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psnet.ahrq.gov/node/41340/psn-pdf
January 03, 2017 - How to develop a second victim support program: a
toolkit for health care organizations. … How to develop a second victim support program: a toolkit for health
care organizations. … https://psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations … https://psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Is yours a learning organization?
June 16, 2011
Garvin DA, Edmondson A, Gino F. … Is yours a learning organization? Harv Bus Rev. 2008;86(3):109-16,
134. … https://psnet.ahrq.gov/issue/yours-learning-organization
Key tenets of improving patient safety at the … Health care systems that embody these concepts are
considered "learning organizations"—organizations … https://psnet.ahrq.gov/issue/yours-learning-organization
https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/node/47136/psn-pdf
July 02, 2019 - Adherence to recommended electronic health record
safety practices across eight health care organizations … Adherence to recommended electronic health record safety practices
across eight health care organizations … Researchers
examined the degree to which 8 organizations adhered to the 140 SAFER recommendations and
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - To ease
the burden on a strained system, organizations paused elective procedures, reduced in-person … Organizations can move forward and commit to reestablishing patient safety as their purpose
through … Although processes were put in place to address patient safety challenges, many organizations that had … Addressing the Setbacks with Total Systems Safety
In the post-pandemic space, healthcare organizations … Future Directions: Taking Safety Another Step Forward
As organizations level-set and recommit to safety
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psnet.ahrq.gov/node/44023/psn-pdf
November 16, 2015 - Impact of organizations on healthcare-associated
infections. … Impact of organizations on healthcare-associated infections. … https://psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infections
Health care–associated … https://psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infections
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/46382/psn-pdf
December 19, 2017 - Medication errors and trainees: advice for learners and
organizations. … Medication Errors and Trainees: Advice for Learners and
Organizations. … https://psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
Medication … https://psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
https:/
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psnet.ahrq.gov/node/47320/psn-pdf
September 05, 2018 - Patient safety climate: a study of Southern California
healthcare organizations. … Patient Safety Climate: A Study of Southern California Healthcare
Organizations. … https://psnet.ahrq.gov/issue/patient-safety-climate-study-southern-california-healthcare-organizations … https://psnet.ahrq.gov/issue/patient-safety-climate-study-southern-california-healthcare-organizations
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - Each organization should have a process
to continually improve the system for collecting this medication … Forms to collect medication histories have been employed by many organizations. … This model may not be effective in all organizations. … Joint Commission on Accreditation of Healthcare
Organizations Web site. … Available at:
http://www.jcaho.org/accredited+organizations/patient+safety/npsg.htm.
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psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
May 11, 2022 - Healthcare organizations use multiple proactive and reactive methods of investigating and preventing … December 2, 2020
An asset-based quality improvement tool for health care organizations … : cultivating organization wide quality improvement and health care professional engagement. … Improving Diagnostic Safety and Quality
April 26, 2023
Adopting high reliability organization
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psnet.ahrq.gov/node/46350/psn-pdf
September 24, 2017 - Time for transparent standards in quality reporting by
health care organizations. … Time for Transparent Standards in Quality Reporting by Health Care
Organizations. … https://psnet.ahrq.gov/issue/time-transparent-standards-quality-reporting-health-care-organizations … https://psnet.ahrq.gov/issue/time-transparent-standards-quality-reporting-health-care-organizations
https
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - MD, MPP, MPH, is president of The Joint Commission, the preeminent standard setting and accrediting 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; they … This is a great organization. … Organizations know they have quality problems.
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psnet.ahrq.gov/issue/teaching-smart-people-learn
September 05, 2012 - Argyris, a Harvard Business School professor, theorizes that companies and organizations must learn in … As individuals, they effectively analyze and problem solve within the organization but become defensive … they design and implement their actions and to develop a deeper understanding of their role within the organization … May 25, 2022
Learning in Action: A Guide to Putting the Learning Organization to Work … March 28, 2017
Working Knowledge: How Organizations Manage What They Know.
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psnet.ahrq.gov/node/34654/psn-pdf
June 16, 2011 - Risk mitigation in large scale systems: lessons from high
reliability organizations. … https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations … The authors examine high-reliability organizations, such as aviation and nuclear power, which actively … https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
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psnet.ahrq.gov/node/34861/psn-pdf
November 11, 2015 - When things go wrong: how health care organizations
deal with major failures. … When things go wrong: how health care organizations deal with major failures. … https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures … https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
https
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psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
June 29, 2016 - This white paper details how health care organizations can identify health information technology concerns … Related Resources From the Same Author(s)
Goals and Priorities for Health Care Organizations … March 6, 2019
Goals and Priorities for Health Care Organizations to Improve Safety Using
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psnet.ahrq.gov/issue/surveys-patient-safety-culture
December 24, 2008 - Research and Quality
Safety culture has been described as a key to establishing high reliability organizations … 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/46496/psn-pdf
October 11, 2017 - for reducing the negative impact of
adverse events on patients, health professionals and
healthcare organizations … for reducing the negative impact of adverse events on
patients, health professionals and healthcare organizations … study examined policies to address the consequences of adverse events for patients,
providers, and organizations … investigation, providing time away from
usual work for second victims, and establishing a crisis plan for organizations
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psnet.ahrq.gov/node/47302/psn-pdf
January 01, 2019 - literature on effective approaches to improving quality and safety generally focuses on high reliability
organizations … and positive deviants—organizations or units that have achieved notable successes. … This
systematic review sought to characterize organizations that struggle to improve quality. … The authors
identified five domains that exemplify struggling organizations, including lack of a clear
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psnet.ahrq.gov/node/849592/psn-pdf
May 31, 2023 - 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/node/45480/psn-pdf
November 16, 2016 - Improving patient safety reporting with the common
formats: common data representation for Patient Safety
Organizations … Improving patient safety reporting with the common formats:
Common data representation for Patient Safety Organizations … This commentary introduces the Patient Safety Organization program, including its work to collect data … //psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program