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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/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/clinical-efficacy-combined-surgical-patient-safety-system-and-world-health-organizations
November 03, 2015 - Safety System (SURPASS) is used to address preoperative and postoperative care, and the World Health Organization … Citation
Related Resources From the Same Author(s)
Effect of the World Health Organization … September 5, 2013
Impact of the World Health Organization surgical safety checklist on … May 24, 2023
Factors causing variation in World Health Organization surgical safety checklist
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psnet.ahrq.gov/node/865490/psn-pdf
January 01, 2002 - https://psnet.ahrq.gov/issue/safe-operation-social-construct
High reliability organizations (HRO) are … organizations that operate in complex high-hazard domains for
extended periods without serious accidents
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psnet.ahrq.gov/node/44917/psn-pdf
November 30, 2016 - ://psnet.ahrq.gov/issue/canadian-incident-analysis-framework
Performing incident analysis can help organizations … This toolkit provides a framework to help organizations gather insights from staff, patients,
and family
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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/37269/psn-pdf
November 30, 2016 - disclosure-and-discussion-adverse-events
Disclosure of errors and adverse events is now endorsed by a broad array of organizations … This statement
discusses the importance of disclosure and provides resources to help health care organizations
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psnet.ahrq.gov/issue/impact-world-health-organizations-surgical-safety-checklist-safety-culture-operating-theatre
November 03, 2015 - Citation
Related Resources From the Same Author(s)
Effect of the World Health Organization … March 18, 2020
Impact of the World Health Organization surgical safety checklist on patient
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - I think a lot of
organizations didn't take that step of fixing the workflows first. … They talked to other organizations. … In a lot of organizations they've really underinvested in that training. … MG: Well, it probably depends on how large the organization is. … These
are tough changes for people and organizations to really make happen.
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Health care organizations struggle with too many
competing demands to make safety the only workplace … Accreditation and awarding organizations come up with neat little checklists to
quantify it for their … First and foremost, this science pushes us to
view the organization as a collection of routines and … Collective mind in organizations: heedful interrelating on flight decks. … The Fifth Discipline: The Art & Practice of the Learning Organization. New York, NY.
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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/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/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/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/10-years-5-voices-1-challenge
November 26, 2008 - Citation
Related Resources
AHRQ presses on: no rule yet, but agency taps 10 safety organizations … October 19, 2011
The rise of patient safety organizations.
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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
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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/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/45453/psn-pdf
November 02, 2016 - creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-
affect-patient
High reliability organizations … high-reliability
https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
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psnet.ahrq.gov/node/39960/psn-pdf
September 19, 2016 - disclosure of adverse events,
the role of leadership in developing a culture of safety, and the need for organizations … The article provides a
checklist and work plan for organizations to use in developing their plan, emphasizing