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psnet.ahrq.gov/toolkits
March 01, 2025 - Has your organization developed a Toolkit that provides practical applications of patient safety research … Institutional Patient Safety Plan
(3)
Just Culture
(2)
Learning Organization … The resource provides guidance on topics such as data collection, data organization, survey forms, and … Organizations can also use the AHRQ database to compare their Surveys on Patient Safety Culture™ (SOPS … for patients and families to take to help them get the communication and resolution they need from organizations
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psnet.ahrq.gov/node/33822/psn-pdf
January 01, 2017 - From all of that, I developed a logic train that says organizations cannot be habitually excellent at … DuPont set out to get the
organization to understand that, in spite of all the so-called occupational … If the leadership
and the people in the organization concentrated on what produced excellent results … There are very, very few health
care organizations that can close their books in 6 months. … In a great organization, that number is 0.3.
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psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital
December 16, 2011 - December 16, 2011
Studying patient safety in health care organizations: accentuate the … November 20, 2019
Creating highly reliable accountable care organizations. … July 26, 2010
Creating high reliability in health care organizations.
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psnet.ahrq.gov/node/38504/psn-pdf
September 06, 2011 - 2009-update
The National Quality Forum's Safe Practices for Better Healthcare provide a blueprint for organizations … The
practices are defined so that organizations can measure the relationship between implementation
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psnet.ahrq.gov/node/35832/psn-pdf
August 04, 2009 - The authors provide a general overview of patient safety, discuss
the leading organizations involved … their goals, and share a list of safety interventions and practices as
prioritized by these noted organizations
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psnet.ahrq.gov/node/33566/psn-pdf
September 15, 2024 - hierarchy-and-medical-error-speaking-when-witnessing-error
https://psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster … AHRQ offers a
comprehensive curriculum and training program for interested organizations, which includes … may depend on baseline perceptions of safety
culture and readiness for change within a given unit or organization … Many organizations are now coupling teamwork
training programs with more specific efforts to structure
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psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - In
addition to increasing their use of RPM for chronic conditions, many organizations began monitoring … When designing the
program, organizations must develop clear protocols for identifying appropriate patients … Organizations must understand the
volume of data that will be transferred to systems and decide how … To support the correct use of devices according to guidelines and avoid false values, organizations should … setting in which monitoring is occurring (such as an integrated delivery network,
accountable care organization
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - many of the value-based programs that we use
for assessing performance; and the Quality Improvement Organization … But also, it can serve as a trigger tool for an
organization; organizations can have almost immediate … There are best
practices on how to embed safety deeply in an organization so that safety practices are … Across the country, there are approximately 100 Patient Safety Organizations (PSOs). … Implementing EMRs is a challenge because an organization has to adapt
their workflow and has to adapt
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 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/37241/psn-pdf
December 16, 2011 - impact-safety-organizing-trusted-leadership-and-care-pathways-reported-
medication-errors
Case studies of high-reliability organizations … While limitations exist with error reporting
data, the authors conclude that organizations should avoid
-
psnet.ahrq.gov/node/41586/psn-pdf
January 01, 2013 - strategies-improving-patient-safety-culture-hospitals-systematic-review
Developing a culture of safety is essential for creating high reliability organizations … Although
safety culture can be measured and compared across institutions, the methods organizations
-
psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - licensing
physicians, nurses, and pharmacists; and the Joint Commission on Accreditation of Healthcare
Organizations … We
decided that patient safety was and is the work of the organization, not an activity that could be … We developed durable partnerships with sister
organizations in our community. … Medical Errors and from our participation with the
Institute for Healthcare Improvement (IHI) and other organizations … We have high levels of staff and patient satisfaction compared with peer organizations, with low
staff
-
psnet.ahrq.gov/node/46303/psn-pdf
November 21, 2017 - board meetings, and review of important documents to
characterize how the leadership of 15 health care organizations … The investigators identified a subset of organizations that explicitly prioritized quality improvement
-
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
-
psnet.ahrq.gov/node/39444/psn-pdf
June 28, 2010 - The role of organizational leadership in ensuring patient safety has been recognized by accrediting
organizations … psnet.ahrq.gov/issue/leadership-committed-safety
https://psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership-standards
-
psnet.ahrq.gov/node/38863/psn-pdf
August 12, 2009 - This study
demonstrates that despite attempts to translate learnings from high-reliability organizations … (organizations
with a superior culture of safety) to health care, implementation of these strategies
-
psnet.ahrq.gov/node/41301/psn-pdf
April 18, 2012 - 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/node/47000/psn-pdf
May 09, 2018 - Broken hospital windows': debating the theory of
spreading disorder and its application to healthcare
organizations … Broken hospital windows': debating the theory of spreading disorder
and its application to healthcare organizations
-
psnet.ahrq.gov/node/38935/psn-pdf
March 01, 2017 - leadership-committed-safety
Despite the past decade's focus on improving patient safety, most health care organizations … Joint Commission calls for senior health care leaders to establish a
culture of safety within their organizations
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - This morning, the organization that we call The Spear Household had to get three kids out the door with … CEOs and presidents don't understand what is supposed to be happening in their organization. … In any organization, people in the organization will follow the behavior modeled by their leaders. … 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.