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201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851926/psn-pdf
     August 02, 2023 - Improving Patient Safety Culture – A Practical Guide. … https://psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide A strong patient safety … culture needs nurturing to serve as a foundation for launching and sustaining improvements. … https://psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide https://psnet.ahrq.gov/ … /issue/fostering-just-culture-healthcare-organizations-experiences-practice https://psnet.ahrq.gov/perspective

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846750/psn-pdf
     March 29, 2023 - This commentary calls for moving from the reactive "bad apple" paradigm to a proactive just culture, … errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame https://psnet.ahrq.gov/glossary-0#glossary-heading-term-73800 https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849337/psn-pdf
     May 24, 2023 - Actions to renew focus on safety culture. May 24, 2023 Salvon-Harman J. … https://psnet.ahrq.gov/issue/actions-renew-focus-safety-culture A strong safety work environment is … listen broadly, embody accountability, support disclosure, and build trust to build a robust safety culture … https://psnet.ahrq.gov/issue/actions-renew-focus-safety-culture https://psnet.ahrq.gov/primer/culture-safety … https://psnet.ahrq.gov/issue/listening-learning-responding-concerns https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

204. Leadership committed to safety. | PSNet
     psnet.ahrq.gov/issue/leadership-committed-safety
     December 23, 2016 - this sentinel event alert , the Joint Commission calls for senior health care leaders to establish a culture … of safety within their organizations, use just culture principles to establish transparent and fair … Please review The essential role of leadership in developing a safety culture for updated recommendations … July 19, 2016 A just culture after Mid Staffordshire.

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33615/psn-pdf
     June 01, 2005 - simultaneously studying clinical research, health policy, and management] was to combine those two cultures—quality … By exposing that, we revealed the dissonance between our pride and our belief that we are a great institution … RW: In terms of big buckets—informatics, culture change, hiring more nurses, standard procedures—how … PP: Unequivocally, they should start with culture change. … It simply says, measure your culture (we use J.

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41294/psn-pdf
     June 01, 2012 - reducing-specimen-identification-errors This commentary describes a hospital safety improvement effort based on just … culture principles that reduced specimen identification errors. … psnet.ahrq.gov/issue/reducing-specimen-identification-errors https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

207. Doctors are more dangerous than gun owners: a rejoinder to error counting. | PSNet
     psnet.ahrq.gov/issue/doctors-are-more-dangerous-gun-owners-rejoinder-error-counting
     June 24, 2020 - systems do not account for the "higher order" organizational characteristics that constitute the safety culture … October 11, 2017 A just culture after Mid Staffordshire. … December 9, 2014 Just culture: who gets to draw the line? … February 10, 2021 Intolerance of error and culture of blame drive medical excess. … December 15, 2014 The effect of the fit between organizational culture and structure

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867676/psn-pdf
     February 26, 2025 - A just culture promotes shared accountability and emphasizes that safety events are usually a product … facts with healthcare staff should be done with objectivity and compassion guided by principles of just … for all employees and establishing clarity around roles, expectations, and accountability promotes a just … culture. … modules/notes7.html https://psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture

209. Creating a culture of accountability promotes safe medical care. | PSNet
     psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
     July 17, 2017 - Newspaper/Magazine Article Creating a culture of accountability promotes safe medical … Citation Text: Creating a culture of accountability promotes safe medical care. … Frontline leadership should model just culture behaviors to encourage reporting and discussion of error … Copy URL Cite Citation Citation Text: Creating a culture

210. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. | PSNet
     psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods
     October 26, 2022 - and mixed methods for assessing safety culture in hospitals. … assessing safety culture in hospitals. … This systematic review identified 694 studies of safety culture in hospitals. … assessing safety culture in hospitals. … July 21, 2021 Role of the regulator in enabling a just culture: a qualitative study in

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47242/psn-pdf
     January 01, 2021 - it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error- disclosure Effective error disclosure fosters a just … culture. … it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error-disclosure https://psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/issue/just-culture-guide

212. The role of organizational and professional cultures in medication safety: a scoping review of the literature. | PSNet
     psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
     February 12, 2020 - Review The role of organizational and professional cultures in medication safety: … The role of organizational and professional cultures in medication safety: a scoping review of the literature … This scoping review discussed how organizational and professional culture influences medication safety … The role of organizational and professional cultures in medication safety: a scoping review of the literature … May 17, 2023 The barriers and enhancers to trust in a just culture in hospital settings

213. Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations. | PSNet
     psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health-care-organizations
     September 02, 2020 - Study Nurses’ perspectives on the impact of management approaches on the blame culture … Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations … A just culture must balance organizational context with appropriate accountability after an error. … The authors analyzed findings from 21 studies and found that blame culture negatively affects nurses’ … December 9, 2020 The effect of the fit between organizational culture and structure on

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867229/psn-pdf
     January 01, 2025 - improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned … https://psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review

215. A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. | PSNet
     psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
     November 17, 2021 - This article describes the implementation of a high-reliability hospital framework on patient safety culture … Framework components included an annual patient safety assessment, annual safety culture survey, annual … root cause analysis (RCA) training, leadership walk arounds , and just culture training. … Three years after implementation, patient safety culture and event reporting rates improved, and the … September 30, 2020 Why accountability sharing in health care organizational cultures

216. Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. | PSNet
     psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review
     October 16, 2024 - Barriers included inadequate organizational support and resources, weak safety culture, lack of training … continuous improvement based on incident reporting systems included continuous training for staff, a just … culture , leadership investment, and tangible improvements stemming from incident analysis. … April 26, 2023 Effect of patient safety education interventions on patient safety culture … March 1, 2023 Why accountability sharing in health care organizational cultures means

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866405/psn-pdf
     July 31, 2024 - The authors also recommend fostering a “just culture” that advocates for system accountability. … implement-strategies-prevent-persistent-medication-errors-and-hazards https://psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45558/psn-pdf
     May 10, 2017 - Topics discussed include just culture, disclosure, and bias. … psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

219. Delayed Recognition of a Positive Blood Culture | PSNet
     psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
     January 29, 2020 - Delayed Recognition of a Positive Blood Culture. PSNet [internet]. … Delayed Recognition of a Positive Blood Culture. PSNet [internet]. … Approximately 40% of all positive blood cultures adjudicated by infectious diseases physicians, and just … Contaminant blood cultures and resource utilization. … Don't perform urinalysis, urine culture, blood culture or C. difficile testing unless patients have

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43222/psn-pdf
     February 13, 2019 - Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture … Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture … of identifying and addressing safety concerns, has shown potential as a means of improving safety culture … https://psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences … https://psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences