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341. Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. | PSNet
     psnet.ahrq.gov/issue/independent-mortality-review-cardiac-surgery-st-georges-university-hospitals-nhs-foundation
     May 24, 2023 - Copy Citation Related Resources From the Same Author(s) Just a Cup of Tea … January 31, 2018 A Just Culture Guide. … January 23, 2017 Safety culture in cardiac surgical teams: data from five programs and

342. Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. | PSNet
     psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
     August 08, 2018 - Related Resources From the Same Author(s) Students have a key role in a culture … August 8, 2018 Just Culture and its critical link to patient safety—part 1 and part 2 … March 7, 2018 Smart pump custom concentrations without hard "low concentration" alerts … August 1, 2018 Smart pump custom concentrations without hard "low concentration" alerts

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33828/psn-pdf
     March 01, 2017 - 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 … MDW: Actually, just as we're talking it's occurring to me your intervention in the English health system … This is just fluffy stuff." The reality is that that's usually the really hard stuff.

344. Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork. | PSNet
     psnet.ahrq.gov/issue/achieving-quality-improvement-nursing-home-influence-nursing-leadership-communication-and
     September 04, 2010 - Nursing leadership that facilitated a culture of safety achieved improvements in medication error … From the Same Author(s) Influencing leadership perceptions of patient safety through just … culture training. … June 29, 2011 Safety culture of nursing homes: opinions of top managers. … August 4, 2010 Nurses' perceptions of safety culture in long-term care settings.

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33821/psn-pdf
     December 01, 2016 - Some of the most useful insights concern three areas: how to create a just culture that is conducive … Although there is general agreement about the benefits of such a culture, many health care settings … 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

346. Rethinking Patient Safety. | PSNet
     psnet.ahrq.gov/issue/rethinking-patient-safety
     April 13, 2018 - inform its discussion of key patient safety topics, including how to learn from failure and develop a culture … Copy Citation Related Resources From the Same Author(s) Just Culture: Restoring … May 16, 2018 Hospital Survey on Patient Safety Culture: 2018 User Database Report. … April 22, 2018 Strategies for Creating, Sustaining, and Improving a Culture of Safety … June 14, 2017 Leading a Culture of Safety: a Blueprint for Success.

347. ‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals | PSNet
     psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-hospital-trust
     January 29, 2020 - Initial insights discussed include the lack of a safety culture at the Trust Hospital facilitating the … March 27, 2019 The influence of organizational culture, climate and commitment on speaking … December 18, 2019 Changing hospital organisational culture for improved patient outcomes … September 28, 2022 The barriers and enhancers to trust in a just culture in hospital

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49493/psn-pdf
     November 01, 2005 - In an effort to balance error, blame, and discipline, the principles of a “just culture” have emerged … .(10) A just culture strives to balance communication and deterrence. … According to the just culture classification, he was likely culpable of an intentional rule violation … Patient Safety and the “Just Culture”: A Primer for Health Care Executives. … Creating and sustaining a culture of safety.

349. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
     psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
     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.

350. Peer Support Toolkit. | PSNet
     psnet.ahrq.gov/issue/peer-support-toolkit
     May 03, 2023 - March 5, 2014 Improving Patient Safety: The Intersection of Safety Culture, Clinician … August 26, 2020 A Just Culture Guide. … June 22, 2017 Patient safety culture and the second victim phenomenon: connecting culture … Administrators Organizational Behaviorists Psychological and Social Complications Second victims Culture

351. The organizational and intraorganizational development of disasters. | PSNet
     psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters
     May 12, 2021 - December 9, 2020 The role of organizational and professional cultures in medication safety … September 14, 2022 The barriers and enhancers to trust in a just culture in hospital … June 23, 2021 Safety culture: an integration of existing models and a framework for understanding

352. In Conversation With… Amy C. Edmondson, PhD, AM | PSNet
     psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
     February 01, 2017 - Of course, that's just not the case. … It's just not useful anymore. … The industry culture is changing. And small changes can make a big difference. … in and uptake of TeamSTEPPS abroad, especially given the wide variation in health care and national cultures … TeamSTEPPS tools and strategies—including briefs, huddles, and debriefs—to be generalizable across cultures

353. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet
     psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
     February 01, 2017 - in and uptake of TeamSTEPPS abroad, especially given the wide variation in health care and national cultures … TeamSTEPPS tools and strategies—including briefs, huddles, and debriefs—to be generalizable across cultures … Of course, that's just not the case. … It's just not useful anymore. … The industry culture is changing. And small changes can make a big difference.

354. The Impact of Communication on Medication Errors | PSNet
     psnet.ahrq.gov/web-mm/impact-communication-medication-errors
     August 01, 2009 - also understand that a patient’s sociocultural background may influence their perspective, values, beliefs … When a provider interacts with a patient, three cultures are involved in the interaction—the patient’ … s culture, the provider’s culture, and the culture of medicine—and, at times, these cultures diverge … trusting relationships and preserve dignity by asking patients and caregivers about their cultural beliefs … The patient and caregiver are thereby asked to explain, in their own words, what they have just learned

355. Inappropriate Antibiotic Use | PSNet
     psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
     September 22, 2010 - At that time, a single blood culture grew vancomycin-resistant Enterococcus faecium (VRE), as did a … This is also true if a patient was pre-treated with antibiotics, which may render the culture results … If a bacterial infection is identified, the culture and susceptibility data should be used to narrow … risk of colonization with resistant organisms and subsequent infection with resistant bacteria--not just … A urinary tract infection (not just colonization) might be signaled by persistently positive cultures

356. Managing patient safety and staff safety in nursing homes: exploring how leaders of nursing homes negotiate their dual responsibilities- a case study. | PSNet
     psnet.ahrq.gov/issue/managing-patient-safety-and-staff-safety-nursing-homes-exploring-how-leaders-nursing-homes
     September 13, 2023 - discussed the importance of communication, effective leadership, and building systems that further a culture … April 5, 2023 Tools for establishing a sustainable safety culture within maternity services … 24, 2020 View More Related Resources Surveys on Patient Safety Culture … June 8, 2022 Integrating principles of safety culture and just culture into nursing homes … About The Topic Long-Term Care Geriatrics Nurse Care Communication between Providers Culture

357. In Conversation With… Mark Graban, MS, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
     January 01, 2015 - And in collecting specimens to improve the flow instead of just focusing on cost. … huge opportunities to improve the way we manage and to engage employees in improvement, instead of just … It should be a no-blame culture. … it starts feeling like this is our new culture. … Rather, it is just another temporary phase on the upward journey to better and better performance.

358. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet
     psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
     January 01, 2015 - Rather, it is just another temporary phase on the upward journey to better and better performance. … And in collecting specimens to improve the flow instead of just focusing on cost. … It should be a no-blame culture. … It's going to take time to build up even just a basic level of comfort let alone building up trust to … it starts feeling like this is our new culture.

359. Patient safety systems for case management. | PSNet
     psnet.ahrq.gov/issue/patient-safety-systems-case-management
     December 22, 2008 - Citation Related Resources From the Same Author(s) Patient safety: it's not just … carefulness, it's a culture. … October 19, 2022 The barriers and enhancers to trust in a just culture in hospital settings

360. Time for a rebalance: psychological and emotional well-being in the healthcare workforce as the foundation for patient safety. | PSNet
     psnet.ahrq.gov/issue/time-rebalance-psychological-and-emotional-well-being-healthcare-workforce-foundation-patient
     October 07, 2020 - June 8, 2022 Patient safety culture in primary care: developing a theoretical framework … February 23, 2022 Just culture: the foundation of staff safety in the perioperative environment … May 12, 2021 Why accountability sharing in health care organizational cultures means