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psnet.ahrq.gov/node/50811/psn-pdf
January 15, 2020 - This
news piece highlights the National Health Service (NHS) effort to require organizations to develop … specialists with distinct human factors and safety science skill sets to embed system
improvements in their organizations
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psnet.ahrq.gov/node/33687/psn-pdf
August 01, 2009 - If organizations could spread these improved practices to other staff,
overall performance could be … What can organizations do to move from a workaround culture to a culture that uses operational failures … Several organizations, such as Johns Hopkins Hospital (14), Pittsburgh
Regional Health Initiative (15,16 … research is needed to understand which types of problems are best
resolved at the individual, unit, organization … To Do No Harm: Ensuring Patient Safety in Health Care Organizations.
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psnet.ahrq.gov/node/34772/psn-pdf
November 18, 2015 - Sensemaking in Organizations.
November 18, 2015
Weick KE. … https://psnet.ahrq.gov/issue/sensemaking-organizations
Weick's work has influenced many important thinkers … https://psnet.ahrq.gov/issue/sensemaking-organizations
https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
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psnet.ahrq.gov/node/35809/psn-pdf
February 25, 2015 - stories-sharp-end-case-studies-safety-improvement
This study shares the efforts of six different health care organizations … All of the organizations identified culture change as the most important factor in
promoting safety, … The shared
stories offer a practical perspective regarding the issues that face most organizations committed
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psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study
July 01, 2022 - , 2016
The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations … August 16, 2016
To Do No Harm: Ensuring Patient Safety in Health Care Organizations. … May 20, 2019
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge
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psnet.ahrq.gov/node/42942/psn-pdf
February 22, 2024 - of fentanyl patches for acute pain and use of
information about medication safety risks from other organizations … elimination-emergency-department-medication-errors-due-estimated-weights
https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
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psnet.ahrq.gov/node/60929/psn-pdf
September 16, 2020 - Action Plan developed by the National Steering Committee for Patient Safety – a group of 27
national organizations … convened by the Institute for Healthcare Improvement – provides direction for health
care leaders and organizations
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psnet.ahrq.gov/node/44335/psn-pdf
July 16, 2015 - Near-misses are an opportunity to improve patient safety:
adapting strategies of high reliability organizations … Near-misses are an opportunity to improve patient safety: adapting
strategies of high reliability organizations … differentiating-close-calls-errors-multidisciplinary-perspective
https://psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
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psnet.ahrq.gov/node/74094/psn-pdf
November 17, 2021 - https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-organizations … https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-organizations
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psnet.ahrq.gov/node/843328/psn-pdf
February 01, 2023 - workers (HCWs) who are involved in serious adverse events may feel traumatized by those
events, and many organizations … Understanding the association may help organizations develop effective
training programs and increase
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psnet.ahrq.gov/node/72722/psn-pdf
February 10, 2021 - knowledge-attitudes-and-expectations-medical-staff-toward-medical-error-
management-policies
Few medical humanitarian organizations … Interviews
with medical and paramedical staff working in international humanitarian organizations expressed
-
psnet.ahrq.gov/node/50922/psn-pdf
February 19, 2020 - organisation-losing-its-memory-patient-safety-alerts-implementation-
monitoring-and-regulation
Health care organizations … organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
-
psnet.ahrq.gov/node/844042/psn-pdf
February 08, 2023 - psnet.ahrq.gov/issue/ladder-based-safety-culture-assessments-inversely-predict-safety-outcomes
High-reliability organizations … culture-cure-assessments-patient-safety-culture-oecd-countries
https://psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
-
psnet.ahrq.gov/issue/escape-fire-designs-future-health-care
May 26, 2010 - , 2005
The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations … August 16, 2016
To Do No Harm: Ensuring Patient Safety in Health Care Organizations. … May 20, 2019
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge … January 7, 2019
Working Knowledge: How Organizations Manage What They Know.
-
psnet.ahrq.gov/submit-your-training-landing
January 01, 2025 - Training and Education
Training Catalog
Training Submissions
PSNet encourages organizations … We welcome contributions of both online and in-person opportunities from non-profit organizations, academic … Submit
Provide the requested information about your organization
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - Each organization should have a process to continually improve the system for collecting this medication … Accordingly, organizations cannot expect to roll out a reconciliation process overnight. … 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.
-
psnet.ahrq.gov/node/40365/psn-pdf
February 12, 2014 - The ability to learn from
failures is a crucial characteristic of high reliability organizations, and … slips, and can be prevented by
interventions such as checklists—and unavoidable failures in complex organizations … The author, who has extensively analyzed high-
profile failures in many industries, recommends that organizations
-
psnet.ahrq.gov/node/837501/psn-pdf
June 22, 2022 - https://psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
Organizations such … as The Joint Commission and the Leapfrog Group require participating healthcare
organizations to evaluate
-
psnet.ahrq.gov/node/47494/psn-pdf
January 01, 2020 - Race differences in reported harmful patient safety events
in healthcare system high reliability organizations … Race Differences in Reported Harmful Patient Safety Events in
Healthcare System High Reliability Organizations
-
psnet.ahrq.gov/node/74191/psn-pdf
December 15, 2021 - differences in reported "near miss" patient safety
events in health care system high reliability
organizations … Race differences in reported "near miss" patient safety events in health
care system high reliability organizations