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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - The year 2014 saw one notable report of how two separate health care organizations addressed such system … Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
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. … average amount paid per claim.( 14,15 ) Using in situ simulation to detect errors in facility design, organization
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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/web-mm/chest-tube-complications
September 27, 2023 - Chest Tube Complications
Citation Text:
Santhosh L, Broaddus C. Chest Tube Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/49426/psn-pdf
November 01, 2003 - Don't Push
November 1, 2003
Meltzer HY. Don't Push. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dont-push
The Case
A 37-year-old HIV-positive woman was brought to the emergency room by her family because she had
exhibited altered mentation for 3 days. The patient had been diagnosed with HIV infection 3 …
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psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - Engagement should also be tailored to the specific problems a
health care organization would like to
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psnet.ahrq.gov/primer/ambulatory-care-safety
December 15, 2024 - A 2016 systematic review commissioned by the World Health Organization identified missed and delayed
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psnet.ahrq.gov/issue/impact-world-health-organizations-surgical-safety-checklist-safety-culture-operating-theatre
November 03, 2015 - Citation
Related Resources From the Same Author(s)
Effect of the World Health Organization … March 18, 2020
Impact of the World Health Organization surgical safety checklist on patient
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - Organizations should follow the recommendations in the Table to decrease their risk of look-alike and
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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/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/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - have a clear view of how the fields operate and how different players work with one another within the organizations
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - Joint Commission on Accreditation of Healthcare Organizations Web site. Accessed May 7, 2004.
6.
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psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - April 20, 2022
Fostering a just culture in healthcare organizations: experiences in practice
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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/49762/psn-pdf
June 01, 2016 - another; Epic, for example, has "Care Everywhere," which allows customers
in different health care 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/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