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psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
February 22, 2010 - Commentary
Towards an organization with a memory: exploring the organizational generation … Towards an organization with a memory: exploring the organizational generation of adverse events in health … Towards an organization with a memory: exploring the organizational generation of adverse events in health … November 28, 2018
Creating complex health improvement programs as mindful organizations … April 8, 2011
Patient Safety Organizations: a new paradigm in quality management and
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psnet.ahrq.gov/node/42397/psn-pdf
September 05, 2013 - https://psnet.ahrq.gov/issue/impact-world-health-organizations-surgical-safety-checklist-safety-culture … https://psnet.ahrq.gov/issue/impact-world-health-organizations-surgical-safety-checklist-safety-culture-operating-theatre … https://psnet.ahrq.gov/issue/impact-world-health-organizations-surgical-safety-checklist-safety-culture-operating-theatre
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psnet.ahrq.gov/node/855107/psn-pdf
January 01, 2019 - safety science development and summarizes topics such as resilience
engineering, high-reliability organizations … foundations-safety-science
https://psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations … https://psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
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psnet.ahrq.gov/node/41491/psn-pdf
June 27, 2012 - All of us will fail and
make mistakes, but how can they benefit us and our
organizations? … All of us will fail and make mistakes, but how can they
benefit us and our organizations? … This newsletter piece discusses how hospital executives can promote learning from mistakes in their
organizations
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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/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/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/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/867523/psn-pdf
January 15, 2025 - how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-
notification-efforts
While large-scale adverse events (LSAEs) are rare, healthcare organizations … This article provides an analytic framework for healthcare
organizations to consider in the event of
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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/42232/psn-pdf
May 08, 2013 - https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety
Despite great effort, health care organizations … Prior studies have shown that
no single method can unearth all safety problems within an organization … Drawing on principles used by high reliability
organizations in other industries, the framework encompasses
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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
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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
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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
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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.