-
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/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/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/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
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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/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
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psnet.ahrq.gov/node/855433/psn-pdf
November 15, 2023 - room-resilience-qualitative-study-about-accountability-mechanisms-relation-
between-work-done
Promoting resilience across and within healthcare organizations … importance of
team reflections to foster resilience and accountability across all levels within healthcare 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.
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psnet.ahrq.gov/node/837589/psn-pdf
June 29, 2022 - psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-
identified-differ
Organizations … events, suggesting a multi-focal approach to adverse event data collection may more effectively
inform organizations
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psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - Strengthening safety culture remains one of
the greatest and most elusive challenges faced by health care organizations … This latter insight may strike some as a
revolutionary idea; it suggests that different organizations … the coalition's proposed approach allowed interventions to
be customized to meet the needs of each organization … value, while continuing
to benefit from motivation that derives from peer pressure driven by other organizations … It
also benefits safety indirectly, by demonstrating the importance that the organization places on
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - However, some health care
organizations still fail to recognize that, within each system, multiple interlinked … After analyzing serious errors, organizations try to "fix" the cause of the error by concentrating their … Organizations often develop error prevention strategies following a serious event that focus solely on … The Fifth Discipline: The Art and Practice of the Learning Organization. … Key Elements That Organizations Should Consider When Developing System Strategies to Reduce
or Eliminate
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - research is needed to understand which types of problems are best resolved at the individual, unit, organization … 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. … problem is that they cannot get rewarded for doing so, and because of that they cannot grow their own organization
-
psnet.ahrq.gov/node/48051/psn-pdf
June 05, 2019 - While health care organizations
are increasingly focused on measuring burnout and implementing targeted … They estimate that the cost for organizations is about
$7600 per physician each year.
-
psnet.ahrq.gov/node/50775/psn-pdf
January 01, 2021 - safety incident reports for
older adult patient transfers, handovers, and discharges:
do they serve organizations … safety incident reports for older adult
patient transfers, handovers, and discharges: do they serve organizations
-
psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - Even in organizations with an open and sharing environment of reporting errors, unless some basic
systems … ideas have been long-standing suggestions of
groups concerned with medication safety, including their organization … This of course raises a question: Why haven't health care organizations
already adopted these ideas? … But just as important is the willingness of organizations and individuals to
take proactive, preventive
-
psnet.ahrq.gov/issue/understanding-and-learning-organisational-failure
April 19, 2011 - December 1, 2021
When things go wrong: how health care organizations deal with major … February 3, 2011
Safeguarding patients: complexity science, high reliability organizations … July 20, 2009
Towards an organization with a memory: exploring the organizational generation … About The Topic
Quality and Safety Professionals
Organizational Behaviorists
Learning Organization
-
psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - .(1) Organizations responded by looking at new ways to fix the system, mostly through the
introduction … The
organization needs to be committed and openly supportive of a positive safety culture and environment … In many organizations, specific communication courses offered to employees for whom English
is their … Some organizations have implemented a
"Code White" policy (similar to a "Code Blue" policy), under which … We highly recommend a standardized process in which the organization evaluates and
presents the situation
-
psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - They talked to other organizations. … I cringe when organizations complain that doctors aren't accepting CPOE. … 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.
-
psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - They talked to other organizations. … I cringe when organizations complain that doctors aren't accepting CPOE. … 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.