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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
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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
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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/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/joint-commission-journal-quality-and-patient-safetytm
March 06, 2005 - JCAHO, Joint Commission on Accreditation of Healthcare Organizations
Topics … Administrators
Cite
JCAHO, Joint Commission on Accreditation of Healthcare Organizations
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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
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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
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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
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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
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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
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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/issue/failure-mode-effect-and-criticality-analysis-fmeca-worksheet
March 06, 2005 - Joint Commission on Accreditation of Healthcare Organizations; JCAHO
Topics … States of America
Cite
Joint Commission on Accreditation of Healthcare 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/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
-
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
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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/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.