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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - checklists and tools like I-PASS to facilitate communication among healthcare
professionals within an organization … However, healthcare professionals can implement these
checklists and tools across healthcare organizations … both communication during transitions of care and to foster an overall culture of safety within an
organization … Implementation of TeamSTEPPS training within an organization can
improve patient safety, reduce clinical … error rates, improve patient satisfaction, and emphasize a wider
culture of safety within an organization
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psnet.ahrq.gov/node/867692/psn-pdf
March 05, 2025 - A sociocultural perspective on learning from
incidents in healthcare organizations. … A sociocultural perspective on learning from incidents in healthcare organizations.
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psnet.ahrq.gov/node/867439/psn-pdf
January 08, 2025 - good-bad-and-ugly-what-do-we-really-do-when-we-identify-best-and-worst-
organisations
Governments and organizations … frequently identify high- and low-performing healthcare organizations for
public reporting, quality
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psnet.ahrq.gov/node/866527/psn-pdf
August 14, 2024 - developing-implementing-evaluating-electronic-apparent-cause-analysis-
across-health-care
Investigating safety events can help healthcare organizations … apparent-cause-analysis-safety-tool
https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools
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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/issue/medication-reconciliation-handbook-2nd-edition
May 04, 2015 - American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare Organizations … American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare Organizations … American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare Organizations … Citation
Related Resources From the Same Author(s)
What Every Health Care Organization
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psnet.ahrq.gov/node/73303/psn-pdf
May 26, 2021 - if they report an error, regardless of their position within that organization.
2
The definition of … Through data collection and
reporting, organizations are able to identify when, and what types of, events … It is only through
consistent reporting that organizations can determine where there are opportunities … This is typically done through a handful of patient safety organizations who have
voluntary reporting … Patient safety organizations and emergency medical services. J Allied
Health. 2016;45(4):274-277.
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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/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/72835/psn-pdf
March 10, 2021 - Kendall Hall: Please kick us off by introducing yourselves and your organization. … We help organizations to build patient and family advisory programs. … We listen to what the priorities are
for that particular hospital or organization. … Right
now, we rely on community-based organizations for that insight, but they don’t have any capacity … For organizations that are new to PFE,
it’s a perfectly fine place to start just tracking everything
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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/issue/interventions-improve-employee-health-and-well-being-within-health-care-organizations
April 11, 2009 - Review
Interventions to improve employee health and well-being within health care organizations … 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
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psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-organizations-netherlands
January 07, 2015 - Study
Feasibility and added value of Executive WalkRounds in long term care organizations … 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
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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/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/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
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psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
October 11, 2017 - This survey of health care organizations found that most reported having inadequate support for second … Many organizations lacked protocols for responding to serious adverse events, especially in primary care … for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations
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psnet.ahrq.gov/node/33590/psn-pdf
September 15, 2024 - Background
Most health care organizations are still striving to attain high reliability—the ability … Although the concept of leadership has traditionally been used to refer to the top rungs of an organization … it may seem, despite being accountable for the quality and safety of care being provided in
their organizations … Examples of organizations that have transformed their
practices and organizational culture to emphasize … limited evidence regarding specific strategies leadership can use to prevent disruptive behavior,
some organizations
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - The concept of safety culture originated outside health care, in studies of high reliability organizations … , which are organizations that consistently minimize adverse events despite carrying out intrinsically … High reliability organizations maintain a commitment to safety at all levels, from frontline providers … Studies have documented considerable variation in perceptions of safety culture across organizations … These surveys ask providers to rate the safety culture in their unit and in the organization as a whole
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psnet.ahrq.gov/node/45459/psn-pdf
January 03, 2017 - applying-high-reliability-health-care-maturity-model-assess-hospital-
performance-va-case
High reliability organizations … perceptions of patient safety largely matched their
conceptual model of a high reliability health care organization … The authors suggest their model of high reliability
organizations can be used to assess organizational