-
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
-
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
-
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/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.
-
psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - All organizations must take steps to implement
measurement systems using these three strategies and … is for
organizational leadership to create the blame-free culture that will allow anyone within the organization … in its software; (ii)
incorrect or incomplete use of EHR technology by those within the health care organization … conditions, including
complex system interactions or practice patterns) or only with the health care organization … The SAFER guides: empowering organizations to improve the safety and
effectiveness of electronic health
-
psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - Meaning, those at the top of the organization (or the org chart) have a clear line of sight on what … believe that they should
just show up at work, do their 8 hours, and then leave—because they believe the organization … RW: We've been talking generally about organizations. Let's shift to health care. … according to a well-learned protocol
that is invariant from one clinician to the next, is valuable for the organization … One thing they shouldn't have to contend with is variation in how the organization labels or does
things
-
psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - Health care organizations are
implementing numerous safety improvement techniques, many borrowed from … Health care organizations were introduced to this accident investigation
technique in the mid-1990s. … which has a greater influence on outcomes, the seed (a safety intervention) or the soil (the
host organization … Organizations are often unprepared to respond to medical tragedies. … Although caregiver collaboration is improving and organizations are focusing less on individual blame
-
psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - The contribution of abbreviations to medication error is well documented, and several organizations recommend … establish a list of prohibited abbreviations ( 1 ) and that such organizations implement policies to … Hesitancy to challenge or question prescribers may be a cultural norm within the organization. … High reliability organizations such as the airline industry and military have striven to decrease risk … Related Resources
Perspective
High Reliability Organization
-
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
-
psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
December 15, 2011 - An organization-wide approach to measuring and improving safety. … September 17, 2010
Creating high reliability in health care organizations. … November 17, 2010
Creating high reliability in health care organizations.
-
psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
November 30, 2016 - 2014
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations … June 13, 2011
An asset-based quality improvement tool for health care organizations: … cultivating organization wide quality improvement and health care professional engagement.
-
psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - Strategically, what should an organization try to improve when it comes to safety? … As
organizations move toward electronic medical records and computerized provider order entry, the safety … Feedback loops are essential to move the organization toward a just culture. … Organizations need to develop appropriate safety indicators to gauge their progress. … As recently as 5 years ago, few organizations had patient safety officers and safety teams.
-
psnet.ahrq.gov/node/38577/psn-pdf
April 22, 2009 - Leading your organization to high reliability.
April 22, 2009
Kemper C, Boyle DK. … Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. … https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability
This commentary describes high … reliability organization theory and offers tools to apply these concepts in
work units and organizations … https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability
https://psnet.ahrq.gov//#highreliabilityorganizations
-
psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - conceptualized as having five
elements—person, tasks, tools/technologies, physical environment, and the organization … Safe organizations put effort
into analyzing the work system and attempting to predict and plan for … This is precisely what the High
Reliability Organization approach (14,15), along with other organizations … However, health
care organizations should be strongly encouraged to design and implement systematic … Work organization and ergonomics. Appl Ergon. 2000;31:649-662. [go to
PubMed]
7.
-
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
-
psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - 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