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psnet.ahrq.gov/node/42255/psn-pdf
May 08, 2013 - Building high reliability teams: progress and some
reflections on teamwork training. … Building high reliability teams: progress and some reflections on teamwork training. … https://psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork- … training
This commentary summarizes how teamwork training can contribute to high reliability in health … https://psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
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psnet.ahrq.gov/node/42328/psn-pdf
June 28, 2013 - Handoff checklists improve the reliability of patient
handoffs in the operating room and postanesthesia … Handoff checklists improve the reliability of patient handoffs in the operating room and
postanesthesia … https://psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and … -
postanesthesia
A team developed checklists that improved the quality and reliability of perioperative … https://psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
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psnet.ahrq.gov/node/42237/psn-pdf
June 12, 2013 - A framework for patient safety: a defense nuclear
industry-based high-reliability model. … A framework for patient safety: a defense nuclear industry--based
high-reliability model. … https://psnet.ahrq.gov/issue/framework-patient-safety-defense-nuclear-industry-based-high-reliability-model … https://psnet.ahrq.gov/issue/framework-patient-safety-defense-nuclear-industry-based-high-reliability-model … https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
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psnet.ahrq.gov/node/33832/psn-pdf
April 01, 2017 - , which equates
reliability with a lack of variance in performance. … high reliability organizing. … That's
why I don't like to even use the term high reliability organization, because I think a high reliability … organization doesn't even know that it is a high reliability organization. … In fact, I think about
high reliability organizing as a means for rescuing.
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psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-healthcare
April 25, 2016 - High reliability has been an elusive goal for hospitals and care teams . … mechanism to ensure that high performance practices are applied routinely during care delivery to enhance reliability … January 11, 2023
Creating highly reliable health care: how reliability-enhancing work
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psnet.ahrq.gov/node/37913/psn-pdf
July 31, 2008 - Reliability of a revised NOTECHS scale for use in surgical
teams. … Reliability of a revised NOTECHS scale for use in surgical teams. … https://psnet.ahrq.gov/issue/reliability-revised-notechs-scale-use-surgical-teams
This study describes … The authors report on the reliability of the tool in assessing cooperation, leadership and managerial … /issue/surgeons-non-technical-skills-operating-room-reliability-testing-notss-behavior-rating-system
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psnet.ahrq.gov/node/37477/psn-pdf
January 16, 2008 - Enhancing healthcare process design with human factors
engineering and reliability science, part 1: … Enhancing healthcare process design with human factors engineering and
reliability science, part 1: … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-
reliability-science-part … -1
This article focuses on human factors and system reliability as building blocks to clinical process … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part
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psnet.ahrq.gov/node/38055/psn-pdf
January 12, 2009 - Improving patient safety: patient-focused, high-reliability
team training. … Improving patient safety: patient-focused, high-reliability team
training. … https://psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training … https://psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training … https://psnet.ahrq.gov/issue/promoting-health-care-safety-through-training-high-reliability-teams
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psnet.ahrq.gov/node/36087/psn-pdf
September 28, 2010 - Improving patient safety in hospitals: contributions of
high-reliability theory and normal accident … Improving patient safety in hospitals: Contributions of high-reliability theory and
normal accident … https://psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and … -
normal-accident
The authors apply normal accident theory and high-reliability theory to several patient … https://psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and-normal-accident
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www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
April 01, 2022 - Engineering High Reliability Learning Lab (EHRLL)
Principal Investigator: Sara Singer, Ph.D.
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psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatric
November 16, 2015 - Study
Improving the reliability of verbal communication between primary care physicians … Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists … Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists … Interview
In Conversation with Timothy Vogus about High Reliability … Patient Safety
February 26, 2025
Perspective
High Reliability
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psnet.ahrq.gov/node/45011/psn-pdf
May 25, 2016 - High Reliability Organizations: A Healthcare Handbook for
Patient Safety & Quality. … https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality … This publication discusses core elements of high reliability organizations and how to apply them in … https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality … https://psnet.ahrq.gov/primer/high-reliability
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-operational-advice-hospital-leaders
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psnet.ahrq.gov/node/37606/psn-pdf
January 10, 2017 - Enhancing healthcare process design with human factors
engineering and reliability science, part 2: … Enhancing healthcare process design with human factors engineering and
reliability science, part 2: … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-
reliability-science-part … https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part … -2
https://psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part
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psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
February 05, 2020 - medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability … medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability … medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability … Related Resources From the Same Author(s)
Understanding principles of high reliability
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psnet.ahrq.gov/issue/use-pediatric-injectable-medicines-guidelines-and-associated-medication-administration-errors
December 18, 2019 - pediatric injectable medicines guidelines and associated medication administration errors: a human reliability … pediatric injectable medicines guidelines and associated medication administration errors: a human reliability … pediatric injectable medicines guidelines and associated medication administration errors: a human reliability … Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability
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psnet.ahrq.gov/issue/engaging-patients-use-real-time-electronic-clinical-data-improve-safety-and-reliability-their
March 16, 2022 - Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability … Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability … Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability … 18, 2019
The Psychological Safety Scale of the Safety, Communication, Operational, Reliability
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psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
February 23, 2022 - Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability … Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability … Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability … pediatric injectable medicines guidelines and associated medication administration errors: a human reliability
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-protocol.pdf
January 01, 2023 - Practice Center Rapid Review Protocol
Project Title: Making Healthcare Safer IV: High Reliability … Development and expression
of a high-reliability organization. … Building cultures of high
reliability: lessons from the high
reliability organization paradigm. … Evidence Brief:
Implementation of high reliability
organization principles. … Becoming a high reliability organization:
operational advice for hospital leaders.
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psnet.ahrq.gov/node/61042/psn-pdf
January 01, 2022 - misidentification events in the Veterans Health
Administration: a comprehensive review in the context of
high-reliability … misidentification events in the Veterans Health Administration: a
comprehensive review in the context of high-reliability … The authors
identified three strategies to mitigate misidentification based on high-reliability principles … check-wristband
https://psnet.ahrq.gov/primer/root-cause-analysis
https://psnet.ahrq.gov/primer/high-reliability
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psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
September 02, 2015 - mode and effect analysis to identify problems and design Six Sigma interventions to improve the reliability … September 2, 2015
Creating a high-reliability health care system: improving performance … August 2, 2017
Operating management system for high reliability: leadership, accountability … September 5, 2018
Towards high-reliability organising in healthcare: a strategy for building