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psnet.ahrq.gov/node/34719/psn-pdf
December 23, 2008 - https://psnet.ahrq.gov/issue/learning-samples-one-or-fewer
Organizations learn from experience. … The authors cite examples of rare events and outline the strategies that organizations
use to learn
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psnet.ahrq.gov/node/47668/psn-pdf
January 30, 2019 - organizing-reliability-guide-research-and-practice
High reliability principles guide safety efforts in complex organizations … key concepts associated with reliability and highlights areas of growth needed to ensure health care
organizations
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - Psychological Safety in High-Reliability Organizations and Healthcare Settings
Optimizing patient safety … High-reliability organizations (HROs) adopt many learning approaches following
safety incidents that … psychological safety with a focus on mental health organizations. … form of assessment for measuring psychological safety, but modified surveys at the
individual and organization … The Fearless Organization: Creating Psychological Safety in the Workplace for
Learning, Innovation,
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - organization. … There are organizations where I’ve had a patient fall in my care and the first thing I had to do was … CC: I think a lot of the organizations, especially the ones that I've worked [with], always set up the … I don't know if that part is really [at] the forefront of many organizations. … Patient safety organizations and emergency medical services. J Allied Health . 2016;45(4):274-277.
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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/safety-culture-ems
May 26, 2021 - 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. … organization. … I don't know if that part is really [at] the forefront of many organizations.
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psnet.ahrq.gov/issue/repair-project
March 27, 2005 - , 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/44889/psn-pdf
April 13, 2017 - https://psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
Organizations are encouraged … This commentary presents a model to help organizations learn from system
failures through focusing on
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psnet.ahrq.gov/node/45936/psn-pdf
March 08, 2017 - using-information-external-errors-signal-clear-and-present-danger
Monitoring external reports of error and harm can prompt organizations … using-information-external-errors-signal-clear-and-present-danger
https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
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psnet.ahrq.gov/node/42955/psn-pdf
May 11, 2016 - the Francis report, this three-stage reporting system was launched to help National Health
Service organizations … The first stage
alerts organizations of a new patient safety hazard, the second distributes practices
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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
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psnet.ahrq.gov/node/46221/psn-pdf
July 02, 2017 - commentary reviews
frameworks and tools such as fishbone diagrams, checklists, and process maps that organizations … tools-and-methods-quality-improvement-and-patient-safety-perinatal-care
https://psnet.ahrq.gov/issue/quality-improvement-organizations
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psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do
May 06, 2016 - , 2009
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/issue/agenda-research-ambulatory-patient-safety
December 22, 2008 - December 16, 2011
The Limits of Safety: Organizations, Accidents and Nuclear Weapons. … Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations … January 6, 2010
New patient safety organizations lower roadblocks to medical error reporting
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psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
September 15, 2009 - June 23, 2009
Safeguarding patients: complexity science, high reliability organizations … Race differences in reported "near miss" patient safety events in health care system high reliability organizations … June 24, 2020
Developing health care organizations that pursue learning and exploration
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - Munier : A Patient Safety Organization is a new or existing organization that applies to be officially … , or networking across organizations? … What are these organizations like?
WM : We really have a fairly broad mix of organizations. … organization will ensure quality work. … Patient Safety Organization: Certification for Initial Listing.
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - whole organization or just a small part. … Investment by the organization is crucial. … Lucy Savitz: It depends on the organization. … Lucy Savitz: It depends on the organization. … World Health Organization.
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - World Health Organization. … whole organization or just a small part. … Investment by the organization is crucial. … Lucy Savitz: It depends on the organization. … Lucy Savitz: It depends on the organization.
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psnet.ahrq.gov/node/46328/psn-pdf
August 09, 2017 - /critical-incident-stress-debriefing-after-adverse-patient-safety-events
Patients, clinicians, and organizations … This
article discusses the need for organizations to have processes in place to provide support for
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psnet.ahrq.gov/node/45440/psn-pdf
November 09, 2016 - /issue/safety-lessons-nih-clinical-center
System failures can remain undetected over time in large organizations … industry-wide learning from this example to ensure that patient
safety remains a priority and that organizations