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psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care
February 07, 2018 - analysis (eACA) tool, which combines features from high reliability, human factors engineering, and just culture … October 19, 2022
Association of diagnostic stewardship for blood cultures in critically … March 13, 2024
Nurse leader attitudes and beliefs regarding medical errors. … Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture … About The Topic
Hospitals
Nurse Care
Error Analysis
Human Factors Engineering
Just Culture
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/worksheet.html
May 01, 2017 - National Content Series Discussion Guide - The Culture of Culturing: The Importance of Knowing When To … Order Urine Cultures
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Discussion
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - Culture of Safety
September 16, 2024
Culture of Safety. PSNet [internet]. 2019. … Background
Patient safety culture is the extent to which an organization's culture supports and promotes … It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff … Patient safety culture can be
measured by determining the values, beliefs, norms, and behaviors related … advancement of a safety culture.
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www.ahrq.gov/sites/default/files/2024-07/etchegaray2-report.pdf
January 01, 2024 - Final Progress Report: Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool … Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool
Project Team: Jason … Key Words: NICU parents, safety culture, infant safety, parental roles
1. … Aim 2: To develop and psychometrically test a survey to measure parent perceptions of safety culture … Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool
Structured Abstract
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psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
September 23, 2020 - limitations (e.g., under- or over-reporting), and factors influencing use of these systems (e.g., safety culture … 2014
Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture … July 2, 2014
AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. … March 27, 2024
Nurse leader attitudes and beliefs regarding medical errors. … January 11, 2023
The barriers and enhancers to trust in a just culture in hospital settings
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - What is “patient safety culture”? … Patient safety culture is the extent to which an organization’s culture
supports and promotes patient … Patient safety culture refers to the beliefs, values, and norms
shared by healthcare practitioners and … the word “culture” in the title. … with patient safety culture at
this level.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - Program for Improving Antibiotic Use – Acute Care
4
Adaptive Problems
Require a change in attitudes, beliefs … and beliefs
Identifies system opportunities to prevent harm from occurring again
6
Identifying Targets … Have I ordered appropriate cultures before starting antibiotics? … Sputum cultures grow a pan-susceptible E. coli.
Not necessary to continue broad-spectrum therapy. … A sputum culture is pending.
In this case, the diagnosis is highly likely to be heart failure.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-ginsberg.pdf
June 02, 2025 - Administering SOPS® Surveys Users (Webcast): Ginsberg Presentation
AHRQ’s Surveys on Patient Safety Culture … by healthcare organizations to assess provider and
staff perceptions about how their organizational culture … • Develops tools to improve safety culture in facilities
8
What is Patient Safety Culture? … Patient Safety Culture
The beliefs, values, norms,
shared by health care staff
Determines
behaviors … Assess
patient safety
culture
Raise staff
awareness
about patient
safety
Identify
strengths
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psnet.ahrq.gov/issue/culture-resistance
September 19, 2016 - Newspaper/Magazine Article
Culture of resistance. … Citation Text:
Culture of resistance. Berens MJ; Armstrong K. … Linkedin
Copy URL
Cite
Citation
Citation Text:
Culture
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psnet.ahrq.gov/issue/score-your-safety-culture
March 04, 2015 - Measurement Tool/Indicator
Score Your Safety Culture. … Citation Text:
Score Your Safety Culture. Reason J. Flight Safety Australia. 2001;5(1):40-41. … James Reason's checklist to help an organization determine if it has installed and sustained a safety culture … Copy URL
Cite
Citation
Citation Text:
Score Your Safety Culture … September 20, 2024
Surveys on Patient Safety Culture.
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psnet.ahrq.gov/issue/building-safety-culture
December 21, 2014 - Commentary
Building a safety culture. … Building a safety culture. Nurs Stand. 2005;20(11):48-52. … Building a safety culture. Nurs Stand. 2005;20(11):48-52. … 9, 2011
Patient safety outcomes: the importance of understanding the organizational culture … December 1, 2010
Creating an improvement culture for enhanced patient safety: service
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www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - Achieving a culture of safety requires an understanding of the values, beliefs, and norms about what … Safety Culture Definition
The safety culture of an organization is the product of individual and group … the word "culture" in the title. … The Hospital Survey on Patient Safety Culture examines patient safety culture from a hospital staff perspective … be a good informant on the culture.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
September 01, 2009 - Achieving a
culture of safety requires an understanding of the values, beliefs, and norms about what … Safety Culture Definition
The safety culture of an organization is the product of individual and … the word “culture” in the title. … The Hospital Survey on Patient Safety
Culture examines patient safety culture from a hospital staff … be a good informant on the culture.
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psnet.ahrq.gov/issue/integrating-principles-safety-culture-and-just-culture-nursing-homes-lessons-pandemic
October 28, 2020 - Commentary
Integrating principles of safety culture and just culture into nursing … Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic … A culture of safety in nursing homes has been linked to improved resident care . … The authors describe how the alignment of regulatory oversight and surveys could integrate with just culture … Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-ASC-webcast-2023-0509-ginsberg.pdf
January 01, 2023 - SOPS Ambulatory Surgery Center Webcast - GINSBERG
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) … • Tools to improve patient safety culture in facilities
10
What is Patient Safety Culture? … Patient Safety Culture
The beliefs, values, norms,
shared by health care staff
Determines
behaviors … • Surveys of providers and staff about the extent to which their
organizational culture supports patient … Raise staff awareness about patient
safety culture
Assess patient safety culture to
identify strengths
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-sops101-webcast-2023-ginsberg.pdf
January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Ginsberg
AHRQ’s Surveys on Patient Safety
Culture … SOPS databases
• Conducts research to further the measurement and understanding of patient
safety culture … • Develops tools to improve safety culture in facilities
10
What is Patient Safety Culture? … Patient Safety Culture
The beliefs, values, norms,
shared by health care staff
Determines
behaviors … at
multiple
levels:
System Organization Department Unit 13
AHRQ’s Surveys on Patient Safety Culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - and
generated reports to share with hospitals as a basis for interventions to improve their safety
cultures … this environment, hospital senior
management and administrators must be cognizant of the opinions and beliefs … midpoint of the 3-year AHRQ grant, we resurveyed participating hospitals
to determine if attitudes and beliefs … The AHRQ Hospital Survey on Patient Safety Culture consists of 12 dimensions of safety
culture. … and administrators must be cognizant of the opinions and beliefs of the frontline
staff regarding the
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psnet.ahrq.gov/issue/are-measurements-patient-safety-culture-and-adverse-events-valid-and-reliable-results-cross
February 04, 2015 - Study
Are measurements of patient safety culture and adverse events valid and reliable … Are measurements of patient safety culture and adverse events valid and reliable? … In this study, the medical department with worse safety culture scores, as rated by AHRQ Hospital … Are measurements of patient safety culture and adverse events valid and reliable? … A cross-sectional survey of patient perceptions and beliefs.
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psnet.ahrq.gov/issue/or-and-just-culture
February 01, 2017 - Commentary
The OR and a "just culture."
Citation Text:
Hamlin L. … The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003. … To illustrate the value of just culture implementation, this piece describes a hypothetical scenario … The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
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psnet.ahrq.gov/node/863755/psn-pdf
March 06, 2024 - Nurse leader attitudes and beliefs regarding medical
errors. … Nurse leader attitudes and beliefs regarding medical errors. … https://psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical-errors
Effective leadership … regarding medical error
reporting and underscores the importance of nurse leaders in fostering a just culture … effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives