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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/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/issue/becoming-high-reliability-organization
May 04, 2015 - Special or Theme Issue
Becoming a High Reliability Organization. … Citation Text:
Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12. … High reliability attainment is a stated goal for health care organizations. … Cite
Citation
Citation Text:
Becoming a High Reliability Organization
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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/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - , achieve safety and have come to describe a mode of organization called high reliability organizations … 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.
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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/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/workplace-violence-prevention-implementing-strategies-safer-healthcare-organizations
February 28, 2018 - Website
Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations … Citation Text:
Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations … This resource collection highlights federal, state and professional organization materials exploring … Citation
Citation Text:
Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations
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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/issue/medication-errors-and-trainees-advice-learners-and-organizations
April 10, 2019 - Commentary
Medication errors and trainees: advice for learners and organizations. … Medication Errors and Trainees: Advice for Learners and Organizations. … Medication Errors and Trainees: Advice for Learners and 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/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - We spoke to them about the risks of cybersecurity to patient safety and how organizations can prepare … Sarah Mossburg: There are several security frameworks available to healthcare organizations. … types, like small physicians’ practices, small hospitals, and medium and larger organizations. … Depending on their capacity level, the other organizations may have delays and disruptions as well. … Many organizations depend heavily on IT for daily operations.
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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/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/patient-safety-organization-pso-program
December 24, 2008 - Multi-use Website
Classic
Patient Safety Organization ( … Citation Text:
Patient Safety Organization (PSO) Program. … Agency for Healthcare Research and Quality (AHRQ) is spearheading the certification of Patient Safety Organizations … (PSOs)—public or private organizations with expertise in the analysis of patient safety and hazards … This Web site provides information on the rules governing PSOs and the requirements for an organization
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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.