-
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
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psnet.ahrq.gov/node/46303/psn-pdf
November 21, 2017 - board meetings, and review of important documents to
characterize how the leadership of 15 health care organizations … The investigators identified a subset of organizations that explicitly prioritized quality improvement
-
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
-
psnet.ahrq.gov/node/38935/psn-pdf
March 01, 2017 - leadership-committed-safety
Despite the past decade's focus on improving patient safety, most health care organizations … Joint Commission calls for senior health care leaders to establish a
culture of safety within their organizations
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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
-
psnet.ahrq.gov/node/47000/psn-pdf
May 09, 2018 - Broken hospital windows': debating the theory of
spreading disorder and its application to healthcare
organizations … Broken hospital windows': debating the theory of spreading disorder
and its application to healthcare organizations
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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
-
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/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/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/38538/psn-pdf
January 02, 2017 - Patients are increasingly being encouraged to be proactive in ensuring their own safety, and many
organizations … The
investigators reviewed recommendations from 26 organizations and found wide variation in the types
-
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/issue/alleviating-second-victim-syndrome-how-we-should-handle-patient-harm
May 20, 2009 - January 31, 2011
Patient safety organizations ready for action. … January 21, 2009
New patient safety organizations lower roadblocks to medical error reporting … March 6, 2019
Patient Safety Organization (PSO) Program.
-
psnet.ahrq.gov/node/43041/psn-pdf
January 06, 2015 - The report outlines seven strategies
for organizations to improve workplace safety, challenging health … care centers to become effective high-
reliability organizations that are committed to continuous learning
-
psnet.ahrq.gov/node/46361/psn-pdf
May 23, 2018 - sentinel event alerts to draw attention to pressing or emerging safety
issues and provide guidelines for organizations … To ensure
high-quality handoffs, the alert recommends that health care organizations take several actions
-
psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
November 02, 2010 - May 31, 2017
How can regulatory authorities improve safety in organizations by influencing … May 8, 2013
Safety cultural preconditions for organizational learning in high-risk organizations … August 9, 2017
Mapping research on culture and safety in high-risk organizations: arguments
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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/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/node/40166/psn-pdf
April 03, 2017 - A subsequent white paper provided comprehensive guidance to health care
organizations around key leadership … psnet.ahrq.gov/issue/leadership-committed-safety
https://psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership-standards
-
psnet.ahrq.gov/node/42211/psn-pdf
April 24, 2013 - However, with
increased recognition of the importance of safety culture in preventing errors, organizations … the pernicious role it can have on patient safety, and a recent article and
perspective detail how organizations