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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-1-intro.pdf
November 09, 2016 - Just Culture Webcast Intro
Using Just Culture to Improve
Hospital Survey on Patient Safety
Culture … Exists at multiple levels:
System
Organization
Department
Unit
Beliefs, values & norms
Shared by … staff
What is:
• Rewarded
• Supported
• Expected
• Accepted
What is Just Culture? … Culture to Improve Hospital Survey on Patient Safety Culture Results
Need Help? … What is Just Culture?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
May 01, 2007 - Just Culture Webcast Presentation
University of North Carolina Health System
13
Celeste Mayer, PhD … October 48% 41% (2012)
2013 December 51% 42% (2014)
2015 October 53% 43% (2016)
North Carolina Just … Culture Collaborative
2006/2007
• What it was – Partnership between the NC
Quality Center and Outcome … Culture into the
strategic plan
– Offered Continuing Nurse Education credit for
managers
– Created … Culture Principles
into the Corrective Action policy
• Incorporating Just Culture Principles
into
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-3-closing.pdf
June 01, 2017 - Just Culture Webcast Closing
Updating the Hospital Survey and
Nonpunitive Response to Error
• HSOPS … 2.0 to be released in early 2018
– Revising the Nonpunitive Response to Error composite
to reflect Just … Culture concepts
31
Nonpunitive
Response to
Error
Response to
Error
• Next HSOPS database submission … Patient Safety in Hospitals: A Resource
List for Users of the AHRQ Hospital Survey on
Patient Safety Culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
June 01, 2017 - Just Culture Webcast November 2016
Using Just Culture to Improve Hospital Survey on Patient Safety … by using Just Culture initiatives. … It's the beliefs, the values, the norms shared by staff,
and is what is rewarded, supported and expected … So, what is Just Culture? … Okay, so have you integrated Just Culture in physician peer review
and engaged physicians in Just Culture
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psnet.ahrq.gov/issue/or-and-just-culture
February 01, 2017 - Commentary
The OR and a "just culture."
Citation Text:
Hamlin L. … The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003. … To illustrate the value of just culture implementation, this piece describes a hypothetical scenario … The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
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psnet.ahrq.gov/issue/just-culture-guide
July 18, 2018 - Tools/Toolkit
A Just Culture Guide. … Citation Text:
A Just Culture Guide. NHS Improvement. … Culture Guide. … April 12, 2023
Integrating principles of safety culture and just culture into nursing … October 17, 2018
An assessment of the impact of just culture on quality and safety in
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psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
December 13, 2023 - Commentary
Balancing just culture with regulatory standards. … Balancing Just Culture with regulatory standards. … Balancing Just Culture with regulatory standards. … March 1, 2023
Just culture: it's more than policy. … November 14, 2018
Improving patient safety by practicing in a just culture.
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psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment
December 30, 2014 - Commentary
What 'just culture' doesn't understand about just punishment. … What 'Just Culture' doesn't understand about just punishment. … What 'Just Culture' doesn't understand about just punishment. … March 29, 2023
Integrating principles of safety culture and just culture into nursing … October 13, 2018
A Just Culture Guide.
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psnet.ahrq.gov/issue/blame-culture-just-culture-health-care
January 23, 2017 - Commentary
From a blame culture to a just culture in health care. … From a blame culture to a just culture in health care. … From a blame culture to a just culture in health care. … October 12, 2022
Rooting an error review process in just culture: lessons learned. … December 1, 2021
Why accountability sharing in health care organizational cultures means
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psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
August 04, 2021 - "just culture" training. … The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training … Establishing a just culture is widely considered to be important in health care, but existing organizational … The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training … December 12, 2014
Requirements for implementing a 'just culture' within healthcare organisations
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psnet.ahrq.gov/issue/just-culture-after-mid-staffordshire
February 11, 2009 - Commentary
A just culture after Mid Staffordshire. … A just culture after Mid Staffordshire. … The authors advocate for a just culture that balances blame and accountability to address complexities … A just culture after Mid Staffordshire. … December 9, 2014
Just culture: who gets to draw the line?
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psnet.ahrq.gov/issue/just-culture-its-more-policy
July 05, 2017 - Study
Just culture: it's more than policy. … Just culture: It's more than policy. … This survey study examined the relationship between just culture —a culture of fairness and responsibility … The authors call for adoption of the just culture model to enhance patient safety. … Just culture: It's more than policy.
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psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
July 10, 2024 - Commentary
Creating a just culture: the Ottawa Hospital's experience. … Creating a Just Culture: The Ottawa Hospital's experience. … The just culture paradigm shifts the response to error from a retrospective focus on blame to the … Creating a Just Culture: The Ottawa Hospital's experience. … from "just culture" training.
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psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
June 09, 2021 - Just culture: the foundation of staff safety in the perioperative environment. … In a just culture, staff are more likely to report potential patient safety concerns. … Just culture: the foundation of staff safety in the perioperative environment. … February 23, 2022
Integrating principles of safety culture and just culture into nursing … January 12, 2022
Why accountability sharing in health care organizational cultures means
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psnet.ahrq.gov/issue/responding-unprofessional-behavior-trainees-just-culture-framework
June 24, 2020 - Commentary
Responding to unprofessional behavior by trainees - a "just culture" … Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. … This paper discusses adapting a just culture framework to respond to unprofessional behavior in medical … Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. … July 20, 2022
Just Culture, Medication Error Prevention, and Second Victim Support: a
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www.ahrq.gov/hai/cusp/videos/07a-just-culture/index.html
July 01, 2018 - Understand Just Culture
CUSP Toolkit
The CUSP toolkit includes training tools to make care … Understand "Just Culture" [5 min. 32 sec.]
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psnet.ahrq.gov/issue/just-culture-improving-safety-achieving-substantive-procedural-and-restorative-justice
October 19, 2022 - Commentary
'Just culture': improving safety by achieving substantive, procedural … October 19, 2022
A just culture after Mid Staffordshire. … December 9, 2014
Just culture: who gets to draw the line? … August 11, 2014
A just culture after Mid Staffordshire. … May 4, 2010
Just culture: who gets to draw the line?
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psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
June 24, 2020 - Commentary
Just culture: who gets to draw the line? … Just culture: who gets to draw the line? … Just culture: who gets to draw the line? … October 11, 2017
A just culture after Mid Staffordshire. … May 25, 2016
A just culture after Mid Staffordshire.
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - SPOTLIGHT CASE
Fatal Error in Neonate: Does "Just Culture" Provide an Answer? … Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. … Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. … This is one of the best starting points for a just culture. … October 11, 2017
A just culture after Mid Staffordshire.
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psnet.ahrq.gov/issue/integrating-principles-safety-culture-and-just-culture-nursing-homes-lessons-pandemic
October 28, 2020 - Commentary
Integrating principles of safety culture and just culture into nursing … Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic … The authors describe how the alignment of regulatory oversight and surveys could integrate with just … culture to improve resident safety. … Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic