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301. Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. | PSNet
     psnet.ahrq.gov/issue/use-simulation-measure-effects-just-time-information-prevent-nursing-medication-errors
     August 04, 2021 - Study Use of simulation to measure the effects of just-in-time information to prevent … Use of Simulation to Measure the Effects of Just-in-Time Information to Prevent Nursing Medication Errors … This simulation study found that a smart phone app providing just-in-time medication administration information … Use of Simulation to Measure the Effects of Just-in-Time Information to Prevent Nursing Medication Errors … October 14, 2020 Impact of patient safety culture on missed nursing care and adverse

302. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet
     psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
     September 29, 2021 - May 15, 2024 Will prosecuting medical errors lead to a culture of silence? … March 1, 2023 Why accountability sharing in health care organizational cultures means … Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just … culture.

303. Learn Not Blame. | PSNet
     psnet.ahrq.gov/issue/learn-not-blame
     November 14, 2011 - offers materials and community opportunities to engage NHS physicians in the work required to establish just … culture throughout the system. … May 23, 2018 Medical Office Survey on Patient Safety Culture: 2018 User Database Report … More About The Topic Physicians Medicine Epidemiology of Errors and Adverse Events Culture

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34586/psn-pdf
     July 21, 2009 - Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety … Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety … /psnet.ahrq.gov/issue/sentara-norfolk-general-hospital-accelerating-improvement-focusing-building- culture-safety … recognition for their incentive programs and leadership engagement, and for successfully balancing a culture … that supports a "just" approach to error without avoiding accountability.

305. A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. | PSNet
     psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
     December 21, 2016 - Classic A multilevel analysis of U.S. hospital patient safety culture … Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting. … better understand what aspects of safety culture might affect event reporting. … culture to staff distress in nurses. … September 16, 2020 Development of the just culture assessment tool: measuring the perceptions

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41899/psn-pdf
     December 05, 2012 - countries with either local or national medication error reporting systems found that a persistent culture … /psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/blame-culture-just-culture-health-care

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60865/psn-pdf
     August 31, 2020 - Another experience that was of vital importance to me occurred just a couple of years ago when I met … That's just a fact. … feel comfortable to step up and speak up and protect patient safety, with action and not just words … culture piece. … Or is it just a paradigm shift of how your thinking of the care you are providing?

308. Safety Across The Board | PSNet
     psnet.ahrq.gov/perspective/safety-across-board
     August 31, 2020 - Another experience that was of vital importance to me occurred just a couple of years ago when I met … That's just a fact. … feel comfortable to step up and speak up and protect patient safety, with action and not just words. … This is not something where you just came in one day and started hiring nurses who fill that safety culture … Or is it just a paradigm shift of how your thinking of the care you are providing?

309. In Conversation With… Nicholas G. Castle, MHA, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
     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 … Many are temporary staff that just come in for a day here or there, that the facility might have less … So getting traction on major changes in the way things are done in nursing homes can be quite tough just … In many cases I'm not so sure that you wouldn't be just as dissatisfied somewhere else.

310. Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. | PSNet
     psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain
     November 16, 2022 - November 16, 2022 Culture change in infection control: applying psychological principles … May 18, 2022 Fostering a just culture in healthcare organizations: experiences in practice … August 18, 2021 Role of the regulator in enabling a just culture: a qualitative study

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851462/psn-pdf
     July 19, 2023 - Broken Trust: Making Patient Safety More than Just a Promise. … https://psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise Lack of accountability … This report discusses gaps in the British National Health Service patient safety culture. … https://psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise https://psnet.ahrq.gov

312. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. | PSNet
     psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
     June 24, 2020 - October 11, 2017 A just culture after Mid Staffordshire. … December 9, 2014 Just culture: who gets to draw the line?

313. Criminalization of medical error: who draws the line? | PSNet
     psnet.ahrq.gov/issue/criminalization-medical-error-who-draws-line
     June 24, 2020 - October 11, 2017 A just culture after Mid Staffordshire. … December 9, 2014 Just culture: who gets to draw the line?

314. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. | PSNet
     psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable-mistakes
     June 07, 2023 - Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just … culture. … View More See More About The Topic General Public Human Factors Engineering Just … Culture

315. Making doctors better. | PSNet
     psnet.ahrq.gov/issue/making-doctors-better
     June 15, 2016 - Annual Perspective Ensuring Patient and Workforce Safety Culture … Impact of System Failures on Healthcare Workers March 21, 2023 Just … culture: the foundation of staff safety in the perioperative environment. … May 12, 2021 A Just Culture Guide.

316. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet
     psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
     September 01, 2006 - and the chief resident just looks at me and just shakes his head (the attending couldn't see him), like … , just stay out of this . … JB: Well, the biggest thing was the culture. … My goal when I came here was to change the culture. … They just wouldn't tell you anything.

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33752/psn-pdf
     August 01, 2013 - 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

318. Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. | PSNet
     psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily-workflow
     March 17, 2021 - January 8, 2020 The role of organizational and professional cultures in medication safety … February 12, 2020 Integrating principles of safety culture and just culture into nursing … Leveraging a safety event management system to improve organizational learning and safety culture

319. Is the "Surgical Personality" a Threat to Patient Safety? | PSNet
     psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
     February 24, 2021 - 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 … 6 ) Two elements are critical to safety cultures. … For Weick, “safety cultures” seek wisdom rather than knowledge alone, couple confidence in skill with

320. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. | PSNet
     psnet.ahrq.gov/issue/culture-and-behaviour-english-national-health-service-overview-lessons-large-multimethod
     May 01, 2015 - Study Classic Culture and behaviour in the English National … Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod … Achieving an organizational safety culture is a widely espoused goal. … Culture was inconsistent across the NHS and barriers to safety culture included competing priorities, … September 24, 2014 A just culture after Mid Staffordshire.