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psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing
September 18, 2024 - Commentary
Strengthening the use of artificial intelligence within healthcare delivery organizations … Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing … This article explores the impact of these changes on CDS tools for sepsis care and how healthcare organizations … Strengthening the use of artificial intelligence within healthcare delivery organizations: balancing
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - Becoming a high-reliability organization through shared learning of safety events
Klenklen J. … Kaiser Permanente's performance improvement system, part 4: creating a learning organization. … discusses Kaiser Permanente's efforts to develop a performance improvement system and
become a learning organization … Becoming a high-reliability organization through shared learning of safety events
Klenklen J. … Kaiser Permanente's performance improvement system, part 4: creating a learning organization.
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psnet.ahrq.gov/issue/do-no-harm-ensuring-patient-safety-health-care-organizations
August 16, 2016 - Book/Report
To Do No Harm: Ensuring Patient Safety in Health Care Organizations. … Citation Text:
To Do No Harm: Ensuring Patient Safety in Health Care Organizations. … Citation
Citation Text:
To Do No Harm: Ensuring Patient Safety in Health Care Organizations … Author(s)
The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations … November 4, 2015
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge
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psnet.ahrq.gov/node/60060/psn-pdf
March 18, 2020 - The benefits and burdens of working with patient safety
organizations under the Patient Safety and Quality … The benefits and burdens of working with patient safety organizations under the
Patient Safety and Quality … https://psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient- … incident information to
support large-scale learning across health care organizations. … https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act
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psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory-action
October 19, 2022 - Commentary
Creating complex health improvement programs as mindful organizations: … Creating complex health improvement programs as mindful organizations: from theory to action. … Creating complex health improvement programs as mindful organizations: from theory to action. … July 22, 2009
Towards an organization with a memory: exploring the organizational generation … Organizational Behaviorists
Quality Improvement Strategies
Legal and Policy Approaches
Learning Organization
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - Background
High reliability organizations (HRO) are organizations that operate in complex, high-hazard … standardization: high reliability is better described as a condition of persistent mindfulness within an
organization … Characteristics of High Reliability Organizations
High reliability organizations use systems thinking … in their report of practices employed by hospitals in the High Reliability Organization
Learning Network … Becoming a High Reliability Organization: Operational Advice for Hospital Leaders.
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psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey
November 23, 2005 - Commentary
Building a high-reliability organization: one system's patient safety … Citation Text:
Building a high-reliability organization: one system's patient safety journey. … High reliability has yet to be achieved in health care organizations. … Cite
Citation
Citation Text:
Building a high-reliability organization … Monitoring Fetal Health
January 1, 2015
Safety climate in health care organizations
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psnet.ahrq.gov/issue/strategies-learning-failure
September 25, 2024 - The ability to learn from failures is a crucial characteristic of high reliability organizations , and … slips , and can be prevented by interventions such as checklists —and unavoidable failures in complex organizations … The author, who has extensively analyzed high-profile failures in many industries, recommends that organizations … November 18, 2020
Understanding psychological safety in health care and education organizations … More
See More About The Topic
Health Care Executives and Administrators
Learning Organization
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psnet.ahrq.gov/issue/development-and-evaluation-patient-safety-interventions-perspectives-operational-safety
February 26, 2025 - evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations … evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations … In this study, patient safety professionals from healthcare facilities and patient safety organizations … evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations
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psnet.ahrq.gov/node/838631/psn-pdf
October 19, 2022 - An asset-based quality improvement tool for health care
organizations: cultivating organization wide … An asset-based quality improvement tool for health care organizations:
cultivating organization wide … https://psnet.ahrq.gov/issue/asset-based-quality-improvement-tool-health-care-organizations-cultivating … https://psnet.ahrq.gov/issue/asset-based-quality-improvement-tool-health-care-organizations-cultivating-organization-wide … https://psnet.ahrq.gov/issue/asset-based-quality-improvement-tool-health-care-organizations-cultivating-organization-wide
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psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
February 17, 2017 - Learning from other organizations' safety errors.
Citation Text:
Conway JB. … Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. … Learning from other organizations' safety errors. Healthcare Executive. 2008;23(6):64, 66-67. … All of us will fail and make mistakes, but how can they benefit us and our organizations? … August 3, 2009
AHRQ presses on: no rule yet, but agency taps 10 safety organizations.
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psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
December 03, 2018 - Using examples from air traffic control and NASA, Weick proposes that organizations should focus on improving … The author also promotes praising reliability within the organization. … Finally, the author describes the importance of storytelling in organizations, which allows people to … December 3, 2018
The collapse of sensemaking in organizations: the Mann Gulch disaster … December 13, 2017
Sensemaking in Organizations.
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Do we have an organization where staff feel comfortable reporting? … Do we have a learning organization where we are thinking about improvement? … If that is not part of this organization, we could put that RCA back on the shelf and not look at it … In our organization, people would call in sick because they did not feel comfortable and did not want … I encourage organizations to use the tools that their organization is ready for.
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - Do we have an organization where staff feel comfortable reporting? … Do we have a learning organization where we are thinking about improvement? … If that is not part of this organization, we could put that RCA back on the shelf and not look at it … In our organization, people would call in sick because they did not feel comfortable and did not want … I encourage organizations to use the tools that their organization is ready for.
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - contributed to patient safety in your organization or the organizations you have worked with. … I would ask, is an organization really a highly reliable organization if it is dependent on any single … I am wondering how organizations can validate that assertion. … in their work and their organization. … , achieve safety and have come to describe a mode of organization called high reliability organizations
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psnet.ahrq.gov/node/73090/psn-pdf
March 31, 2021 - Learning from safety incidents in high reliability
organizations: a systematic review of learning tools … Learning from safety incidents in high-reliability organizations: a
systematic review of learning tools … https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review … -
learning-tools
High reliability organizations consistently examine and learn from failures. … https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
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psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
May 25, 2016 - Book/Report
How PSOs Help Health Care Organizations Improve Patient Safety Culture … Citation Text:
How PSOs Help Health Care Organizations Improve Patient Safety Culture. … Patient safety organizations (PSO) augment learning by sharing data from voluntary reporting and informing … Cite
Citation
Citation Text:
How PSOs Help Health Care Organizations
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psnet.ahrq.gov/node/838306/psn-pdf
October 12, 2022 - Developing the Safer Dx Checklist of Ten Safety
Recommendations for Health Care Organizations to
address … Developing the Safer Dx Checklist of Ten Safety Recommendations
for Health Care Organizations to Address … https://psnet.ahrq.gov/issue/developing-safer-dx-checklist-ten-safety-recommendations-health-care-
organizations-address … study
developed a checklist of ten high-priority practices for diagnostic excellence which healthcare organizations … serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
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psnet.ahrq.gov/issue/time-transparent-standards-quality-reporting-health-care-organizations
July 07, 2021 - Commentary
Time for transparent standards in quality reporting by health care organizations … Time for Transparent Standards in Quality Reporting by Health Care Organizations. … Time for Transparent Standards in Quality Reporting by Health Care Organizations. … An organization-wide approach to measuring and improving safety. … October 3, 2017
Creating highly reliable accountable care organizations.
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psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical
August 09, 2017 - Commentary
Mapping research on culture and safety in high-risk organizations: arguments … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding … This commentary discusses characteristics of high-reliability organizations that could better engage … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding … August 9, 2017
How can regulatory authorities improve safety in organizations by influencing