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psnet.ahrq.gov/innovation/pharmacist-led-mobile-health-intervention-and-transplant-medication-safety-randomized
April 07, 2021 - EMERGING INNOVATIONS
Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial.
Citation Text:
Gonzales HM, Fleming JN, Gebregziabher M, et al. Pharmacist-led mobile health intervention and transplant medication safety: a randomized controll…
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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
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - MW: In an optimal world of value-based care, you would see at least some organizations decide that
simulation … It's a cost center, and one that health care can ill afford in the current organization
structure.
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - Additionally, the Association of State and Territorial Dental Directors, our state dental director’s organization … A final consideration is the size and organization of the majority of dental practices.
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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.
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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.
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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
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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.
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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
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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
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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
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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.
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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
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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
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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
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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
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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
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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/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/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