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121. What is the effectiveness of reporting systems in promoting learning in healthcare? | PSNet
     psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
     September 23, 2020 - limitations (e.g., under- or over-reporting), and factors influencing use of these systems (e.g., safety culture … 2014 Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture … July 2, 2014 AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. … March 27, 2024 Nurse leader attitudes and beliefs regarding medical errors. … January 11, 2023 The barriers and enhancers to trust in a just culture in hospital settings

122. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. | PSNet
     psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
     July 21, 2021 - The authors highlight the importance of fostering an organizational culture that encourages cooperation … and mixed methods for assessing safety culture in hospitals. … March 29, 2023 The barriers and enhancers to trust in a just culture in hospital settings … August 17, 2022 Integrating principles of safety culture and just culture into nursing … January 12, 2022 Why accountability sharing in health care organizational cultures means

123. Independent Review of Gross Negligence Manslaughter and Culpable Homicide. | PSNet
     psnet.ahrq.gov/issue/independent-review-gross-negligence-manslaughter-and-culpable-homicide
     July 08, 2019 - May 16, 2012 Broken Trust: Making Patient Safety More than Just a Promise. … January 9, 2024 Role of the regulator in enabling a just culture: a qualitative study … culture. … February 27, 2019 Just Culture: Restoring Trust and Accountability in Your Organization … June 17, 2014 A just culture after Mid Staffordshire.

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34749/psn-pdf
     January 09, 2017 - Patient Safety and the "Just Culture": A Primer for Health Care Executives. … Patient Safety And The "Just Culture": A Primer For Health Care Executives. … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives Accountability … steer their organizations and patients toward understanding and accepting the idea of a blameless culture … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

125. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. | PSNet
     psnet.ahrq.gov/issue/health-care-risk-managers-consensus-management-inappropriate-behaviors-among-hospital-staff
     June 16, 2021 - Disruptive and unprofessional behavior creates an unhealthy institutional culture and leads to patient … October 26, 2022 Why accountability sharing in health care organizational cultures means … September 23, 2020 Creating a culture of accountability promotes safe medical care. … November 21, 2018 An assessment of the impact of just culture on quality and safety in … October 13, 2018 Our long journey towards a safety-minded just culture.

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74858/psn-pdf
     February 23, 2022 - improving-responses-safety-incidents-we-need-talk-about-justice Patient safety advocates recommend a shift from a blame culture … to a just culture. … The authors invite debate around the concept of just culture and its role in the “real world”. … improving-responses-safety-incidents-we-need-talk-about-justice https://psnet.ahrq.gov/issue/new-perspective-blame-culture-experimental-study … psnet.ahrq.gov/glossary-0#glossary-heading-term-73799 https://psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47544/psn-pdf
     December 12, 2018 - Using good catches to promote a just culture and perioperative patient safety. … Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. … https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety … https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety … https://psnet.ahrq.gov/issue/good-catch-campaign-improving-perioperative-culture-safety

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73358/psn-pdf
     June 02, 2021 - Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing … https://psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better … https://psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription … https://psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47424/psn-pdf
     November 21, 2018 - Creating a culture of accountability promotes safe medical care. … https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership … should model just culture behaviors to encourage reporting and discussion of error to facilitate improvement … /issue/assessment-impact-just-culture-quality-and-safety-us-hospitals https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going … https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865925/psn-pdf
     May 22, 2024 - Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic … Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic … https://psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital- … Teamwork and collaboration, leadership support for safety, and just culture were the most reported themes … https://psnet.ahrq.gov/issue/just-culture-guide

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33938/psn-pdf
     December 18, 2008 - Dana-Farber Cancer Institute Principles of a Fair and Just Culture. … https://psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture Dana-Farber … Cancer Institute defines a "just culture" and illustrates how to implement and sustain it. … https://psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture

132. Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet
     psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
     November 30, 2022 - January 11, 2023 Rooting an error review process in just culture: lessons learned. … October 5, 2022 Fostering a just culture in healthcare organizations: experiences in … August 31, 2022 The barriers and enhancers to trust in a just culture in hospital settings … December 1, 2021 'Just culture': improving safety by achieving substantive, procedural … June 29, 2011 Just culture: who gets to draw the line?

133. The morbidity and mortality conference: opportunities for enhancing patient safety. | PSNet
     psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety
     March 17, 2021 - This article presents five recommendations to improve MMC: encourage culture change; allocate ample … foster innovative thinking; take a global approach; learn from errors and near misses; and do not just … Related Resources Reframing the morbidity and mortality conference: the impact of a just … culture. … September 30, 2020 Why accountability sharing in health care organizational cultures

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36282/psn-pdf
     April 29, 2018 - Our long journey towards a safety-minded just culture. Part I: Where we've been. … https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been … This article discusses the difference between a blame-free and just culture and describes why the latter … https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been

135. 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. | PSNet
     psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
     August 12, 2020 - December 1, 2021 Institution of just culture physician peer review in an academic medical … October 23, 2019 Our long journey towards a safety-minded just culture. … November 13, 2018 Perspective Making Just Culture a Reality … Administrators Quality and Safety Professionals Latent Errors Quality Improvement Strategies Just … Culture

136. New world of patient safety. 23rd Annual Samuel Jason Mixter Lecture. | PSNet
     psnet.ahrq.gov/issue/new-world-patient-safety-23rd-annual-samuel-jason-mixter-lecture
     November 02, 2014 - Leape advocates for just culture —a balance between systems approaches and individual accountability—and … Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just … culture. … February 27, 2019 Creating a fair and just culture: one institution's path toward organizational … Culture

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36323/psn-pdf
     November 14, 2018 - Our long journey towards a safety-minded just culture. Part II: where we're going. … https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going … https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going … https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been

138. Support and recovery strategies for second victims. | PSNet
     psnet.ahrq.gov/issue/support-and-recovery-strategies-second-victims
     January 19, 2022 - shares strategies for organizations to facilitate recovery for these individuals, building on a just … culture including counseling services and peer support. … March 27, 2024 Creating a just culture in the perioperative setting. … Topic Operating Room Medical/Surgical Nursing Anesthesia Nursing Second victims Just … Culture View More

139. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. | PSNet
     psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
     February 24, 2011 - initially built on the establishment of a no-blame philosophy, but recently experts have called for a just … culture that balances systems-based thinking with personal accountability. … An AHRQ WebM&M perspective discusses the organizational implementation of a just culture. … July 3, 2014 A just culture after Mid Staffordshire. … May 29, 2014 Development of the just culture assessment tool: measuring the perceptions

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842416/psn-pdf
     January 11, 2023 - errors that receive widespread media attention frequently spur health systems to reexamine their own culture … The action plan proposed by this project includes ensuring a just culture so staff feel empowered to … psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture … safety-intravenous-drug-delivery-systems-update-current-issues-2009-consensus-development https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition