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1821. Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet
      psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
      November 15, 2018 - Review Reframing the morbidity and mortality conference: the impact of a just culture … Reframing the morbidity and mortality conference: the impact of a just culture. … " blame and shame" nature of early M&M conferences and outlines processes to shift them to a just culture … Reframing the morbidity and mortality conference: the impact of a just culture. … View More Related Resources Effect of interventions to improve safety culture

1822. 'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings. | PSNet
      psnet.ahrq.gov/issue/not-another-safety-culture-survey-using-canadian-patient-safety-climate-survey-can-pscs
      February 14, 2015 - Study 'Not another safety culture survey': using the Canadian patient safety climate … 'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure … January 30, 2013 Advancing measurement of patient safety culture. … March 6, 2013 What is patient safety culture? A review of the literature. … July 28, 2010 AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses

1823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40895/psn-pdf
      December 08, 2011 - Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented … Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented … https://psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned- development-action … Intensive care units that had a formal plan for improving safety culture not only achieved improved … https://psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action

1824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35582/psn-pdf
      June 17, 2010 - Building a safety culture. June 17, 2010 Milligan F, Dennis S. Building a safety culture. … https://psnet.ahrq.gov/issue/building-safety-culture The authors provide an introduction to British … patient safety efforts for nurses and midwives and emphasize the importance of supporting a just culture … https://psnet.ahrq.gov/issue/building-safety-culture https://psnet.ahrq.gov//#justculture

1825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844046/psn-pdf
      February 08, 2023 - Patient safety culture: the impact on workplace violence and health worker burnout. … Patient safety culture: the impact on workplace violence and health worker burnout. … https://psnet.ahrq.gov/issue/patient-safety-culture-impact-workplace-violence-and-health-worker-burnout … of survey data on workplace violence (WPV), researchers explored which attributes of patient safety culture … https://psnet.ahrq.gov/issue/patient-safety-culture-impact-workplace-violence-and-health-worker-burnout

1826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45044/psn-pdf
      May 11, 2016 - Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional … Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Interventional … https://psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting … authors highlight the importance of involving the organization, leaders, and individuals in achieving culture … https://psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting-multi

1827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838257/psn-pdf
      October 05, 2022 - Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. … psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and- redefine-just-culture … involved applied Reason’s strategies to work past blame to examine the events and consider how just culture … psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture … psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture

1828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44756/psn-pdf
      September 12, 2016 - Importance of teamwork, communication and culture on failure-to-rescue in the elderly. … Importance of teamwork, communication and culture on failure-to-rescue in the elderly. … https://psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly Failure-to-rescue … of older patients and found system factors that affected failure-to-rescue rates, including safety culture … https://psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly https

1829. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42718/psn-pdf
      September 17, 2018 - A Culture of Safety in EMS Systems. … https://psnet.ahrq.gov/issue/culture-safety-ems-systems This guidance recognizes risks associated with … emergency medical services and provides recommendations to support the implementation of a safety culture … https://psnet.ahrq.gov/issue/culture-safety-ems-systems https://psnet.ahrq.gov/issue/safety-ems https … ://psnet.ahrq.gov/primer/culture-safety

1830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33573/psn-pdf
      March 15, 2025 - Fundamentally, disruptive behavior by individuals subverts the organization's ability to develop a culture … Two of the central tenets of a safe culture - teamwork across disciplines and a blame-free environment … Indeed, a workplace culture that tolerates demeaning or insulting behavior is likely to be one in which … The concept of just culture provides an appropriate foundation for dealing with disruptive behavior, … Other interventions to prevent disruptive behavior include measures to improve safety culture.

1831. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. | PSNet
      psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
      April 04, 2011 - Review Importance of teamwork, communication and culture on failure-to-rescue in … Importance of teamwork, communication and culture on failure-to-rescue in the elderly. … of older patients and found system factors that affected failure-to-rescue rates, including safety culture … Importance of teamwork, communication and culture on failure-to-rescue in the elderly. … Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture

1832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39703/psn-pdf
      March 18, 2016 - Patient Safety Culture Report: Focusing on Indicators. … https://psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators This report identifies … outcome indicators in the European Union and describes how the indicators relate to patient safety culture … https://psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators https://psnet.ahrq.gov … /primer/culture-safety

1833. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. | PSNet
      psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
      July 02, 2014 - Author(s) Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture … April 24, 2014 AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses … March 30, 2011 An anesthesiology department leads culture change at a hospital system

1834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41003/psn-pdf
      April 16, 2018 - Gap assessment of hospitals' adoption of the just culture principles. … https://psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles This article … reports that Pennsylvania health care organizations overestimated their adoption of just culture principles … https://psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles https://psnet.ahrq.gov … /issue/just-culture-who-gets-draw-line

1835. Intolerance of error and culture of blame drive medical excess. | PSNet
      psnet.ahrq.gov/issue/intolerance-error-and-culture-blame-drive-medical-excess
      March 24, 2017 - Commentary Intolerance of error and culture of blame drive medical excess. … Intolerance of error and culture of blame drive medical excess. … Intolerance of error and culture of blame drive medical excess. … August 4, 2021 Patient safety culture and the second victim phenomenon: connecting culture

1836. The nexus of nursing leadership and a culture of safer patient care. | PSNet
      psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
      January 18, 2018 - Review The nexus of nursing leadership and a culture of safer patient care. … The nexus of nursing leadership and a culture of safer patient care. … Leadership engagement has an important role in establishing a culture of safety . … The nexus of nursing leadership and a culture of safer patient care. … June 15, 2011 What is patient safety culture? A review of the literature.

1837. Cultural and associated enablers of, and barriers to, adverse incident reporting. | PSNet
      psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting
      March 23, 2011 - Barriers to reporting were more culturally embedded, such as poor workplace safety culture . … August 12, 2014 Investigating patient safety culture across a health system: multilevel … and Quality April 26, 2023 Evaluating incident learning systems and safety culture … February 16, 2022 What has been the impact of Covid-19 on safety culture? … Professionals Organizational Behaviorists Psychological and Social Complications Error Reporting Culture

1838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40054/psn-pdf
      December 01, 2010 - Multilayered approach to patient safety culture. … Multilayered approach to patient safety culture. … https://psnet.ahrq.gov/issue/multilayered-approach-patient-safety-culture This piece discusses patient … safety culture and examines the organizational, social, and psychological patient dimensions surrounding … https://psnet.ahrq.gov/issue/multilayered-approach-patient-safety-culture

1839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36918/psn-pdf
      September 01, 2011 - Developing a culture of safety in ambulatory care settings. September 1, 2011 Shostek K. … Developing a culture of safety in ambulatory care settings. … https://psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings The author discusses … the issues involved in establishing a safety culture and discusses strategies to help drive improvement … https://psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings https://psnet.ahrq.gov

1840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35947/psn-pdf
      August 02, 2010 - AORN guidance statement: creating a patient safety culture. August 2, 2010 Nurses A of periOR. … AORN guidance statement: creating a patient safety culture. AORN journal. 2006;83(4):936-42. … https://psnet.ahrq.gov/issue/aorn-guidance-statement-creating-patient-safety-culture This article provides …  a framework of strategies to support a culture of safety in the perioperative environment.  … https://psnet.ahrq.gov/issue/aorn-guidance-statement-creating-patient-safety-culture https://psnet.ahrq.gov