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www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - Staff, in turn, are accountable for the quality of the choices they make to ensure their patients receive … In short, a Just Culture is a system that holds itself accountable, holds staff members accountable, … and has staff members who hold themselves accountable. … Summary
Say:
A Just Culture is a system that holds itself accountable, holds staff members accountable … , and has staff members who hold themselves accountable.
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www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
December 01, 2012 - Addressing Safety Issues
Slide 14: The Senior Executive’s Role on the Team
Slide 15: Holds Staff Accountable … Holds staff accountable for reducing patient harms. … on the Team
(vignette still)
Click to play
Return to Contents
Slide 15: Holds Staff Accountable … Expects resistance and is prepared to address it
Holds all team members, including executives, accountable … technical and adaptive work, collaborating with the team to address safety issues, and holding staff accountable
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - refers to a safety-supportive system of shared accountability in which health care institutions are accountable … Staff, in turn, are accountable for the quality of the choices they make to ensure their patients receive … In short, a Just Culture is a system that holds itself accountable, holds leaders and managers accountable … , holds staff members accountable, and has staff members who hold themselves accountable. … At the other extreme, a culture that does not hold team members accountable will never achieve optimal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexec.pptx
January 01, 2006 - adaptive work of change
Collaborates to develop and implement a plan addressing safety issues
Holds staff accountable … 15
Expects resistance and is prepared to
address it
Holds all team members, including executives, accountable … for implementing the plan
Holds Staff Accountable for Reducing Patient Harm
15
The Challenges of … technical and adaptive work, collaborating with the team to address safety issues, and holding staff accountable
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digital.ahrq.gov/ahrq-funded-projects/assessing-impact-patient-centered-medical-home-pcmh/annual-summary/2011
January 01, 2011 - comparison analysis was completed in 2010 and the first of four studies, Case Study of a Primary-Care Based Accountable … finalized in 2011, including: 1) A Cohort Analysis of Medicare Beneficiaries in a Primary Care-based Accountable … Medicare Fee-for-service; 2) A 20-year Evolving Patient-Centered Medical Home-Based Accountable Care … Organization that Works for Older Americans; and 3) The Economics of a Primary Care-based Accountable … Impact and Findings: This study found that WellMed, Inc., a primary-care based accountable care organization
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psnet.ahrq.gov/node/33658/psn-pdf
October 01, 2007 - But aviation has been relatively slow
to embrace keeping people accountable on a day-to-day basis. … Health care has always recognized the
tension between holding the system accountable and holding the … individual accountable. … And it's these choices that we're going to hold people accountable
for. … Nobody is suggesting that the surgeon is accountable for the harm to the patient.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-bibliography-update-091223.pdf
September 01, 2023 - How Do Accountable Care
Organizations Deliver Preventive Care Services? A Mixed-Methods Study. … Accountable Care Organizations and Post-
Acute Care: A Focus on Preferred SNF Networks. … The Hidden Roles That Management
Partners Play in Accountable Care Organizations. … Explaining Sluggish Savings under Accountable Care. … Health System Participation in
Accountable Care Organizations (ACOs), 2016. CHSP Data Brief #4.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - refers to a safety-supportive system of shared accountability in which health care institutions are accountable … Staff, in turn, are accountable for the quality of the choices they make to ensure their patients receive … In short, a Just Culture is a system that holds itself accountable, holds leaders and managers accountable … , holds staff members accountable, and has staff members who hold themselves accountable. … At the other extreme, a culture that does not hold team members accountable will never achieve optimal
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www.ahrq.gov/hai/cusp/modules/engage/alt-text.html
April 01, 2013 - work of change
Collaborates to develop and implement a plan addressing safety issues
Holds staff accountable … Click to play
Video icon
The Senior Executive's Role on the Team
Slide 15
Holds Staff Accountable … Expects resistance and is prepared to
address it
Holds all team members, including executives, accountable … technical and adaptive work, collaborating with the team to address safety issues, and holding staff accountable
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - your team:
Phase 1: Month 2
Resources are available on the AHRQ ISCR website
Tasks
Accountable … for your team:
Phase 2: Month 5
Resources are available on the AHRQ ISCR website
Tasks
Accountable … your team:
Phase 2: Month 6
Resources are available on the AHRQ ISCR website
Tasks
Accountable … for your team:
Phase 2: Month 9
Resources are available on the AHRQ ISCR website
Tasks
Accountable … for your team:
Phase 3: Month 12
Resources are available on the AHRQ ISCR website
Tasks
Accountable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
March 01, 2017 - term “Just Culture” refers to a system of shared accountability in which health care organizations are accountable … Staff, in turn, are accountable for the quality of the choices they make to ensure their residents receive … A Just Culture system holds itself accountable, holds staff members accountable, and has staff members … who hold themselves accountable. … At the other extreme, a culture that does not hold team members accountable will never achieve optimal
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - term "Just Culture" refers to a system of shared accountability in which health care organizations are accountable … Staff, in turn, are accountable for the quality of the choices they make to ensure their residents receive … A Just Culture system holds itself accountable, holds staff members accountable, and has staff members … who hold themselves accountable. … At the other extreme, a culture that does not hold team members accountable will never achieve optimal
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-roster.docx
April 01, 2022 - .
· Establish systems for implementation, delegate tasks, and hold others accountable.
· Ensure all staff … Decision maker
· Credible
· Influencer
· Mentor and coach the team lead.
· Inspire staff and hold staff accountable … Empower nurses and other staff to stop procedures if protocols are not being followed.
· Hold peers accountable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
May 01, 2017 - Staff, in
turn, are accountable for the quality of the
choices they make to ensure their patients … In short, a Just Culture is a system that holds
itself accountable, holds leaders and
managers accountable … , holds staff members
accountable, and has staff members who hold
themselves accountable. … At the other extreme, a culture that does not
hold team members accountable will never
achieve optimal … to uphold standards of care,
and staff members are less likely to hold
themselves and one another accountable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp.pptx
May 01, 2017 - videos/07a_just_culture/index.html
13
Learn About CUSP
13
Just Culture3
A system that—
Holds itself accountable … Holds leaders and managers accountable
Holds staff members accountable
Has staff members who hold themselves … accountable
14
Learn About CUSP
AHRQ Safety Program for Perinatal Care
14
Understanding Risk and
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www.ahrq.gov/chsp/defining-health-systems/index.html
January 01, 2023 - members of multiple health systems, such as a physician organization that participates in more than one accountable … foundation models are considered a form of joint management, while joint participation among providers in an accountable
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digital.ahrq.gov/ahrq-funded-projects/assessing-impact-patient-centered-medical-home-co
January 01, 2023 - In addition, the group looked at their model from the perspective of an Accountable Care Organization … : Report Population: Individuals with Chronic Care Needs
Case study of a primary care-based accountable … Case study of a primary care-based accountable care system approach to medical home transformation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
April 06, 2008 - Once senior
management has prioritized the Problem Statements, it must identify the accountable line … The accountable department within
the institution that is responsible for corrective action receives … The accountable department that is responsible for corrective action receives the Problem
Statement … The PSO, as
well as other sources of guidance, should be available to the accountable department to … Developed information will be
transmitted regularly and systematically to accountable management in
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www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
December 01, 2012 - Holds Staff Accountable for Reducing Patient Harm
Slide 16. … that addresses the safety issues the unit staff and other sources identify, and
Holding all staff accountable … Physicians were held accountable for checking the calendar and were relieved of the worry of missing … [ D ] Select for Text Description
Return to Contents
Slide 15: Holds Staff Accountable for … for reducing patient risks because team members are responsible for holding each other accountable for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
August 14, 2015 - Culture4,5,6
Just Culture is a system of shared accountability, where–
Health care institutions are accountable … Staff are accountable for the quality of their choices, knowing that they may not be perfect, but can … Staff, in turn, are accountable for the quality of the choices they make to ensure their patients receive … Hold themselves and others accountable. … More importantly, staff must hold themselves and others accountable for making appropriate choices.