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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47832/psn-pdf
     February 27, 2019 - Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture … psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly- overrides-just-culture … //psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture … //psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47457/psn-pdf
     January 17, 2019 - Developing a reporting culture: learning from close calls and hazardous conditions. … It highlights bright spots: organizations that use a just culture approach to investigating errors, … Perspective reviewed the context of the no-blame movement and the recent shift toward a framework of a just … culture. … https://psnet.ahrq.gov/issue/just-culture-guide https://psnet.ahrq.gov/perspective/accountability-patient-safety

143. Just a Cup of Tea – an Introduction to the SEIPS Framework. | PSNet
     psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
     January 31, 2018 - Audiovisual Presentation Just a Cup of Tea – an Introduction to the SEIPS Framework … Citation Text: Just a Cup of Tea – an Introduction to the SEIPS Framework. … April 15, 2020 Broken Trust: Making Patient Safety More than Just a Promise. … March 14, 2018 A Just Culture Guide. … September 29, 2021 New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental

144. Implementing a systematic response to medication errors. | PSNet
     psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
     August 27, 2009 - March 23, 2022 Association of diagnostic stewardship for blood cultures in critically … View More Related Resources Rooting an error review process in just … culture: lessons learned. … March 20, 2019 Impact of nurse peer review on a culture of safety. … February 22, 2019 Improving patient safety by practicing in a just culture.

145. Accountability in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/accountability-patient-safety
     January 01, 2018 - While the patient safety world has largely embraced the concept of a just culture for many years , this … The researchers worried that "rule-based, calculus-like approaches intended to support a 'just culture … They suggested that rather than attempting to create a just culture that balances a systems approach … culture. … culture in hospital settings: a systematic review.

146. ISMP Medication Safety Intensive. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-safety-intensive
     February 05, 2025 - specialty pharmacies to ensure medication safety , including strategic planning, risk assessment, and Just … Culture principles. … reporting safety concerns October 2, 2019 Our long journey towards a safety-minded just … culture.

147. Leadership and vision for a culture of safety. | PSNet
     psnet.ahrq.gov/issue/leadership-and-vision-culture-safety
     May 27, 2021 - Commentary Leadership and vision for a culture of safety. … Citation Text: Leadership and vision for a culture of safety. Gandhi TK. NEJM Catalyst. … Leadership has an important role in establishing a culture of safety in health care organizations. … This commentary describes key skills required of health care executives to establish and nurture the culture … Areas of focus include the importance of modeling behaviors such as transparency, adopting just culture

148. The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross
     August 10, 2022 - June 9, 2021 The relationship between job stress and patient safety culture among nurses … May 15, 2024 Requirements for implementing a 'just culture' within healthcare organisations … May 10, 2023 Effect of patient safety education interventions on patient safety culture … January 11, 2023 Rooting an error review process in just culture: lessons learned. … September 30, 2020 Why accountability sharing in health care organizational cultures

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867653/psn-pdf
     February 26, 2025 - It is not just an event that happens and goes on a shelf. … culture, that culture of being able to speak up, that non-punitive culture where we are focused on … How are we looking at human error versus reckless behavior (i.e., just culture)? … It's the same thing if we do not have just culture. … culture.  

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33982/psn-pdf
     December 22, 2008 - Patient safety: it's not just carefulness, it's a culture. December 22, 2008 Powell S. … Patient Safety: it's not just carefulness, it's a culture. … https://psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture This editorial overview …  touches upon several key elements within the field, from AHRQ's Hospital Survey on Patient Safety Culture … https://psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41562/psn-pdf
     August 01, 2012 - final-check-say-it-out-loud This Web site provides resources to help reduce incidence of mislabeled blood specimens based on just … culture concepts. … ://psnet.ahrq.gov/web-mm/right-patient-wrong-sample https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42855/psn-pdf
     February 06, 2014 - 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. … responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives … publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846563/psn-pdf
     March 21, 2023 - These health systems will also maintain a just culture in which they promote a blame-free environment … #_edn2 https://psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-culture … https://psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review … Just culture: a safety imperative. ACHE blog. Accessed November 23, 2022. … https://www.ache.org/blog/2022/just-culture-a-safety-imperative 6.

154. Implementation of patient safety rounds in a children's hospital. | PSNet
     psnet.ahrq.gov/issue/implementation-patient-safety-rounds-childrens-hospital
     October 19, 2022 - January 16, 2019 Using good catches to promote a just culture and perioperative patient … November 14, 2018 Improving patient safety by practicing in a just culture. … December 7, 2011 Influencing leadership perceptions of patient safety through just culture … February 4, 2009 Balancing just culture with regulatory standards.

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37318/psn-pdf
     January 04, 2012 - psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting This article describes how the principles of just … culture can inform the design of effective incident reporting systems. … An AHRQ WebM&M interview and perspective address the concept of just culture and its implementation. … psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43007/psn-pdf
     December 12, 2014 - 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient … ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient … https://psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and … While senior leaders espoused key principles such as an open, blame-free culture and frontline staff … https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33590/psn-pdf
     September 15, 2024 - https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov … /primer/culture-safety https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/primer/high-reliability … of safety and establishing a just culture for addressing errors. … identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints https://psnet.ahrq.gov/issue/leadership-committed-safety https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition … https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46023/psn-pdf
     May 03, 2017 - patient-safety-and-leadership-do-you-walk-walk Hospital leaders are increasingly encouraged to help establish and sustain a safety culture … commentary highlights ways leadership can support safety goals, including demonstrating commitment to culture … assessment, teamwork training, and adopting a just culture. … leadership-role-improving-safety https://psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture … https://psnet.ahrq.gov/issue/surveys-patient-safety-culture https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46963/psn-pdf
     April 18, 2018 - A Just Culture Guide. April 18, 2018 NHS Improvement. … https://psnet.ahrq.gov/issue/just-culture-guide Although focusing on system failure has been highlighted … https://psnet.ahrq.gov/issue/just-culture-guide https://psnet.ahrq.gov/primer/systems-approach https:

160. Failure to report poor care as a breach of moral and professional expectation. | PSNet
     psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
     March 05, 2025 - Culture, hierarchy, and lack of opportunity can hinder reporting of concerns and mistakes. … February 22, 2017 View More Related Resources 'Just culture': improving … May 25, 2016 Perspective: a culture of respect—part 1 and part 2. … October 23, 2013 Culture, language, and patient safety: making the link. … June 29, 2011 Telling cultures: 'cultural' issues for staff reporting concerns about