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221. Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm. | PSNet
     psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm
     October 17, 2018 - Newspaper/Magazine Article Smart pump custom concentrations without hard "low concentration … Citation Text: Smart pump custom concentrations without hard "low concentration" alerts can lead to … Copy URL Cite Citation Citation Text: Smart pump custom … March 7, 2018 Students have a key role in a culture of safety: analysis of student-associated … July 18, 2018 Just Culture and its critical link to patient safety—part 1 and part 2.

222. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. | PSNet
     psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
     June 28, 2023 - August 30, 2023 Association of diagnostic stewardship for blood cultures in critically … January 27, 2019 Transparency, public reporting, and a culture of change to quality and … September 30, 2020 Why accountability sharing in health care organizational cultures … About The Topic Medicine Clinical Misdiagnosis Error Reporting Continuing Education Just … Culture

223. Broken Trust: Making Patient Safety More than Just a Promise. | PSNet
     psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise
     October 07, 2020 - Book/Report Broken Trust: Making Patient Safety More than Just a Promise. … Citation Text: Broken Trust: Making Patient Safety More than Just a Promise. … This report discusses gaps in the British National Health Service patient safety culture. … Cite Citation Citation Text: Broken Trust: Making Patient Safety More than Just … March 28, 2018 Just a Cup of Tea – an Introduction to the SEIPS Framework.

224. Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic review of the international literature. | PSNet
     psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital-settings-systematic
     September 06, 2023 - Review Effect of interventions to improve safety culture on healthcare workers in … Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic … Along with improvements to patient safety, interventions to optimize safety culture can also improve … Teamwork and collaboration, leadership support for safety, and just culture were the most reported … November 8, 2023 Improving Patient Safety Culture – A Practical Guide.

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73088/psn-pdf
     March 31, 2021 - Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations … Nurses’ perspectives on the impact of management approaches on the blame culture in health- care organizations … https://psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health- … care-organizations A just culture must balance organizational context with appropriate accountability … The authors analyzed findings from 21 studies and found that blame culture negatively affects nurses

226. Identifying Safety Events in the Prehospital Setting | PSNet
     psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
     May 16, 2022 - on individual error to a Just Culture where the system is the primary focus. … Healthcare leaders have used safety culture measurement to assess and transform culture in hospital settings … it called “Just Culture.” … and a non-punitive culture. … I think as a profession we're just growing.

227. Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions. | PSNet
     psnet.ahrq.gov/issue/exploring-relationship-between-hospital-patient-safety-culture-and-performance-measures
     August 28, 2024 - Commentary Exploring the relationship between hospital patient safety culture and … Hospital safety culture can significantly impact both patient and staff outcomes . … Researchers found that higher ratings of overall patient safety culture and open, non-punitive communication … July 31, 2024 Associations between patient safety culture and workplace safety culture … of Safety Just Culture

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838306/psn-pdf
     October 12, 2022 - Priority practices include promoting speaking up behaviors through a just culture and psychologically … serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42984/psn-pdf
     February 26, 2014 - Suggested interventions include disclosure training and implementing a just culture. … psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

230. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet
     psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
     March 27, 2024 - and workforce safety culture. … Psychologically safe cultures focus more on learning and how system failures lead to safety events rather … The concept of just culture seeks to balance this systems-based approach to safety events with appropriate … Another integrative review on Just Culture showed that leaders can demonstrate full commitment to Just … on hospital safety culture.

231. Cultural Competence and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
     December 27, 2019 - can be defined as the “personal identification, language, thoughts, communications, actions, customs … , beliefs, values, and institutions that are often specific to ethnic, racial, religious, geographic, … communities, it is unrealistic for providers to have sufficient understanding of all of the different cultures … CB : A cultural broker is someone who understands two different cultures and mediates in cross-cultural … don’t think we have evidence as to whether that’s produced a more culturally competent workforce, or just

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33734/psn-pdf
     August 01, 2012 - The nursing home information is very well developed in the sense just like Hospital Compare and Home … I just returned from a provider conference, and the session that was standing room only was on how to … There are turnaround specialists that some of the nursing home chains have, but there are also just … In many cases I'm not so sure that you wouldn't be just as dissatisfied somewhere else. … It is not a matter of just housing residents in a room and watching TV all day or lining them up in

233. In Conversation With… J. Bryan Sexton, PhD, MA | PSNet
     psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
     February 26, 2025 - In particular, aspects of safety culture like teamwork: Do you feel comfortable speaking up? … I think we're entering an era of Safety Culture 2.0. … And resilience is just the opposite. … If somebody would just fire Mark we'd be fine." … Obviously the point has been made that it's not just a checklist but relates deeply to culture and communication

234. Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. | PSNet
     psnet.ahrq.gov/issue/unacceptable-behaviours-between-healthcare-workers-just-tip-patient-safety-iceberg
     February 16, 2022 - Commentary Unacceptable behaviours between healthcare workers: just the tip of the … Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. … Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. … June 12, 2018 Creating a culture of safety in the emergency department: the value of … Health Care Executives and Administrators Psychological and Social Complications Latent Errors Culture

235. Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. | PSNet
     psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
     May 29, 2014 - Download Citation Related Resources From the Same Author(s) A just … culture after Mid Staffordshire. … May 29, 2014 'Just culture': improving safety by achieving substantive, procedural and … December 9, 2014 Just culture: who gets to draw the line?

236. About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. | PSNet
     psnet.ahrq.gov/issue/about-politeness-face-and-feedback-exploring-resident-and-faculty-perceptions-how
     June 03, 2020 - politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture … Politeness, Face, and Feedback: Exploring Resident and Faculty Perceptions of How Institutional Feedback Culture … Constructive feedback is a pillar of strong safety culture . … The authors advocate for transitioning to a culture of growth, which would shift their institution toward … a more just culture .

237. Community discharge among post-acute nursing home residents: an association with patient safety culture? | PSNet
     psnet.ahrq.gov/issue/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety
     November 04, 2020 - Community discharge among post-acute nursing home residents: an association with patient safety culture … Community discharge among post-acute nursing home residents: an association with patient safety culture … Survey on Patient Safety Culture and community discharge of long-term care (LTC) residents.  … December 9, 2020 Integrating principles of safety culture and just culture into nursing … June 20, 2011 Safety culture of nursing homes: opinions of top managers.

238. Patient safety culture in assisted living: staff perceptions and association with state regulations. | PSNet
     psnet.ahrq.gov/issue/patient-safety-culture-assisted-living-staff-perceptions-and-association-state-regulations
     June 30, 2021 - Study Patient safety culture in assisted living: staff perceptions and association … Long-term care facilities can struggle with establishing a safety culture. … Survey   to assess patient safety culture in assisted living facilities. … A PSNet perspective discusses how to change safety culture. … November 4, 2020 Integrating principles of safety culture and just culture into nursing

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46855/psn-pdf
     February 21, 2018 - Leadership and vision for a culture of safety. February 21, 2018 Gandhi TK. NEJM Catalyst. … https://psnet.ahrq.gov/issue/leadership-and-vision-culture-safety Leadership has an important role in … establishing a culture of safety in health care organizations. … Areas of focus include the importance of modeling behaviors such as transparency, adopting just culture … https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35582/psn-pdf
     June 17, 2010 - Building a safety culture. June 17, 2010 Milligan F, Dennis S. Building a safety culture. … https://psnet.ahrq.gov/issue/building-safety-culture The authors provide an introduction to British … patient safety efforts for nurses and midwives and emphasize the importance of supporting a just culture … https://psnet.ahrq.gov/issue/building-safety-culture https://psnet.ahrq.gov//#justculture