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psnet.ahrq.gov/node/60297/psn-pdf
January 01, 2021 - and
explores the integration of patient safety into patient care provided by medical humanitarian organizations … levels: (1) individual staff
involved in care provision or management, (2) medical institutions or organizations … the absence of overarching
authority over healthcare systems and staff turnover within humanitarian organizations
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psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
March 24, 2021 - The organization employed a multi-pronged, data-driven approach involving training and education in quality … management and patient safety and principles of high reliability organizations. … March 2, 2022
The necessary leadership skillsets for the high-reliability organization … framework adoption within acute healthcare organizations. … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/node/41558/psn-pdf
August 01, 2012 - Errors in Organizations.
August 1, 2012
Hofmann DA, Frese M, eds. … https://psnet.ahrq.gov/issue/errors-organizations
This book discusses the evidence regarding errors … in organizations, including earlier efforts to manage
human error and insights into broader system issues … https://psnet.ahrq.gov/issue/errors-organizations
https://psnet.ahrq.gov/issue/human-error
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psnet.ahrq.gov/issue/partnership-pathway-diagnostic-excellence-challenges-and-successes-implementing-safer-dx
April 13, 2022 - Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations … 2020
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations … October 28, 2020
Developing health care organizations that pursue learning and exploration … 2023
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization
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psnet.ahrq.gov/node/36296/psn-pdf
October 22, 2010 - Crew resource management: applications in healthcare
organizations.
October 22, 2010
Oriol MD. … Crew resource management: applications in healthcare organizations. … https://psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
The author … https://psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
https://psnet.ahrq.gov
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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/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/node/33831/psn-pdf
April 01, 2017 - There's literature and a lot of analysis
of high reliability organizations—organizations that deal with … at every
level knows they have a critical role to play in safety in that organization. … the organization and makes the accreditation work
much harder, I would think. … RW: The majority of the organizations you accredit now are computerized. … That's where high reliability organizations are.
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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/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/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/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/39230/psn-pdf
January 13, 2010 - Common formats allow uniform collection and reporting
of patient safety data by patient safety organizations … Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient
Safety Organizations … patient-safety
This article defines common formats and explains their role in the patient safety organization … comments-common-formats-event-reporting-hospital-version-03-beta
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/issue/challenge-competency-assessment-late-career-practitioner
July 15, 2020 - This article discusses how different entities (e.g., health systems, states, and professional medical organizations … March 23, 2022
The necessary leadership skillsets for the high-reliability organization … framework adoption within acute healthcare organizations.
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psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
April 03, 2019 - Patients, clinicians , and organizations can experience negative consequences after medical errors. … This article discusses the need for organizations to have processes in place to provide support for clinicians … An organization-wide approach to measuring and improving safety.
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psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
June 18, 2013 - This book provides a discussion of how organizations can learn from failure and implement procedures … May 24, 2016
Creating complex health improvement programs as mindful organizations: from … December 19, 2011
Is yours a learning organization? … The Topic
Health Care Executives and Administrators
Organizational Behaviorists
Learning Organization
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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/node/33650/psn-pdf
May 01, 2007 - This
organization inspects hospitals against risk management standards and optimal clinical practice … The national reporting system is now up and running with all
NHS organizations connected. … This included a program of training groups of staff in every NHS organization in
the techniques of root … further than those described already in finding ways to directly
improve the safety across an entire organization … A more high-profile program of monitoring organizations' progress by the Healthcare Commission.
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psnet.ahrq.gov/node/45005/psn-pdf
May 04, 2016 - Leading High-Reliability Organizations in Healthcare.
May 4, 2016
Morrow R. … https://psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare
High reliability has … This book reviews the primary elements
of high reliability organizations and describes how hospitals … https://psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare
https://psnet.ahrq.gov