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2841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36259/psn-pdf
      October 21, 2010 - At one hospital, IT and changed culture saves lives. Modern healthcare. 2006;36(34):38. … https://psnet.ahrq.gov/issue/how-we-cut-drug-errors This article discusses technology-based tools and culture

2842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39341/psn-pdf
      March 03, 2010 - important to safety during labor and delivery, including teamwork, evidence-based care, and safety culture … patient-safety-and-quality https://psnet.ahrq.gov/primer/teamwork-training https://psnet.ahrq.gov/primer/culture-safety

2843. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40847/psn-pdf
      October 12, 2011 - human-and-organizational-biases-affecting-management-safety This piece examines the impact of bias on safety improvement efforts and safety culture … psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety https://psnet.ahrq.gov/primer/culture-safety

2844. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49674/psn-pdf
      December 01, 2012 - Her blood cultures subsequently grew staphylococcus aureus and she was diagnosed with endocarditis and

2845. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37185/psn-pdf
      February 17, 2011 - sidelining-safety-fdas-inadequate-response-iom In this perspective, the author discusses how the organizational culture … of the US Food and Drug Administration (FDA) must change to foster a culture of safety.

2846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50612/psn-pdf
      October 30, 2019 - inclusive leadership, a work environment focused on continuous improvement and by achieving a just culture … Those who willfully contribute to an unsafe culture should be counseled and, importantly, if not responsive … The three pillars of a teaming culture. Harv Bus Rev. December 17, 2013. … Available at https://hbr.org/2013/12/the-three-pillars-of-a-teaming-culture 9. … http://www.ncbi.nlm.nih.gov/pubmed/14744724 https://hbr.org/2013/12/the-three-pillars-of-a-teaming-culture

2847. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
      February 26, 2025 - He has written several bestselling books on system failure and human error, including Just Culture, … RW : How do you think about the concept of just culture? … SD : I have always found it very difficult to define a just culture. … A just culture is a culture that balances accountability and safety. But what does that mean? … When I've talked about and thought about just culture I've never heard it framed that way—that we're

2848. AHRQ Quality Indicators. | PSNet
      psnet.ahrq.gov/issue/ahrq-quality-indicators
      December 24, 2008 - 9, 2019 View More Related Resources Surveys on Patient Safety Culture … August 1, 2023 Ambulatory Surgery Center Survey on Patient Safety Culture. … May 29, 2023 Hospital Survey on Patient Safety Culture 2.0.

2849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42259/psn-pdf
      June 30, 2013 - how engaging frontline staff in developing quality and safety improvement initiatives can promote a culture … psnet.ahrq.gov/issue/front-line-ownership-generating-cure-mindset-patient-safety https://psnet.ahrq.gov/primer/culture-safety

2850. Facing ambiguous threats. | PSNet
      psnet.ahrq.gov/issue/facing-ambiguous-threats
      December 24, 2008 - Annual Perspective Ensuring Patient and Workforce Safety Culture … November 24, 2010 Improving hospital performance: culture change is not the answer. … Health Care Executives and Administrators Organizational Behaviorists Latent Errors Teamwork Culture

2851. The experiences of risk managers in providing emotional support for health care workers after adverse events. | PSNet
      psnet.ahrq.gov/issue/experiences-risk-managers-providing-emotional-support-health-care-workers-after-adverse
      September 19, 2016 - Patient and visitor aggression in healthcare: a survey exploring organisational safety culture … July 23, 2019 Professionalism: a necessary ingredient in a culture of safety. … September 19, 2016 Burnout in the NICU setting and its relation to safety culture.

2852. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. | PSNet
      psnet.ahrq.gov/issue/weaving-quality-improvement-and-patient-safety-skills-all-levels-medical-training-annotated
      August 09, 2023 - Key themes identified as useful included longitudinal mentorship, safety culture , teamwork , and … Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture … July 3, 2016 Culture change at the source: a medical school tackles patient safety.

2853. Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses. | PSNet
      psnet.ahrq.gov/issue/psychological-safety-communication-openness-nurse-job-outcomes-and-patient-safety-hospital
      August 19, 2020 - December 18, 2017 Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing … Safety and Quality April 26, 2023 The relationship between patient safety culture … March 6, 2019 Nurses' and nursing assistants' perceptions of patient safety culture in

2854. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40514/psn-pdf
      June 08, 2011 - expanding the use of patient safety practices, this article suggests that problems with organizational culture … psnet.ahrq.gov/issue/spread-remains-challenge-patient-safety-improvement https://psnet.ahrq.gov/primer/culture-safety

2855. Unprofessional Behavior Leads to Complications. | PSNet
      psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
      October 31, 2023 - January 19, 2022 New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental … December 30, 2012 Perceptions of patient safety culture among physicians and RNs in the

2856. Impact of electronic health record systems on information integrity: quality and safety implications. | PSNet
      psnet.ahrq.gov/issue/impact-electronic-health-record-systems-information-integrity-quality-and-safety-implications
      April 03, 2024 - April 24, 2019 Developing a conceptual framework for patient safety culture in emergency … 2013 Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture

2857. Near Miss With Neonate | PSNet
      psnet.ahrq.gov/web-mm/near-miss-neonate
      August 15, 2018 - The intern reviewed the patient's chart and noted that a culture done from a vaginal and rectal swab … urine culture positive for GBS. … Given this positive culture, to prevent transmission of GBS infection to the infant, the patient should … The senior resident on the team happened to review the faxed records and noted the positive urine culture … In this particular case, overlooking the urine culture positive for group B streptococcus (GBS) could

2858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41569/psn-pdf
      August 27, 2012 - exploration-safety-climate-nursing-homes This study reports on the initial findings of a novel survey intended to evaluate safety culture … https://psnet.ahrq.gov/issue/exploration-safety-climate-nursing-homes https://psnet.ahrq.gov/primer/culture-safety

2859. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45222/psn-pdf
      June 08, 2016 - preventing health care–associated infections (HAIs) required extensive attention to improving safety culture … The effort involved socioadaptive interventions (various approaches shown to improve safety culture) … explaining-michigan-developing-ex-post-theory-quality-improvement-program https://psnet.ahrq.gov/primer/health-care-associated-infections https://psnet.ahrq.gov/primer/culture-safety

2860. When doctors make mistakes. | PSNet
      psnet.ahrq.gov/issue/when-doctors-make-mistakes-0
      September 07, 2016 - December 12, 2018 Building a Culture of Candour: a Review of the Threshold for the Duty … View More Related Resources Actions to renew focus on safety culture … July 24, 2008 Make safety a priority: create and maintain a culture of safety.