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Total Results: 7,254 records

Showing results for "organizations".

5201. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. | PSNet
      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.

5202. 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

5203. 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

5204. 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

5205. 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

5206. 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

5207. Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study. | PSNet
      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

5208. Psn-Pdf (pdf file)
      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.

5209. Psn-Pdf (pdf file)
      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

5210. Psn-Pdf (pdf file)
      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

5211. Double Dosing, by the Rules | PSNet
      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

5212. Psn-Pdf (pdf file)
      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

5213. Psn-Pdf (pdf file)
      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

5214. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49507/psn-pdf
      April 01, 2006 - A number of theorists who have studied high-technology organizations that manage to operate without … These theorists have developed the theory of highly reliable organizations.(1,5) For example, on the … First, there is the inculcation of core values in members of an organization or profession. … Collective mind in organizations: heedful interrelating on flight decks. … Some characteristics of one type of high reliability organization. Organ Sci. 1990;1:160-176. 6.

5215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49549/psn-pdf
      December 06, 2007 - In most organizations, this conversation is recorded in the medical record and the patient is asked … For some organizations, an absence of 45 minutes triggers the elopement protocol and patient search. … Notification of appropriate administrative personnel.(12) Procedures differ among organizations. … Other organizations use midnight as the indicator.(10,12) Providers should consult with organization … Adequate communication of such an event across the entire organization is essential so that a concerted

5216. Psn-Pdf (pdf file)
      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

5217. Psn-Pdf (pdf file)
      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

5218. Psn-Pdf (pdf file)
      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

5219. Psn-Pdf (pdf file)
      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

5220. Psn-Pdf (pdf file)
      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