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psnet.ahrq.gov/issue/leadership-and-patient-safety-review-literature
March 29, 2023 - This narrative review highlights elements of work environments and leadership , including just culture … January 3, 2017
The relationship between patient safety culture and patient outcomes: … September 4, 2016
'Not another safety culture survey': using the Canadian patient safety … February 13, 2013
What is patient safety culture? … July 28, 2010
AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - it called “Just Culture.” … I also think that the culture is changing. … and a non-punitive culture. … What do you think is driving that increased awareness
around culture of safety and non-punitive culture … I think as a profession we're just growing.
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psnet.ahrq.gov/node/839813/psn-pdf
November 09, 2022 - Transparency, public reporting, and a culture of change
to quality and safety in cardiac surgery. … Transparency, public reporting, and a culture of change to quality
and safety in cardiac surgery. … https://psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac … https://psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery … psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture
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psnet.ahrq.gov/node/838031/psn-pdf
September 13, 2022 - Addressing the Loss of Trust in Safety Culture. …
https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture
Trust in patient safety processes … https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture
https://psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
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psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
September 14, 2022 - January 12, 2022
Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … April 12, 2023
Effect of patient safety education interventions on patient safety culture … October 12, 2022
The barriers and enhancers to trust in a just culture in hospital settings … September 30, 2020
Why accountability sharing in health care organizational cultures
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psnet.ahrq.gov/node/36966/psn-pdf
June 20, 2007 - Second Annual Nursing Leadership Congress: "Building
the Foundation for a Culture of Safety" conference … https://psnet.ahrq.gov/issue/second-annual-nursing-leadership-congress-building-foundation-culture-safety … The authors summarize sessions from an annual nurse executive conference that focused on leadership,
just … culture, disclosure, change management, and mentorship. … https://psnet.ahrq.gov/issue/second-annual-nursing-leadership-congress-building-foundation-culture-safety-conference
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psnet.ahrq.gov/issue/safety-requires-state-mindfulness
May 02, 2018 - May 7, 2018
Smart pump custom concentrations without hard "low concentration" alerts … August 9, 2023
Just Culture and its critical link to patient safety—part 1 and part 2 … Annual Perspective
Ensuring Patient and Workforce Safety Culture … Providers
Health Care Executives and Administrators
Non-Health Care Professionals
Latent Errors
Culture
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psnet.ahrq.gov/node/45565/psn-pdf
May 24, 2017 - Leading a Culture of Safety: a Blueprint for Success. … https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
Health care leadership plays an … This report
discusses how executives can develop a culture of safety in health care organizations. … Vision, trust, board
engagement, and just culture are highlighted as elements that augment safety culture … https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
https://psnet.ahrq.gov/primer/leadership-role-improving-safety
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psnet.ahrq.gov/node/33573/psn-pdf
March 15, 2025 - Two of the central tenets of a safe culture - teamwork across disciplines and a blame-free
environment … Indeed, a workplace culture that tolerates demeaning or insulting behavior is likely to be one in which … The concept of just culture provides an
appropriate foundation for dealing with disruptive behavior, … Other interventions to prevent disruptive behavior include measures to improve safety culture. … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering
December 16, 2015 - These authors discuss how four adaptive performance modes – just-in-time, just-for-now, just-in-case, … and just-this-way performance – play out in acute care settings and their relationship to Safety-II … December 16, 2015
The relationship of organizational culture, stress, satisfaction, and … to Report
March 1, 2007
The Challenger Launch Decision: Risky Technology, Culture
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - , just stay out of this . … Some of the most useful insights concern three areas: how to create a just culture that is conducive … Aviation has spent decades establishing a just culture of safety in which there are careful agreements … For example, European just culture legislation in November 2015 extended a range of legal protections … around the appropriate use of aviation safety data.( 11 ) Such just culture principles remain patchily
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psnet.ahrq.gov/issue/culture-trauma-team-relation-human-factors
February 22, 2023 - Study
The culture of a trauma team in relation to human factors. … The culture of a trauma team in relation to human factors. … They found that human factors elements play a role in supporting an effective team culture and suggest … The culture of a trauma team in relation to human factors. … October 9, 2024
System planning for modern-day Just Culture to mitigate worker distress
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psnet.ahrq.gov/issue/examination-factors-predict-perioperative-culture-safety
May 12, 2021 - Study
An examination of factors that predict the perioperative culture of safety. … An examination of factors that predict the perioperative culture of safety. … An examination of factors that predict the perioperative culture of safety. … RIS
Download Citation
Related Resources From the Same Author(s)
Just … culture: the foundation of staff safety in the perioperative environment.
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psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - It's just as critical a piece of information as their blood pressure. … JB : Do I need to say more than what you just said?
RW : Is that just it?
JB : Yes, that's it. … RW : So is it just again triage and alerting? … Organizational safety culture refers to the collective beliefs and perceptions of workers regarding the … Strategy for a National EMS Culture of Safety.
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psnet.ahrq.gov/node/37960/psn-pdf
September 24, 2010 - The concept of just culture has been proposed in order to
maintain individual accountability for unsafe … issue/acog-committee-opinion-508-disruptive-behavior
https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
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psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
September 07, 2022 - April 13, 2022
Integrating principles of safety culture and just culture into nursing … Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just … culture.
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psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
November 04, 2020 - 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 . … May 30, 2018
Leadership and vision for a culture of safety. … Hospitals
Facility and Group Administrators
Medicine
Epidemiology of Errors and Adverse Events
Culture
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psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
February 23, 2018 - Topics discussed include just culture , disclosure , and bias. … March 15, 2017
Just Culture: Restoring Trust and Accountability in Your Organization,
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - going right that seem very obvious to me, in the same ways we don't learn about how to avoid obesity just … For example, with the use of routine beta-blockers in surgery, where that technical intervention just … Is it just you've digitized this world, but it's the same kind of issues. … There are evolutionary reasons why it's difficult to change cultures, because they're there to keep coherence … This is just fluffy stuff."
The reality is that that's usually the really hard stuff.
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - The first joke I ever heard about surgeons had as its punch line: “Oh, that’s God, he just thinks he … four-handed.(2) This evolution in
the nature of surgery now means that the surgical personality is not just … The anesthesiologist voiced his belief that the surgeon had placed the device in the
pericardial space … ) Two
elements are critical to safety cultures. … A number of factors are critical if safety cultures are to become a reality rather than a rhetorical