-
psnet.ahrq.gov/node/73314/psn-pdf
May 26, 2021 - (PE for PS) for healthcare
managers to assess patient engagement for patient safety
in healthcare organizations … (PE for PS) for healthcare
managers to assess patient engagement for patient safety in healthcare organizations … The tool contains four sections: (1) describing the healthcare organization; (2) gathering general
information
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psnet.ahrq.gov/issue/putting-patients-first-best-practices-patient-centered-care-2nd-ed
November 04, 2015 - , 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 … March 29, 2007
Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership
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psnet.ahrq.gov/node/39173/psn-pdf
November 02, 2014 - significant progress has been made in improving patient safety over the past decade, most health
care organizations … In this commentary, leaders of several
leading safety organizations endorse five principles for transforming … hospitals and clinics into high reliability
organizations.
-
psnet.ahrq.gov/node/37219/psn-pdf
June 16, 2011 - of hospital safety culture:
development and validation of the patient safety climate
in healthcare organizations … of hospital safety culture: development and
validation of the patient safety climate in healthcare organizations … -
patient-safety
This study describes the development of the Patient Safety Climate in Healthcare Organizations
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psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
June 21, 2023 - April 13, 2022
Developing health care organizations that pursue learning and exploration … Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations … 2021
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations
-
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
-
psnet.ahrq.gov/node/73709/psn-pdf
September 15, 2021 - to crisis management used by non-healthcare institutions
(e.g., private businesses, large military organizations … ) in response to the COVID-19 pandemic and how
healthcare organizations – particularly the surgical
-
psnet.ahrq.gov/node/837697/psn-pdf
July 20, 2022 - ’s National Health Service (NHS) allows patients to receive care from public or for-profit private
organizations … and for-profit providers, researchers found an
additional 557 treatable deaths at for-profit private organizations
-
psnet.ahrq.gov/node/836772/psn-pdf
March 23, 2022 - analyzing errors that lead to preventable or potentially preventable deaths in trauma care, healthcare
organizations … events anonymously reported by trauma centers using the Joint Commission on Accreditation of
Healthcare Organizations
-
psnet.ahrq.gov/node/60864/psn-pdf
August 31, 2020 - A
SAB ethos recognizes that healthcare organizations have a moral responsibility to ensure safety, with … There are three key components necessary for foster SAB in a healthcare organization: culture, strong … The institution is not only
seeking the latest information and evidence from outside organizations and … patient safety is
a shared mission and objective for everyone in the organization. … Resources to Support Safety Across The Board
CMS through its HIIN program developed a resource to support organizations
-
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.
-
psnet.ahrq.gov/node/34758/psn-pdf
January 29, 2019 - in the health care literature, normal accidents theory is
equally prominent in the study of complex organizations … Many health care
organizations would meet Perrow's definition of complexity, but only hospitals would … systems, the case studies offer many fascinating insights into the possible failure modes for complex
organizations
-
psnet.ahrq.gov/node/47457/psn-pdf
January 17, 2019 - This new sentinel
event alert explores how organizations can change their culture to promote reporting … It highlights bright
spots: organizations that use a just culture approach to investigating errors, … The Joint Commission proposes actions for
all organizations to take, including developing incident reporting
-
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
-
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
-
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
-
psnet.ahrq.gov/node/33560/psn-pdf
June 15, 2024 - explanation as to why the error occurred
How the error's effects will be minimized
Steps the physician (and organization … This may also require changes in how organizations approach error
disclosure. … Research and Quality has developed the Communication and Optimal Resolution (CANDOR) toolkit to help
organizations … Current Context
Disclosure of errors and adverse events is now endorsed by a broad array of organizations … It also calls for health care organizations to create an
environment conducive to disclosure by integrating
-
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
-
psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training
January 07, 2011 - Resources From the Same Author(s)
Safeguarding patients: complexity science, high reliability organizations … October 19, 2022
Keeping patients safe in healthcare organizations: a structuration theory … September 12, 2018
The collapse of sensemaking in organizations: the Mann Gulch disaster … April 6, 2011
Safeguarding patients: complexity science, high reliability organizations
-
psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - clinical error rates, improve patient satisfaction, and emphasize a wider culture of
safety within an organization … been shown to positively impact healthcare staff perceptions of
teamwork and communication within an organization … TeamSTEPPS 2.0, which included updates for measuring and quantifying the
impact TeamSTEPPS has on an organization … However, there is still
room for more organizations to implement and leverage TeamSTEPPS training to … to revisit, reinforce, and expand training across their organization.