-
psnet.ahrq.gov/node/33635/psn-pdf
July 01, 2006 - Those organizations with safety directors, or even
lower in the organization, safety managers, need … AF: If you're in a small organization you're going to wear multiple hats. … Very few
organizations actually achieve that. … In an organization like that, it has less to do with the intelligence of anyone in the organization … Ultimately, if an organization can
address these three areas?
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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/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - Those organizations with safety directors, or even lower in the organization, safety managers, need to … AF: If you're in a small organization you're going to wear multiple hats. … Very few organizations actually achieve that. … In an organization like that, it has less to do with the intelligence of anyone in the organization and … October 19, 2010
Error reporting in organizations.
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - Patient Safety Events and the Role of Patient Safety
Organizations During the COVID-19 Pandemic
January … Patient Safety Events and the Role of Patient Safety Organizations
During the COVID-19 Pandemic. … (PSOs) to the Patient Safety
Organization Privacy Protection Center (PSOPPC).2 There is a perception … Authors
Rhonda Dickman, MSN, RN, CPHQ
Patient Safety Organization (PSO) Director
Tennessee Hospital … Clinical Data Analyst
Atrium Health
Charlotte, NC
Danelle Higgins, MHA, BSN, RN
Patient Safety Organization
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - while accreditation is a seal of approval (from some independent accrediting body) certifying that an organization … As I thought more about that in context, it became clear that this organization has really been in continuous … This is a private organization that relies on organizations voluntarily subscribing to our service; they … This is a great organization. … Organizations know they have quality problems.
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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/48051/psn-pdf
June 05, 2019 - While health care organizations
are increasingly focused on measuring burnout and implementing targeted … They estimate that the cost for organizations is about
$7600 per physician each year.
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psnet.ahrq.gov/node/40394/psn-pdf
January 01, 2019 - Its emphasis on partnerships (between government,
provider organizations, payers, and patients) echoes … program awarded $110 million to 17 national, regional, or state hospital associations and health system
organizations
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psnet.ahrq.gov/node/50775/psn-pdf
January 01, 2021 - safety incident reports for
older adult patient transfers, handovers, and discharges:
do they serve organizations … safety incident reports for older adult
patient transfers, handovers, and discharges: do they serve organizations
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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
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psnet.ahrq.gov/node/33559/psn-pdf
December 15, 2024 - accurately reconcile medications, perhaps explaining
why medication discrepancies persist even in organizations … the resource intensive nature of interventions such as clinical pharmacists,
which disincentivizes organizations … The commentary provides recommendations for
organizations, clinicians, and researchers on how to better … This National Patient Safety Goal requires that organizations
“obtain information on the medications
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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - In the wake of the guilty verdict, many
organizations released public statements against the criminalization … Engaging staff in the development and implementation of the patient safety
program at an organization … Organizations can adopt a systematic approach to gather and analyze
data, identify system failures, … One primary way that healthcare organizations can support workers is to recognize the impact of system … Organizations have used Schwartz Rounds to help to reduce the high levels of stress associated with
-
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.
-
psnet.ahrq.gov/node/42759/psn-pdf
April 24, 2017 - longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals
Development of high reliability remains an elusive goal for health care organizations … This survey of 300 health care organizations found that this state of affairs did
not improve between … This study was conducted by an AHRQ-certified
patient safety organization.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-347
May 16, 2022 - Organizations such as The Joint Commission and the Leapfrog Group require participating healthcare organizations … Achieving high reliability is a goal for every healthcare organization. … This guideline provides an update on recommended steps for organizations to support the implementation … A baseline expectation in a safe organization is that employees feel comfortable and supported when sharing … In her professional role, she provides strategic direction for the research mission of the organization
-
psnet.ahrq.gov/node/50768/psn-pdf
December 27, 2019 - Prior to that, I was the Associate Director of an
organization called the Mental Health Policy Resource … However, what looks like good cultural competence varies among organizations. … with community-based organizations that give them cultural insights. … redtool4.html
Health set out to answer the question: What do I do if I want to be a culturally competent organization … But it sends a message throughout the
organization that there is an expectation that you will use the
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - Those organizations with safety directors, or even lower in the organization, safety managers, need to … in their organizations to turn it into real actions that change the environment. … AF: If you're in a small organization you're going to wear multiple hats. … Very few organizations actually achieve that. … In an organization like that, it has less to do with the intelligence of anyone in the organization and
-
psnet.ahrq.gov/node/846125/psn-pdf
March 15, 2023 - Healthcare
organizations sought ways to expedite processes to update protocols that were traditionally … To prevent this complication, the organization augmented airway
humidification by switching from passive … The team stresses that implementing organizations
require commitment and flexibility to initiate and … sustain the innovation; organizations must be able to react
to the changing needs of a situation by … Adoption Considerations Use by Others (Use By Other Organizations)
The innovation team published an
-
psnet.ahrq.gov/node/34775/psn-pdf
February 07, 2019 - story of the Mann Gulch Fire tragedy
to frame a series of reflections on the failures of systems, organizations … psnet.ahrq.gov/issue/institute-healthcare-improvement
https://psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
-
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.