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psnet.ahrq.gov/node/43480/psn-pdf
January 01, 2015 - Speaking up: factors and issues in nurses advocating for
patients when patients are in jeopardy.
December 15, 2014
Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy.
J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.0000000000000081.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - However, as we shift our culture, we have also shifted to referring
to great catches and patient care … Kathy Helak: I think all organizations embrace a learning culture, but we have been deliberate in
operationalizing … I also had a mistaken belief that regulatory bodies would insist
that you've done an RCA. … This is safety culture transformation at the organizational level and an important overall
strategy
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - In fact, the success of the ASN has instilled a culture of innovation within the local hospital system … Establish a just culture framework and ensure buy-in from all partners. … Engage just culture principles and transform thinking from a root-cause analysis framework to a systems-focused
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - Is that an important difference between health care and industry in trying to create a culture that will … methods for accomplishing work blocked by dysfunctional processes.( 7 , 8 ) Health care has a workaround culture … expertise in overcoming obstacles to get the job done.( 8 , 9 )
Workarounds are part of health care's culture … What can organizations do to move from a workaround culture to a culture that uses operational failures
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - November 2, 2016
'Not another safety culture survey': using the Canadian patient safety … WebM&M Cases
Delayed Recognition of a Positive Blood Culture
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psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
April 15, 2021 - July 21, 2021
Building a Culture of Safety in Health Care.
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psnet.ahrq.gov/issue/supporting-second-victims
February 15, 2023 - October 31, 2017
Creating a culture of caregiver support.
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psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills
January 10, 2018 - September 19, 2016
Just Culture: Restoring Trust and Accountability in Your Organization
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psnet.ahrq.gov/issue/simple-surgery-harrowing-complications
November 07, 2012 - May 4, 2011
Improving Patient Safety: The Intersection of Safety Culture, Clinician and
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psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011
May 07, 2014 - December 9, 2009
Hospital Survey on Patient Safety Culture: 2009 Comparative Database
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psnet.ahrq.gov/issue/heparin-errors-continue-despite-prior-high-profile-fatal-events
May 02, 2018 - June 10, 2018
Just Culture and its critical link to patient safety—part 1 and part 2.
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psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-cms-nursing-home-compare
May 26, 2021 - February 15, 2023
Hospital Survey on Patient Safety Culture 2.0.
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psnet.ahrq.gov/issue/conversation-patient-safety-officers
April 30, 2024 - January 3, 2017
Medical Office Survey on Patient Safety Culture: 2014 User Comparative
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psnet.ahrq.gov/issue/some-red-rules-shouldnt-rule-hospitals
May 07, 2014 - Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture
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psnet.ahrq.gov/issue/patient-safety-24
December 01, 2011 - June 9, 2009
Navigating the perfect storm: balancing a culture of safety with workforce
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psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
May 03, 2017 - November 21, 2016
Mean girls of the ER: the alarming nurse culture of bullying and hazing
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psnet.ahrq.gov/issue/conversations-withlucian-leape-md
March 13, 2024 - January 25, 2023
Will prosecuting medical errors lead to a culture of silence?
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psnet.ahrq.gov/issue/keeping-patients-safe-iatrogenic-methadone-overdoses
February 27, 2019 - Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture
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psnet.ahrq.gov/issue/quality-institute-toolkits
November 09, 2022 - May 29, 2024
Medical Office Survey on Patient Safety Culture.
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psnet.ahrq.gov/issue/magnet-support-patient-safety
November 01, 2012 - , continuous quality improvement , and the link between patient assessments of care and safety culture