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381. Diagnostic error in the emergency department: follow up of patients with minor trauma in the outpatient clinic. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-emergency-department-follow-patients-minor-trauma-outpatient-clinic
     November 15, 2023 - November 15, 2023 Fostering a just culture in healthcare organizations: experiences in … January 7, 2015 Role of the regulator in enabling a just culture: a qualitative study

382. Pharmacists’ perceptions of error reporting systems. | PSNet
     psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-systems
     November 09, 2016 - The authors suggest that a switch from a compliance-based culture to a just culture , where workers … June 7, 2023 Development of a high-value care culture survey: a modified Delphi process … September 20, 2023 Creating a stronger culture of safety within US community pharmacies

383. Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. | PSNet
     psnet.ahrq.gov/issue/room-resilience-qualitative-study-about-accountability-mechanisms-relation-between-work-done
     August 31, 2022 - Download Citation Related Resources From the Same Author(s) Fostering a just … culture in healthcare organizations: experiences in practice. … August 31, 2022 Role of the regulator in enabling a just culture: a qualitative study

384. Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. | PSNet
     psnet.ahrq.gov/issue/implementation-barcode-medication-administration-bmca-technology-infusion-pumps-operating
     April 12, 2019 - November 15, 2023 Fostering a just culture in healthcare organizations: experiences in … February 4, 2009 Role of the regulator in enabling a just culture: a qualitative study

385. Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. | PSNet
     psnet.ahrq.gov/issue/association-between-workarounds-and-medication-administration-errors-bar-code-assisted
     August 26, 2020 - December 29, 2014 Fostering a just culture in healthcare organizations: experiences in … August 31, 2022 Role of the regulator in enabling a just culture: a qualitative study

386. Do professionalism lapses in medical school predict problems in residency and clinical practice? | PSNet
     psnet.ahrq.gov/issue/do-professionalism-lapses-medical-school-predict-problems-residency-and-clinical-practice
     February 15, 2017 - Unprofessional behavior   adversely impacts a culture of safety and can contribute to adverse events. … April 14, 2021 What 'just culture' doesn't understand about just punishment.

387. Improving nursing unit teamwork. | PSNet
     psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
     January 18, 2011 - January 10, 2011 Integrating principles of safety culture and just culture into nursing … September 24, 2010 Safety culture of nursing homes: opinions of top managers. … Related Resources Decreasing surgical site infections by developing a high reliability culture … November 9, 2011 Nurses' and nursing assistants' perceptions of patient safety culture

388. SafetyNet: Lessons Learned from Close Calls in the OR. | PSNet
     psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or
     October 28, 2020 - October 28, 2020 An examination of factors that predict the perioperative culture of … June 9, 2021 Just culture: the foundation of staff safety in the perioperative environment … June 11, 2014 Creating a culture of safety by using checklists.

389. Combined SNA and LDA methods to understand adverse medical events | PSNet
     psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
     November 15, 2023 - April 20, 2022 Fostering a just culture in healthcare organizations: experiences in practice … 2020 The impact of post-fall huddles on repeat fall rates and perceptions of safety culture

390. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet
     psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
     March 01, 2017 - Contemplate culture. … culture of a given organization and its subunits. … Creating a culture of safety requires leading differently. … can undermine their ability to affect lasting change and create a learning orientation by focusing on just … We all have beliefs, assumptions, and values that shape the way we select and interpret data.( 3 ) As

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33875/psn-pdf
     March 01, 2019 - that they were a dot-com and we were a dot-org and that explained many of the different practices and beliefs … SH: My opinion is that every hospital develops its own culture and its own operating system. … —just as if a hospital were initiating a new EHR on its own independent of a merger. … There is so much to be said for just sitting at the labor floor desk. … This PSA [professional services agreement] thing is just enormous.

392. Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. | PSNet
     psnet.ahrq.gov/issue/using-participatory-design-engage-physicians-development-provider-level-performance-dashboard
     October 28, 2020 - December 2, 2020 Development and validation of a brief culture-of-safety survey. … December 1, 2021 Institution of just culture physician peer review in an academic medical … September 30, 2020 Why accountability sharing in health care organizational cultures

393. In Conversation with...Brent C. James, MD, MStat | PSNet
     psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
     February 26, 2025 - But we built from there and just started to expand out. … Yet you and others have written about the culture of medicine being so individualistic. … Now I would argue that this is the core of that culture. … We got to talking about exactly the issue that you just raised, the culture. As Dr. … But for adult learners this is just absolutely critical.

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49495/psn-pdf
     December 01, 2005 - Subsequent urine cultures were negative. … Consider the lowest person in the hierarchy of a hospital, perhaps a young ward clerk (it could just … It was just a paperwork snafu, and the patient really was supposed to go to surgery. … Do her colleagues snicker at her, whispering just out of earshot during coffee breaks, while the surgical … Hospital Survey on Patient Culture.

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33635/psn-pdf
     July 01, 2006 - culture, which includes the disclosure of harm to patients and the human-resource aspects of assessing … There's just no question. … If you have outstanding leadership, you can make places like that just shine. … One must spend time on molding new ideas to a well- established culture. … Fair and Just Culture, Teamwork and Communication Training, and leadership engagement all work to make

396. Improving operating room safety. | PSNet
     psnet.ahrq.gov/issue/improving-operating-room-safety
     May 17, 2023 - training program focused on preoperative briefings resulted in an improvement in operating room safety culture … August 19, 2020 Influencing leadership perceptions of patient safety through just culture … Keeping patients safe in healthcare organizations: a structuration theory of safety culture

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33831/psn-pdf
     April 01, 2017 - The second is safety culture. … Just do it the way I said." … Their culture is completely different. … That changes their culture. … Also, zero harm is not just getting rid of complications.

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33755/psn-pdf
     September 01, 2013 - Contemplate culture. … culture of a given organization and its subunits. … Creating a culture of safety requires leading differently. … undermine their ability to affect lasting change and create a learning orientation by focusing on just … ref7 https://psnet.ahrq.gov//#ref8 https://psnet.ahrq.gov//#ref9 https://psnet.ahrq.gov//#ref10 have beliefs

399. Interpreting the Patient Safety Literature | PSNet
     psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
     June 01, 2005 - Safety culture assessment: a tool for improving patient safety in healthcare organizations. … 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 … PP: Unequivocally, they should start with culture change. … It simply says, measure your culture (we use J.

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49799/psn-pdf
     July 01, 2017 - Delayed Recognition of a Positive Blood Culture July 1, 2017 Doernberg S. … Delayed Recognition of a Positive Blood Culture. PSNet [internet]. 2017. … just over 80% of blood cultures with gram-positive rods, are contaminants.(10,11) The most commonly … Contaminant blood cultures and resource utilization. … Don't perform urinalysis, urine culture, blood culture or C. difficile testing unless patients have