literature, recognizing the role of the news media , nongovernmental … organizations , and patient advocates in advancing the field. … also helped disseminate the groundbreaking work conducted and funded by AHRQ and other influential organizations … requires an understanding of human behavior, the sociology of teams, and the culture of health care organizations … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/node/34883/psn-pdf
April 17, 2013 - Quality Improvement Organizations. … 2013
Medicare Quality Improvement Community; MedQIC
https://psnet.ahrq.gov/issue/quality-improvement-organizations … features resources to support the Medicare Quality Improvement Program and Medicare
Quality Improvement Organizations … https://psnet.ahrq.gov/issue/quality-improvement-organizations
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psnet.ahrq.gov/node/45985/psn-pdf
March 29, 2017 - Building a high-reliability organization: one system's
patient safety journey. … March 29, 2017
Building a high-reliability organization: one system's patient safety journey. … https://psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey … High reliability has yet to be achieved in health care organizations. … commentary relates insights from
one health system that sought to implement components of high reliability organizations
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psnet.ahrq.gov/node/37596/psn-pdf
May 01, 2016 - Patient Safety Organization (PSO) Program. … May 1, 2016
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program … Agency for Healthcare Research and Quality (AHRQ) is spearheading the certification of Patient
Safety Organizations … (PSOs)—public or private organizations with expertise in the analysis of patient safety
and hazards … This Web site provides information on the rules governing PSOs and
the requirements for an organization