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psnet.ahrq.gov/node/855058/psn-pdf
October 31, 2023 - Do you think that the
incidence of violence is increasing, or are we just shining a spotlight on it? … nothing will change or improve, even if they put time and effort into reporting
incidents, and this belief … We know that a good patient safety culture is a culture where
people feel psychologically safe working … because they’re just so overwhelmed in some situations. … Sarah Mossburg: You just mentioned access to security.
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psnet.ahrq.gov/issue/patient-safety-human-factors-approach
January 01, 2019 - September 19, 2016
Just Culture: Restoring Trust and Accountability in Your Organization … February 9, 2011
What is patient safety culture? A review of the literature.
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - It wasn't just the notion that culture has an impact on safety, but that it could be quantified or measured … Just focusing on joy and meaning without really looking at culture and leadership is also going to be … And that's not just physicians; the same is true of nursing. … Successfully receiving CPPS recognition is rewarding and is consistent with my longstanding belief in … Culture.
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - So, the notion that "everyone in my field gets sued" is just not
true. … Now the second issue you raised was about culture and feedback. … But it is far more than just reducing malpractice expenses. … individuals walk into an ICU, other team members begin having
to monitor the high-risk colleague, not just … So addressing disruptive behavior is not just about
medical malpractice prevention—it's about delivering
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psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - TeamSTEPPS is not just a series of techniques that can be used in response to specific issues. … It is a
broader strategy for enhancing and reinforcing a culture of safety. … We did not want to just make those changes in an introduction and then leave
everything else as it was … We started off the process thinking we could just revise the parts of
TeamSTEPPS needing updates and … The
revisions to TeamSTEPPS 3.0 are still relatively new, and there are no examples of the impact just
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psnet.ahrq.gov/node/33724/psn-pdf
February 01, 2012 - Unless you had a totally malignant culture for asking for help, they usually knew when they
had crossed … It's so much slower to say that than to just give them the answer. … They accept whatever is the
culture and the rules of the game within residency. … RW: You are now the founding dean of a medical school, and you have some power to create a culture and … It's not just knowing things.
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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - The problem, however, is that the culture of the institutions is not changing. … JS : Just starting to. … But you also have to create the culture that it's okay to use it. … That's how you create that culture. … That's part of the culture.
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - Ridout, unpublished data, 2019) Caregivers enjoy a culture of recognition and respect, a culture in which … That's just our norm. There are no alarm bells. … Similarly, in other parts of the world where things are much worse, people just normalize how things … labor whose labor is taking much longer than average in the face of a lot of ambiguous data, or to just … We found in our own research that it's not just the physician that matters, it's the nurse.
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psnet.ahrq.gov/node/33741/psn-pdf
November 01, 2012 - Just beneath the
patient's right ear, quick inward pulsations of the soft tissues are conspicuous, beating … .(10) In patients
with ankle or knee trauma, validated "stop rules" (known as Ottawa rules), based just … accurately
as measurement of serum troponin.(3,16)
The evidence also shows, in contrast to common belief … But, systemic changes are also required, because we now live in a medical culture that
allows clinicians … Until this culture changes, constrictive pericarditis will continue to be misdiagnosed
as liver disease
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - culture … Moreover, the stigma felt by providers who have been sued runs counter to just culture principles that … My feeling was that this was just common sense. … First with the culture change: peer review, for instance, has traditionally meant that we wait until … So we have to move this culture in tandem. We have to convince people that we care about them.
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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. … Here are just a few examples.
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - We have learned that creating such a transparent and just culture does not automatically result from … The larger health care system and culture must embrace and contribute to this shift for sustainable success … Only then will we achieve the level of transformation to create a culture of safety and to improve patient … Ensure that leaders establish and sustain a safety culture
2. … April 4, 2018
Changing the "working while sick" culture.
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - It wasn't just the notion that culture has an impact on safety, but that it could be quantified or measured … Just focusing on joy and meaning without really looking at culture and leadership is also going to be … And that's not just physicians; the same is true of nursing. … The truth is that today we're getting more cross-fertilization, not just at the university level but … Just like we see in other fields, we're going to have individuals who are working in the area who are
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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - We just published in the BMJ that our Michigan results have now sustained for more than 3 years. … It was culture change on a couple of levels. … So we're okay
questioning each other because we know it's just ensuring that we're doing what's right … We also ask
them to tell us the strength of their belief that those actions will improve outcomes using … It's not going to happen just by encouraging people to do better.
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psnet.ahrq.gov/issue/when-its-surgery-dont-get-it-wrong
August 18, 2010 - August 18, 2010
The safety culture in a children's hospital. … December 21, 2016
Care transitions know-how not just for clinicians. … November 21, 2016
When a surgeon should just say 'I'm sorry'.
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psnet.ahrq.gov/node/33632/psn-pdf
April 01, 2006 - RW: A lot of discussion in the patient safety world is about how to change the culture of physicians … But it's not just the
financial rewards; I think there's great satisfaction in it. … I
have personally seen a change, just in working with the committees that I'm on. … //patientsafety.pa.gov/pst/Pages/PSAPatientSafetyTopicList.aspx
RW: These days, people talk about culture … I just was quiet, and he said,
"We're talking about you."
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psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - They're very simply, if we hurt somebody through inappropriate medical care, it is the ethic and
culture … My feeling was
that this was just common sense. … First with the culture change: peer review, for instance, has
traditionally meant that we wait until … So we have to
move this culture in tandem. We have to convince people that we care about them. … a few years ago—that
we should not look at personal accountability but instead create a blameless culture—was
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - We have learned that creating such a transparent and just culture does not automatically result from … The larger health care system and culture must embrace and contribute to this shift for sustainable success … Only then will we achieve the level of transformation to create a culture of safety and to improve patient … PubMed]
Table
Institute for Healthcare Improvement Recommendations for a Systems Approach to a Culture … Ensure that leaders establish and sustain a safety culture
2.
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psnet.ahrq.gov/node/46352/psn-pdf
October 15, 2018 - Topics covered include high reliability, teamwork, communication, and patient-centered culture. … psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
https://psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - We should have a no-
blame culture. We should ban certain abbreviations. … Maybe it's just a slight inconvenience for some
doctors. … I do wonder, even though I shied away from this 10 years ago, if culture,
communication, and teamwork … One of my colleagues and I just wrote a piece about this too. … There's just too much, even on a weekly or
biweekly basis.