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psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker
March 30, 2016 - October 21, 2015
In a culture of disrespect, patients lose out.
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psnet.ahrq.gov/issue/patient-safety-2006
October 26, 2007 - Health Care Executives and Administrators
Non-Health Care Professionals
Error Reporting
Culture
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psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
March 09, 2011 - September 3, 2011
Gap assessment of hospitals' adoption of the just culture principles
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psnet.ahrq.gov/issue/errors-test-openness-beth-israel-deaconess-disclosures-will-benefit-hospital-president
August 13, 2008 - October 3, 2017
Medical culture about errors may be changing.
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psnet.ahrq.gov/issue/quality-and-safety-education-nurses-0
June 01, 2016 - November 8, 2017
Just Culture, Medication Error Prevention, and Second Victim Support
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psnet.ahrq.gov/issue/improvement-cymru
October 20, 2014 - July 18, 2018
A Just Culture Guide.
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psnet.ahrq.gov/issue/center-patient-safety
May 01, 2016 - , 2011
Association of implementation and social network factors with patient safety culture
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psnet.ahrq.gov/issue/more-families-hear-apologies-following-medical-mistakes
June 28, 2006 - January 23, 2013
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative
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psnet.ahrq.gov/issue/5-most-commonly-misdiagnosed-conditions-icu
August 18, 2010 - on ‘To Err is Human’ report
December 11, 2019
Hospital Survey on Patient Safety Culture
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psnet.ahrq.gov/issue/do-doctors-understand-test-results
February 12, 2020 - October 3, 2017
Gap assessment of hospitals' adoption of the just culture principles.
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psnet.ahrq.gov/node/34740/psn-pdf
November 29, 2017 - Through the Patient’s Eyes: Understanding and
Promoting Patient-Centered Care.
November 29, 2017
Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Bass; 1993. ISBN: 9781555425449
https://psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
Authored by severa…
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psnet.ahrq.gov/node/857459/psn-pdf
December 06, 2023 - Five strategies for a safer EHR modernization journey.
December 6, 2023
Sittig DF, Yackel EE, Singh H. Five strategies for a safer EHR modernization journey. J Gen Intern Med.
2023;38(S4):940-942. doi:10.1007/s11606-023-08331-z.
https://psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey
Large-sca…
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psnet.ahrq.gov/node/36511/psn-pdf
January 07, 2011 - Facing ambiguous threats.
January 7, 2011
Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13,
157.
https://psnet.ahrq.gov/issue/facing-ambiguous-threats
This study describes how organizations respond to signs that may or may not portend future
catastrophes. The authors…
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psnet.ahrq.gov/node/42783/psn-pdf
January 15, 2014 - Sign-out snapshot: cross-sectional evaluation of written
sign-outs among specialties.
January 15, 2014
Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-
outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-2013-002164.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/35374/psn-pdf
January 02, 2017 - Intimidation: practitioners speak up about this unresolved
problem.
January 2, 2017
Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J
Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4.
https://psnet.ahrq.gov/issue/intimidation-practitioners-s…
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psnet.ahrq.gov/node/837516/psn-pdf
June 22, 2022 - Fostering ethical conduct through psychological safety.
June 22, 2022
Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43.
https://psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
A baseline expectation in a safe organization is that employees feel comfortable and supp…
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psnet.ahrq.gov/node/43410/psn-pdf
August 20, 2014 - Antibiotic prescribing practice in residential aged care
facilities—health care providers' perspectives.
August 20, 2014
Lim CJ, Kwong MW-L, Stuart RL, et al. Antibiotic prescribing practice in residential aged care facilities--
health care providers' perspectives. Med J Aust. 2014;201(2):98-102.
https://psnet.ahr…
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - We're talking about a major culture change. It's going to take years. … I expect that to grow and to help change the culture more than anything.Finally, I've been very encouraged … The opportunity to spend my formative years immersed in a real safety culture embedded safety in my soul … learned an important lesson: enlightened, risk-taking leadership is the only way to achieve significant culture … Some of the gains have come through changes in culture (for instance, assigning more value to safety
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psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions
February 22, 2010 - He proposes that the medical profession can learn valuable lessons from the engineering safety culture
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psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
August 14, 2018 - September 14, 2018
Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture