AHRQ Patient Safety Network

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Learning Organization

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•Hospitals (36)

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1 - 20 of 78

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NEWSPAPER/MAGAZINE ARTICLE

The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations?

Hofmann PB. Healthc Exec. 2012 May-Jun;27:64,66-67.

STUDY

Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.

Kennerly DA, Saldaña M, Kudyakov R, da Graca B, Nicewander D, Compton J. J Patient Saf. 2013 Jan 30; [Epub ahead of print].

COMMENTARY

The Safe Tables Collaborative: a statewide experience.

Wagner CA, Cecchettini D, Fletcher J. Jt Comm J Qual Patient Saf. 2011;37:206-210.

MEETING/CONFERENCE PROCEEDINGS

Patient Safety as an Exercise in Behavioral Change.

Leape LL. Social and Behavioral Sciences in Action. Washington, DC: National Research Council of the National Academies. September 24, 2012.

NEWSPAPER/MAGAZINE ARTICLE

Could it happen here? Learning from other organizations' safety errors.

Conway J. Healthc Exec. November/December 2008;23:64-67.

COMMENTARY

The competitive imperative of learning.

Edmondson AC. Harv Bus Rev. 2008;86:60-67, 160.

STUDY

Active learning: when is more better? The case of resident physicians' medical errors.

Katz-Navon T, Naveh E, Stern Z. J Appl Psychol. 2009;94:1200-1209.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

COMMENTARY

The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff.

Kerfoot KM, Rapala K, Ebright P, Rogers SM. J Nurs Adm. 2006;36:582-588.

STUDY

Effects of learning climate and registered nurse staffing on medication errors.

Chang Y, Mark B. Nurs Res. 2011;60:32-39.

REVIEW

Safety and risk management interventions in hospitals: a systematic review of the literature.

Dückers M, Faber M, Cruijsberg J, Grol R, Schoonhoven L, Wensing M. Med Care Res Rev. 2009;66(suppl 6):90S-119S.

STUDY

The relationship between organizational leadership for safety and learning from patient safety events.

Ginsburg LR, Chuang YT, Berta WB, et al. Health Serv Res. 2010;45:607-632.

BOOK/REPORT

Seven Leadership Leverage Points for Organization-Level Improvement in Health Care.

Reinertsen JL, Bisognano M, Pugh MD. 2nd ed. Cambridge, MA: Institute for Healthcare Improvement; 2008.

NEWSPAPER/MAGAZINE ARTICLE

Hospital takes a page from Toyota.

Connolly C. MSNBC News. June 3, 2005.

STUDY

What’s past is prologue: organizational learning from a serious patient injury.

Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.

NEWSPAPER/MAGAZINE ARTICLE

Arresting death: saving 100,000 lives.

Meyers S. Trustee. January 2007;60:6-10.

BOOK/REPORT

Fostering Organizational Learning: The Impact of Work Design on Workarounds, Errors, and Speaking Up About Internal Supply Chain Problems.

Tucker AL. Cambridge, MA: Harvard Business School; November 19, 2012. HBS Working Paper No. 13-044.

STUDY

Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs.

France DJ, Throop P, Walczyk B, et al. J Patient Safety. 2005;1:145-153.

SPECIAL OR THEME ISSUE

The Failure Issue.

Harv Bus Rev. April 2011;89;1-140.

STUDY

Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.

Raab SS, Andrew-Jaja C, Condel JL, Dabbs DJ. Am J Obstet Gynecol. 2006;194:57-64.

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