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Showing results for "organizations".

441. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
     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.

442. Learning Health Systems for Patient Safety | PSNet
     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.

443. Leadership Role in Improving Safety | PSNet
     psnet.ahrq.gov/primer/leadership-role-improving-safety
     September 15, 2024 - Background Most health care organizations are still striving to attain high reliability —the ability … Although the concept of leadership has traditionally been used to refer to the top rungs of an organization … viability, monitoring and evaluating the performance of high-level hospital executives, making sure the organization … meets the needs of the community it serves, and ensuring the quality and safety of care provided by the organization … Examples of organizations that have transformed their practices and organizational culture to emphasize

444. Psn-Pdf (pdf file)
     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

445. Psn-Pdf (pdf file)
     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

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866622/psn-pdf
     August 28, 2024 - At Inova, my role is to help lead the organization to do the greatest good for the greatest number of … They are complementary, and organizations should not choose one versus the other. … The overlap is really in what the organization is trying to achieve, which is ongoing safety and less … Some organizations just ask, What is one thing you do to keep your patient safe? … Sarah Mossburg: Those are great examples of thoughtful, interesting things organizations can do.

447. Psn-Pdf (pdf file)
     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

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47375/psn-pdf
     November 02, 2018 - ethical-duty-health-care-systems-address-interfacility-medical-error-discovery Learning from other organizations … ethical-duty-health-care-systems-address-interfacility-medical-error-discovery https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36511/psn-pdf
     January 07, 2011 - https://psnet.ahrq.gov/issue/facing-ambiguous-threats This study describes how organizations respond … Bohmer and Edmondson have previously described the collective learning process that health care organizations

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35669/psn-pdf
     July 08, 2008 - The authors conclude with a call to action for organizations best positioned to lead this charge, including … the American Board of Medical Specialties and the Joint Commission on Accreditation of Healthcare Organizations

451. Psn-Pdf (pdf file)
     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

452. Psn-Pdf (pdf file)
     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

453. Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. | PSNet
     psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-edition
     May 06, 2016 - , 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. … April 17, 2017 Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge

454. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
     psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
     February 26, 2025 - Use By Other Organizations The innovation team published an article on the innovation in the New England … 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,

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34771/psn-pdf
     May 06, 2016 - managing-unexpected-sustained-performance-complex-world-3rd-edition According to Weick and Sutcliffe, high-reliability organizations … than would be anticipated as they have developed ways of "managing the unexpected" better than most organizations

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43681/psn-pdf
     June 03, 2016 - psnet.ahrq.gov/issue/learning-failure-need-independent-safety-investigation-healthcare High reliability organizations … system failures that would draw from other high-risk industries practices and provide guidance to organizations

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44493/psn-pdf
     September 19, 2016 - interventions-health-organisations-reduce-impact-adverse-events-second-and- third-victims This survey of health care organizations … Many organizations lacked protocols for responding to serious adverse events, especially in primary

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46455/psn-pdf
     April 24, 2018 - This assessment tool will enable organizations across a range of care environments to determine opportunities … In addition, the tool provides an opportunity for organizations to submit their data anonymously to

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37077/psn-pdf
     October 03, 2011 - The authors' approach is derived from the seminal study of sensemaking in organizations, an account … sensemaking-safety-and-cooperative-work-intensive-care-unit https://psnet.ahrq.gov//#sensemaking https://psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867805/psn-pdf
     February 26, 2025 - So, you are underestimating the magnitude of the problem in your organization by a factor of 20. … I think organizations should be required to put in measurement technology in this area. … If organizations have that data, I think they will respond appropriately. … When I was the Chief Quality Officer for our organization, we had to report to something like 30 different … I would rather see us focus on a smaller number of metrics and report to fewer organizations.