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8101. Session 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
      October 01, 2014 - Cultural differences —These can be our beliefs about other groups of people, our values, or what we think … Culture. Status. Interpersonal issues. Environmental or system barriers.

8102. In Conversation with… Edward Tenner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
      June 01, 2011 - Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture … that is that organizations can start to deviate from established procedures and bend them if in their culture … The culture created at the top is more important than any number of experts that you have there. … Japan's culture made it harder to discuss the risk.

8103. A System to Describe and Reduce Medical Errors in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
      January 01, 2007 - relevant data can be collected in a real-life clinical setting and used to reduce errors and build a culture … a customized error reporting and classification system for its outpatient clinics and changed its culture … years since the transition to QI, the voluntary reporting system has facilitated the development of a culture … While a direct causal link cannot be proven and multiple factors are certainly involved, the culture

8104. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
      July 28, 2021 - Human factors of training and culture must also be considered. … Finally, the culture within the institution should be supportive and protective of personnel who report … Trainee supervision and institutional culture should encourage error reporting and prioritizing patient … A Picture Speaks 1000 Words September 1, 2013 Developing a patient safety culture

8105. Diffusion of Responsibility Leads to Danger | PSNet
      psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
      November 08, 2013 - risk posed by overcrowded EDs necessitates having a proactive, systems-based approach grounded in a culture … High reliability organizations maintain an institutional culture preoccupied with rooting out system … Methods: Quickly Adopted but Questions Remain January 1, 2006 Organisational culture … Common Program Requirements August 1, 2017 The predictors of patient safety culture

8106. Bowel Injury After Laparoscopic Surgery | PSNet
      psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
      January 19, 2016 - postoperative outcomes.( 9,10 ) A system that emphasizes the importance of non-technical skills and an overall culture … An organizational culture that emphasizes safety will work to flatten hierarchies, so that junior residents … Strong leadership will promote a culture wherein senior surgeons are kept informed about the status of … In many institutions, creating this kind of culture will require formal training in effective behaviors

8107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33614/psn-pdf
      June 01, 2005 - Typically, studies report surrogate outcomes (e.g., error rates, changes in safety culture) or process … For instance, various tools for assessing patient safety culture have been described in the literature … .(14) But the degree to which improvements in "safety culture" (as measured by any of these instruments … Safety culture assessment: a tool for improving patient safety in healthcare organizations.

8108. Workarounds and Resiliency on the Front Lines of Health Care | PSNet
      psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
      August 01, 2009 - 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 … Is that an important difference between health care and industry in trying to create a culture that will

8109. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
      June 01, 2015 - In these organizations, the culture has come to expect nick-of-time rescues. … While cultures are changing to reflect the increased urgency, it is still a challenge in some cases … Such strongly held beliefs create impetus for process improvement because improving quality and efficiency …  Strategy and culture. …  Resources do not always fit the organization’s culture and needs.

8110. NAA National Webinar July 2024 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
      August 20, 2024 - studies, 2005-2016 • Hospital-based health care setting • Relationships between burnout (BO) and safety culture … Overview of Solutions for Burnout Culture and organizational resilience: our leaders, our practice … culture, and our commitment to well-being drives joy in practice. 1. … Culture of wellness Stanford WellMD Model Efficiency of practice: the system we work in impacts our … ©2024 ECRI | ECRI Confidential52 Opportunities to Ensure Surgical Fire Prevention • Culture • Surgical

8111. Supporting nurses in acute and emergency care settings to speak up. | PSNet
      psnet.ahrq.gov/issue/supporting-nurses-acute-and-emergency-care-settings-speak
      November 29, 2023 - October 7, 2020 What has been the impact of Covid-19 on safety culture?

8112. Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. | PSNet
      psnet.ahrq.gov/issue/unsafe-design-infusion-task-reallocation-and-safety-perceptions-us-hospitals
      December 21, 2017 - July 27, 2022 How does workplace violence-reporting culture affect workplace violence

8113. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. | PSNet
      psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
      September 18, 2019 - March 9, 2016 Association of safety culture with surgical site infection outcomes.

8114. Patients' perception of types of errors in palliative care—results from a qualitative interview study. | PSNet
      psnet.ahrq.gov/issue/patients-perception-types-errors-palliative-care-results-qualitative-interview-study
      December 04, 2016 - December 21, 2022 WebM&M Cases Culture Clash No More:

8115. Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. | PSNet
      psnet.ahrq.gov/issue/human-ai-teaming-critical-care-comparative-analysis-data-scientists-and-clinicians
      July 10, 2013 - August 8, 2012 Factors determining safety culture in hospitals: a scoping review.

8116. The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet
      psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
      October 14, 2015 - , 2021 Association of implementation and social network factors with patient safety culture

8117. Errors in nurse-led triage: an observational study. | PSNet
      psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study
      August 20, 2018 - August 24, 2022 Impact of teamwork and communication training interventions on safety culture

8118. Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes. | PSNet
      psnet.ahrq.gov/issue/effect-pharmacist-led-multicomponent-intervention-focusing-medication-monitoring-phase
      June 29, 2011 - From the Same Author(s) Nurses' and nursing assistants' perceptions of patient safety culture

8119. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? | PSNet
      psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything
      November 03, 2021 - has long been advocated as a central strategy supporting error reduction, transparency and safety culture

8120. Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. | PSNet
      psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
      September 22, 2021 - September 22, 2021 What has been the impact of Covid-19 on safety culture?