-
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/signout-fallout
November 16, 2022 - steps include the following:
Establish institutional support for the initiative and ensure adequate organization
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
April 01, 2009 - Spotlight Case July 2008
Spotlight Case
Breakage of a PICC Line
*
*
Source and Credits
This presentation is based on the April 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Vesselin Dimov, MD
Creighton University
Editor, AHRQ WebM&M: …
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - back-tracking from erroneous choices.(14)
Given how common picklist errors are, there are mechanisms for organizations
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psnet.ahrq.gov/node/837660/psn-pdf
July 08, 2022 - utilization, and thus to accommodate more patients while improving the financial
performance of their organizations
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - contemplating the myriad of ways in which the COVID‑19 pandemic affected patients, practitioners, offices, and organizations
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - A common reason for supporting dual
EHRs within an organization is the ability to tailor the display … Use of more than one electronic medical record system
within a single health care organization.
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - The Colorectal Cancer Screening Committee of the World Endoscopy Organization has standardized the definition … 'Right-sided lesions and interval cancers,' Colorectal Cancer Screening Committee, World Endoscopy Organization
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - A final consideration is the size and organization of the majority of dental practices. … Additionally, the Association of State and Territorial Dental Directors, our state dental director’s organization
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - pushback from the manufacturers who were concerned about the focus on these issues, but in the end the organization … Interview
In Conversation with Timothy Vogus about High Reliability Organization
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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/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - recently had some referrals for hepatitis C treatment because we partner with a lot of local community organizations … Sarah Mossburg: What advice do you have for organizations that want to implement strategies like naloxone … factors, such as how your state is using grant funds, pharmacy laws, and regulations, and whether your organization
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - recently had some referrals for hepatitis C treatment because we partner with a lot of local community organizations … Sarah Mossburg: What advice do you have for organizations that want to implement strategies like naloxone … factors, such as how your state is using grant funds, pharmacy laws, and regulations, and whether your organization
-
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