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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - and improvement in quality of care in HF, components of these guidelines have been adapted by various organizations
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - Philibert recently reported on the types of handoff practices in high-reliability organizations and those
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psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - Without leadership in this area from regulatory organizations and specialty societies, this skill set
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psnet.ahrq.gov/web-mm/ounce-prevention
February 17, 2011 - health care providers and the general public.( 15 ) The Joint Commission on Accreditation of Healthcare Organizations
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psnet.ahrq.gov/node/843151/psn-pdf
February 01, 2023 - Accrediting organizations, like The Joint
Commission, also emphasize the importance of collecting these
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - Joint Commission on Accreditation of Healthcare Organizations Web
site. Accessed May 7, 2004.
6.
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - In response to some of the unintended negative consequences of PACS, many organizations have been
developing
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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - Finally, many health care organizations keep their electronic systems in silos.
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - provide
patient- and family-centered care.(11,12) Clinical outcomes are improved when health care organizations
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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