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2481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35809/psn-pdf
      February 25, 2015 - All of the organizations identified culture change as the most important factor in promoting safety, … The authors provide a contextual background of safety culture, including definitions, attributes, and … They point out that creating a desired culture of safety may be both foundational to safety efforts

2482. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
      January 01, 2023 - • Apply principles of team-based care and communication in a culture of safety to improve care in … that healthcare professionals’ perceptions of patient safety culture and teamwork were significant … for overall patient safety.15 20 Communication in a Culture of Safety (1) • Creating a culture … • While there are many aspects to creating a culture of safety, communication is a key component … – Provide patient safety culture training to all providers. – Use shared language.

2483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43704/psn-pdf
      November 26, 2014 - leadership, continuous quality improvement, and the link between patient assessments of care and safety culture … leadership-safety-climate-and-continuous-quality-improvement-impact-process-quality-and https://psnet.ahrq.gov/issue/exploring-relationships-between-patient-safety-culture-and-patients-assessments-hospital-care … https://psnet.ahrq.gov/primer/culture-safety

2484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46753/psn-pdf
      January 30, 2018 - the role of clinical, administrative, and board leaders in creating an environment conducive to a culture … leadership-role-improving-safety https://psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture … how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations https://psnet.ahrq.gov/primer/culture-safety

2485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836969/psn-pdf
      April 20, 2022 - psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture … psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture … https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence

2486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42609/psn-pdf
      September 25, 2013 - associations-between-communication-climate-and-frequency-medical-error- reporting-among In this analysis of responses to the AHRQ Hospital Survey on Patient Safety Culture … , pharmacists who perceived a culture conducive to open communication were more likely to voluntarily … associations-between-communication-climate-and-frequency-medical-error-reporting-among https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture

2487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836932/psn-pdf
      April 13, 2022 - A just culture centers on moving from blaming individuals for medical errors towards a systems- based … psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition … psnet.ahrq.gov/issue/learning-not-blaming https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence

2488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40308/psn-pdf
      April 22, 2011 - improving-patient-safety-comparative-views-patient-safety-specialists- workforce-staff-and Perceptions of safety culture … improving-patient-safety-comparative-views-patient-safety-specialists-workforce-staff-and https://psnet.ahrq.gov/primer/culture-safety … https://psnet.ahrq.gov/issue/evaluation-culture-safety-survey-clinicians-and-managers-academic-medical-center

2489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41899/psn-pdf
      December 05, 2012 - countries with either local or national medication error reporting systems found that a persistent culture … /psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/blame-culture-just-culture-health-care

2490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43943/psn-pdf
      December 04, 2015 - Culture Change in the NHS: Applying the Lessons of the Francis Inquiries. … https://psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries The Francis inquiry … https://psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries https://psnet.ahrq.gov

2491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837000/psn-pdf
      May 06, 2022 - May 6, 2022 Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022. … lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition … https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence https://psnet.ahrq.gov

2492. Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? | PSNet
      psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
      October 16, 2024 - March 27, 2024 Just culture: the foundation of staff safety in the perioperative environment … Related Resources Hospital cultural competency and attributes of patient safety culture … More See More About The Topic Risk Managers Policy Makers Public Health Culture

2493. Managing Ascites: Hazards of Fluid Removal | PSNet
      psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
      June 01, 2018 - The case prompted a formal review since the entire hospitalization was deemed preventable given the belief … Therefore, the threshold for performing a diagnostic paracentesis and sending the fluid for culture should … receive a thorough evaluation for other evidence of systemic infection, including a urinalysis, blood cultures

2494. Entire UPMC transplant team missed hepatitis alert. | PSNet
      psnet.ahrq.gov/issue/entire-upmc-transplant-team-missed-hepatitis-alert
      March 06, 2005 - August 5, 2008 Improving Patient Safety: The Intersection of Safety Culture, Clinician … January 13, 2021 Improving hospital safety culture for falls prevention through interdisciplinary

2495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73564/psn-pdf
      August 04, 2021 - communication-health-care-impact-language-and-accent-health-care-safety- quality-and-patient Linguistic, culture

2496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45132/psn-pdf
      July 20, 2016 - staying-silent-about-safety-issues-conceptualizing-and-measuring-safety- silence-motives An important aspect of safety culture … Interventions to improve safety culture should consider these staff concerns. … staying-silent-about-safety-issues-conceptualizing-and-measuring-safety-silence-motives https://psnet.ahrq.gov/primer/culture-safety

2497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43873/psn-pdf
      February 04, 2015 - slide presentations regarding how to apply principles of teamwork, patient engagement, and safety culture … achieving-dialysis-safety-critical-role-higher-functioning-teams https://psnet.ahrq.gov/primer/patient-engagement-and-safety https://psnet.ahrq.gov/primer/culture-safety … https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/patient-safety-dialysis-facility

2498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46548/psn-pdf
      April 16, 2018 - Increasing recognition of safety hazards in nursing homes has led to efforts to improve their safety culture … systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing https://psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings … https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care

2499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43053/psn-pdf
      May 26, 2014 - variability exists within countries than between countries, consistent with prior studies of safety culture … evidence-based-organization-and-patient-safety-strategies-european-hospitals https://psnet.ahrq.gov/issue/assessing-patient-safety-culture-hospitals-across-countries … https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd

2500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844763/psn-pdf
      September 11, 2019 - complete an annual evaluation of their training program, which includes questions on their program's culture … single academic medical center, this analysis found that residents in programs that emphasized safety culture … associations-between-national-board-exam-performance-and-residency-program-emphasis-patient https://psnet.ahrq.gov/primer/culture-safety