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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - Over time, after the implementation of TeamSTEPPS within a unit or an organization, there are clear links … 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 … to revisit, reinforce, and expand training across their organization.
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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/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/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/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/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/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/39422/psn-pdf
March 23, 2011 - organisational-readiness-exploring-preconditions-success-organisation-wide-
patient-safety
Implementation of large-scale safety improvement programs requires learning organizations … —organizations with the capacity for change. … This qualitative study evaluated the readiness of each organization to
undertake this initiative, and … organisational-readiness-exploring-preconditions-success-organisation-wide-patient-safety
https://psnet.ahrq.gov/issue/building-learning-organization
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - Munier: A Patient Safety Organization is a new or existing organization that applies to be
officially … , or networking across organizations? … So AHRQ is supporting an organization at a national level that will de-identify any PSO's
data, free … respect to what gets sent in or
doesn't get sent in, the boundaries for PSOs are not only any provider organization … What are these organizations like?
WM: We really have a fairly broad mix of organizations.
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psnet.ahrq.gov/node/39063/psn-pdf
December 17, 2009 - Improving patient safety requires development of a culture of safety and transformation into a learning
organization—one … and the descriptive nature of most studies, reducing the
generalizability of these studies for other organizations … safety-and-risk-management-interventions-hospitals-systematic-review-literature
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/building-learning-organization … https://psnet.ahrq.gov/issue/building-learning-organization
https://psnet.ahrq.gov/primer/reporting-patient-safety-events … https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
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psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
April 01, 2008 - PSNet also has gone well beyond the published literature, recognizing the role of the news media , nongovernmental … organizations , and patient advocates in advancing the field. … also helped disseminate the groundbreaking work conducted and funded by AHRQ and other influential organizations … requires an understanding of human behavior, the sociology of teams, and the culture of health care organizations … February 26, 2025
Perspective
High Reliability Organization
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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/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability
July 01, 2011 - 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 … Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations
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psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
February 24, 2011 - reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations … reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations … reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations
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psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning
June 29, 2011 - A sociocultural perspective on learning from incidents in healthcare organizations. … 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/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - Sarah Mossburg: Together with the American Association of Critical-Care Nurses, American Organization … Sarah Mossburg: What solutions are healthcare organizations using to address the staffing challenges … If we focus on the most important asset in organizations—the people who are delivering care—the other … Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization
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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/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