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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/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.
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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/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
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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
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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
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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.
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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/node/855433/psn-pdf
November 15, 2023 - room-resilience-qualitative-study-about-accountability-mechanisms-relation-
between-work-done
Promoting resilience across and within healthcare organizations … importance of
team reflections to foster resilience and accountability across all levels within healthcare 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/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
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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
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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
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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
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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
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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/837589/psn-pdf
June 29, 2022 - psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-
identified-differ
Organizations … events, suggesting a multi-focal approach to adverse event data collection may more effectively
inform organizations
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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/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