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psnet.ahrq.gov/issue/improving-departmental-psychological-safety-through-medical-school-wide-initiative
July 19, 2023 - March 20, 2024
Responding to unprofessional behavior by trainees - a "just culture" … June 5, 2019
The association between organizational culture and the ability to benefit … from "just culture" training. … Medicine
Psychological and Social Complications
Education and Training
Students
Just Culture
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psnet.ahrq.gov/issue/fighting-mrsa-infections-hospital-care-how-organizational-factors-matter
July 10, 2008 - that hand hygiene , intensive general cleaning efforts, infection control training, and a safety culture … May 5, 2021
Evaluation of the association between Hospital Survey on Patient Safety Culture … August 11, 2014
Organizational culture and its implications for infection prevention … January 8, 2014
Culture change in infection control: applying psychological principles
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psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-behavior-social-exchange-perspective
February 15, 2023 - Improving safety culture has been associated with a reduction in adverse outcomes . … September 29, 2021
Differences between professionals' views on patient safety culture … Influence of gender, profession, and managerial function on clinicians' perceptions of patient safety culture … June 9, 2021
Patient safety culture improves during an in situ simulation intervention
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psnet.ahrq.gov/issue/seen-through-patients-eyes-surgical-safety-and-checklists
May 16, 2018 - Related Resources From the Same Author(s)
Exploring and evaluating patient safety culture … December 5, 2018
Does lean management improve patient safety culture? … An extensive evaluation of safety culture in a radiotherapy institute. … 2014
Impact of the World Health Organization's Surgical Safety Checklist on safety culture
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psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream-infections
November 16, 2022 - Stakeholder buy-in and culture change are specifically highlighted as important features. … The authors note that changing the culture and practice of medical and nursing staff can be difficult … Timothy Hoff discusses how to establish a safety culture. … July 16, 2013
Executive/senior leader checklist to improve culture and reduce central
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psnet.ahrq.gov/issue/does-compliance-patient-safety-tasks-improve-and-sustain-when-radiotherapy-treatment
December 05, 2018 - December 5, 2018
Does lean management improve patient safety culture? … An extensive evaluation of safety culture in a radiotherapy institute. … August 10, 2022
Exploring and evaluating patient safety culture in a community-based … Patient and visitor aggression in healthcare: a survey exploring organisational safety culture
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psnet.ahrq.gov/issue/understanding-factors-influencing-doctors-intentions-report-patient-safety-concerns
July 29, 2020 - August 11, 2021
Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries … July 15, 2020
The influence of organizational culture, climate and commitment on speaking … See More About The Topic
Policy Makers
Medicine
Institutional Reporting
Culture
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psnet.ahrq.gov/issue/effect-nursing-care-delivery-models-quality-and-safety-outcomes-care-cross-sectional-survey
September 04, 2024 - April 3, 2024
The enabling, enacting, and elaborating factors of safety culture associated … October 24, 2018
Safety culture, patient safety, and quality of care outcomes: a literature … February 8, 2019
The relationship between safety culture and voluntary event reporting … December 15, 2021
The enabling, enacting, and elaborating factors of safety culture associated
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psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed
July 31, 2013 - burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture … April 8, 2020
The correlation between neonatal intensive care unit safety culture and
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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
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psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
September 14, 2022 - Four domains (provision of care, patient actions, environment/equipment, and safety culture) were identified … March 30, 2022
Impact of teamwork and communication training interventions on safety culture … August 24, 2022
Development and validation of a brief culture-of-safety survey. … September 27, 2017
Identifying and reducing medication errors in psychiatry: creating a culture
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - Establishing a robust culture of safety is essential for minimizing patient harm. … Unfortunately, safety culture
in many long-term care facilities is poorer than that found in hospitals … The AHRQ
Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey is used to assess safety culture … home settings The most recent data (2023) indicates some ongoing improvement in long-term care
safety culture … are all important, fundamental health care system issues such as adequate staffing,
improved safety culture
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psnet.ahrq.gov/node/38212/psn-pdf
April 09, 2009 - Engaging patients as safety partners: some
considerations for ensuring a culturally and linguistically
appropriate approach.
April 9, 2009
Johnstone M-J, Kanitsaki O. Engaging patients as safety partners: some considerations for ensuring a
culturally and linguistically appropriate approach. Health Policy (New York…
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psnet.ahrq.gov/node/60035/psn-pdf
September 22, 2023 - data repository representing medical offices that administered the
AHRQ Surveys on Patient Safety Culture … Insights on safety culture
reflect practices from 1,475 medical offices and more than 18,000 respondents
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psnet.ahrq.gov/node/42009/psn-pdf
December 19, 2018 - Hospitals Should Fly to highlight strategies to engage
patients, clinicians, and administrators in a culture … why-hospitals-should-fly-ultimate-flight-plan-patient-safety-and-quality-care
https://psnet.ahrq.gov/primer/culture-safety
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psnet.ahrq.gov/node/39377/psn-pdf
March 17, 2010 - measuring-and-comparing-safety-climate-intensive-care-units
This study found an overall positive safety culture … psnet.ahrq.gov/issue/measuring-and-comparing-safety-climate-intensive-care-units
https://psnet.ahrq.gov/primer/culture-safety
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psnet.ahrq.gov/node/40638/psn-pdf
July 27, 2011 - Standard use of preoperative time outs was strongly associated with improved perception of safety culture … pre-surgery-briefings-and-safety-climate-operating-theatre
https://psnet.ahrq.gov//#timeouts
https://psnet.ahrq.gov/primer/culture-safety
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psnet.ahrq.gov/node/845354/psn-pdf
March 01, 2023 - 2023;16-21
https://psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling
The concept of just culture … psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - steps that can be taken to increase communication across an authority gradient
Consider the current culture … incident reporting system
Authority gradient is massive
Trainees are being evaluated by their superiors
Culture … Pole
On postoperative day 3, the student found that the patient had been febrile overnight and urine culture … authority gradient
Simulation exercises demonstrate the importance of unspoken communication creating a culture … “stop the presses” when someone witnesses a potential error
Resist “production pressure”
Measure culture
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psnet.ahrq.gov/node/47315/psn-pdf
August 01, 2018 - https://psnet.ahrq.gov/issue/agent-change
Organizational learning is an essential element of safety culture … https://psnet.ahrq.gov/issue/error-management-lessons-aviation
https://psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model