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psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative
June 26, 2019 - significant progress has been made in improving patient safety over the past decade, most health care organizations … In this commentary, leaders of several leading safety organizations endorse five principles for transforming … hospitals and clinics into high reliability organizations .
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psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery
September 11, 2019 - Learning from other organizations' errors is a recognized opportunity to engage in safety improvement … October 3, 2017
Creating highly reliable accountable care organizations. … September 27, 2017
Time for transparent standards in quality reporting by health care organizations
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psnet.ahrq.gov/node/37110/psn-pdf
October 06, 2011 - Seeing systems in health care organizations.
October 6, 2011
Friedman LH, King JB, Bella D. … Seeing systems in health care organizations. Physician Exec.
2007;33(4):20-9. … https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
Using a hypothetical scenario, … https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
October 04, 2006 - 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/issue/normal-accidents-living-high-risk-technologies
March 06, 2005 - in the health care literature, normal accidents theory is equally prominent in the study of complex organizations … Many health care organizations would meet Perrow's definition of complexity, but only hospitals would … systems, the case studies offer many fascinating insights into the possible failure modes for complex organizations … Citation
Related Resources From the Same Author(s)
The Limits of Safety: Organizations
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psnet.ahrq.gov/node/35206/psn-pdf
April 25, 2018 - High-reliability organizations (HROs): what they know that
we don't (Part I). … https://psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i
This … article introduces the concept of high-reliability organizations and summarizes six recurrent themes … https://psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i
https:
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - UNC Health Alliance, its physician-led clinically integrated network and population health services organization … Trends can be displayed on a data dashboard accessible to all members of the participating organization … Shaheen, prioritizing social determinants of health across the entire innovating organization is integral … Shaheen said that many organizations have reached out about replicating this innovation. … UNC Health Alliance, its physician-led clinically integrated network and population health services organization
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psnet.ahrq.gov/issue/organisational-readiness-exploring-preconditions-success-organisation-wide-patient-safety
February 01, 2011 - Implementation of large-scale safety improvement programs requires learning organizations —organizations … This qualitative study evaluated the readiness of each organization to undertake this initiative, and … January 6, 2010
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. … Administrators
Safety Scientists
Policy Makers
Quality Improvement Strategies
Learning Organization
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psnet.ahrq.gov/node/40023/psn-pdf
November 24, 2010 - Health literacy and communication quality in health care
organizations. … Health literacy and communication quality in health care organizations. … https://psnet.ahrq.gov/issue/health-literacy-and-communication-quality-health-care-organizations
In … https://psnet.ahrq.gov/issue/health-literacy-and-communication-quality-health-care-organizations
https
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psnet.ahrq.gov/node/37200/psn-pdf
October 06, 2011 - The role for leaders of health care organizations in patient
safety. … The role for leaders of health care organizations in patient safety. … https://psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
This article reviews … https://psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
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psnet.ahrq.gov/node/42752/psn-pdf
January 23, 2014 - Nurses, organizations work to
address alarm fatigue.
January 23, 2014
Trossman S. … Nurses, organizations work to address alarm fatigue. Am Nurs.
2013;45(5):1, 6-7. … https://psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
This article … https://psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/38040/psn-pdf
August 09, 2017 - Safety cultural preconditions for organizational learning
in high-risk organizations. … Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. … https://psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations … https://psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations
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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/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and
November 16, 2022 - Commentary
Pain management best practices from multispecialty organizations during … Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Public … Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Public
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - My work largely focuses on the organization, delivery, and financing of care, and how the healthcare … When you’re working in an organization where there are clear power differentials and stressful conditions … an organization is important. … It is one of those things that can tip people over in their decision to leave a unit, leave an organization … April 15, 2020
Effects of healthcare organization actions and policies related to COVID
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psnet.ahrq.gov/node/866841/psn-pdf
September 23, 2024 - UNC Health Alliance, its physician-led clinically integrated network and
population health services organization … UNC Health Alliance, its physician-led clinically integrated network and
population health services organization … Trends
can be displayed on a data dashboard accessible to all members of the participating organization … Shaheen, prioritizing social determinants of health across the entire innovating
organization is integral … Shaheen said that many organizations have reached out about replicating this innovation.
-
psnet.ahrq.gov/node/37034/psn-pdf
March 10, 2011 - 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. … https://psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations … https://psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - addition to addressing barriers to reporting, healthcare leaders should make it clear that it is the organization … My work largely focuses on the organization, delivery, and financing of care, and how the healthcare … When you’re working in an organization where there are clear power differentials and stressful conditions … an organization is important. … It is one of those things that can tip people over in their decision to leave a unit, leave an organization
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psnet.ahrq.gov/node/45715/psn-pdf
November 01, 2017 - Feasibility and added value of Executive WalkRounds in
long term care organizations in the Netherlands … Feasibility and Added Value of Executive WalkRounds in
Long Term Care Organizations in the Netherlands … https://psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-
organizations-netherlands … https://psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-organizations-netherlands … https://psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-organizations-netherlands
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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