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401. The patient safety battles—put on your armor. | PSNet
     psnet.ahrq.gov/issue/patient-safety-battles-put-your-armor
     July 14, 2010 - Cause Analysis February 26, 2025 Our long journey towards a safety-minded just … culture. … April 29, 2018 Intolerance of error and culture of blame drive medical excess. … November 23, 2016 Measuring safety culture in healthcare: a case for accurate diagnosis … Risk Managers Quality and Safety Professionals Organizational Behaviorists Policy Makers Culture

402. Raising the index of suspicion: red flags that represent credible threats to patient safety. | PSNet
     psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
     February 13, 2019 - Copy Citation Related Resources From the Same Author(s) Just Culture and … September 26, 2016 Students have a key role in a culture of safety: analysis of student-associated … View More Related Resources Professionalism: a necessary ingredient in a culture … September 19, 2016 Promoting a culture of safety as a patient safety strategy: a systematic … June 6, 2012 Improving safety culture on adult medical units through multidisciplinary

403. Learning in radiation oncology: 12-month experience with a new incident learning system. | PSNet
     psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system
     February 16, 2022 - This study aimed to assess staff reporting patterns and perspectives on safety culture after implementing … Post-implementation, 92% of staff felt the department practiced a no-blame culture, and nearly half thought … Related Resources From the Same Author(s) Evaluating incident learning systems and safety culture … Topic Ambulatory Care Medical Oncology Institutional Reporting Root Cause Analysis Just … Culture

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33706/psn-pdf
     February 01, 2011 - 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.

405. Fragmented: A Doctor's Quest to Piece Together American Health Care. | PSNet
     psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care
     October 05, 2022 - Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just … Culture. … October 5, 2022 Building a Culture of Patient Safety Through Simulation: An Interprofessional … January 16, 2025 Occupational Health and Organizational Culture within a Healthcare Setting

406. Whack-a-Mole: The Price We Pay For Expecting Perfection. | PSNet
     psnet.ahrq.gov/issue/whack-mole-price-we-pay-expecting-perfection
     May 24, 2015 - concepts of error, system design, and behavioral choice in relation to blame, accountability, and a just … May 24, 2015 View More Related Resources Culture as a Cure: Assessments … of Patient Safety Culture in OECD Countries. … July 8, 2013 Building a Culture of Patient Safety: Report of the Commission on Patient … About The Topic Health Care Executives and Administrators Legal and Policy Approaches Culture

407. Hospital safety climate surveys: measurement issues. | PSNet
     psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues
     December 16, 2009 - This review discusses the role of safety culture surveys in assessing safety climate at the unit and … March 24, 2011 Measuring safety culture in healthcare: a case for accurate diagnosis. … January 14, 2015 'I think we should just listen and get out': a qualitative exploration … December 12, 2014 Hospital Survey on Patient Safety Culture: 2009 Comparative Database … November 24, 2010 Hospital Survey on Patient Safety Culture: 2010 User Comparative Database

408. Am I my brother's keeper? A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent colleagues. | PSNet
     psnet.ahrq.gov/issue/am-i-my-brothers-keeper-survey-10-healthcare-professions-netherlands-about-experiences
     June 25, 2014 - November 15, 2023 Fostering a just culture in healthcare organizations: experiences in … October 6, 2021 Role of the regulator in enabling a just culture: a qualitative study

409. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective | PSNet
     psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
     June 01, 2016 - Successfully receiving CPPS recognition is rewarding and is consistent with my longstanding belief in … Culture. … It wasn't just the notion that culture has an impact on safety, but that it could be quantified or measured … Just focusing on joy and meaning without really looking at culture and leadership is also going to be … And that's not just physicians; the same is true of nursing.

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33783/psn-pdf
     April 01, 2015 - LL: In a sense it's a mix—I think they fell prey to the belief that checklists are a simple thing. … you just do this one thing. … Why can't you just make it happen? … It just is not simple. … Finally, I think the culture change we seek will happen faster than we expect.

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48154/psn-pdf
     July 31, 2019 - offers materials and community opportunities to engage NHS physicians in the work required to establish just … culture throughout the system.

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49402/psn-pdf
     June 01, 2003 - At that time, a single blood culture grew vancomycin-resistant Enterococcus faecium (VRE), as did a … A repeat blood culture grew VRE, which necessitated removal and re-placement of yet another central … 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

413. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. | PSNet
     psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
     April 08, 2011 - March 2, 2011 View More Related Resources Safety culture across … cultures. … August 31, 2016 'Just culture': improving safety by achieving substantive, procedural

414. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. | PSNet
     psnet.ahrq.gov/issue/outcomes-michigan-medicines-integrated-patient-safety-and-communication-and-resolution
     April 24, 2018 - View More Related Resources A mixed methods study exploring patient safety culture … March 1, 2023 Why accountability sharing in health care organizational cultures means … More About The Topic Hospitals Hospital Medicine Nurse Care Malpractice Litigation Just … Culture View More

415. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
     April 26, 2023 - 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.

416. Help your patient "get" what you just said: a health literacy guide. | PSNet
     psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide
     December 18, 2014 - Commentary Help your patient "get" what you just said: a health literacy guide. … Help your patient "get" what you just said: a health literacy guide. … Help your patient "get" what you just said: a health literacy guide. … View More Related Resources WebM&M Cases Culture

417. In Conversation With… Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-lucian-leape-md
     June 12, 2019 - LL : In a sense it's a mix—I think they fell prey to the belief that checklists are a simple thing. … you just do this one thing. … Why can't you just make it happen? … It just is not simple. … Finally, I think the culture change we seek will happen faster than we expect.

418. Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? | PSNet
     psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
     October 16, 2024 - March 27, 2024 Just culture: the foundation of staff safety in the perioperative environment … Related Resources Hospital cultural competency and attributes of patient safety culture … More See More About The Topic Risk Managers Policy Makers Public Health Culture

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43571/psn-pdf
     October 01, 2014 - Following evidence that walkrounds improved safety culture, this practice became widely endorsed by … highlighting that failure to follow up on concerns raised may actually erode, rather than enhance, safety culture … effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units https://psnet.ahrq.gov/primer/culture-safety … https://psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences

420. AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. | PSNet
     psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary
     October 23, 2019 - According to the Agency for Healthcare Research and Quality (AHRQ), HAC rates decreased by just over … May 30, 2018 Medical Office Survey on Patient Safety Culture: 2018 User Database Report … May 2, 2018 Hospital Survey on Patient Safety Culture: 2018 User Database Report. … August 20, 2018 Hospital Survey on Patient Safety Culture: 2018 User Database Report. … May 2, 2017 Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database