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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33809/psn-pdf
    June 01, 2016 - 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. … The truth is that today we're getting more cross-fertilization, not just at the university level but … Just like we see in other fields, we're going to have individuals who are working in the area who are
  2. psnet.ahrq.gov/web-mm/wrong-route-nutrients
    September 04, 2010 - But just to be sure, the LPN checked with the registered nurse (RN) in charge and learned that the daughter's … Through a just culture lens, the LPN did require appropriate coaching and additional training. … Moving from a culture of blame to a culture of safety in the nursing home setting. … From the Same Author(s) Influencing leadership perceptions of patient safety through justculture training.
  3. psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
    September 24, 2024 - You just spoke to the fact that harm does happen even in organizations that have a zero-harm goal. … Safety as the core value means that the commitment to zero harm is not just some of the time, but all … Sarah Mossburg:  So having that safety culture and leader’s support of safety culture in what they say … Eric Thomas:  Yes, there is a lot more to improving safety than just goal setting. … Or it is just as likely that we are going to embark on an outpatient diagnostic evaluation.
  4. psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit
    March 09, 2011 - July 23, 2014 Gap assessment of hospitals' adoption of the just culture principles. … October 6, 2011 Hospital Survey on Patient Safety Culture: 2016 User Comparative Database … January 22, 2017 Improving patient safety: effects of a safety program on performance and culture
  5. psnet.ahrq.gov/issue/aorn-position-statement-criminalization-human-errors-perioperative-setting
    May 01, 2022 - December 17, 2018 Using good catches to promote a just culture and perioperative patient … September 14, 2016 AORN guidance statement: creating a patient safety culture.
  6. psnet.ahrq.gov/issue/nurses-role-medical-error-recovery-integrative-review
    September 28, 2005 - A strong safety culture was an important organizational enabler of effective error recovery. … August 7, 2019 Just culture: it's more than policy. … January 27, 2016 The Nurse's Role in Promoting a Culture of Patient Safety. … November 9, 2011 Nurses' perception of error reporting and patient safety culture in
  7. psnet.ahrq.gov/issue/charter-professionalism-health-care-organizations
    May 25, 2016 - A culture of organizational professionalism supports a safe environment for patients and health care … February 15, 2023 Integrating principles of safety culture and just culture into nursing … Providing feedback following Leadership WalkRounds is associated with better patient safety culture
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33712/psn-pdf
    June 01, 2011 - Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture … First of all, are they so anticipatable that we should just now expect them? … that is that organizations can start to deviate from established procedures and bend them if in their culture … The culture created at the top is more important than any number of experts that you have there. … Japan's culture made it harder to discuss the risk.
  9. psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
    June 10, 2018 - piece discusses the effects of personal behaviors and peer interactions on an organization’s safety culture … June 10, 2018 Ingestion or aspiration of foreign objects or toxic substances is not just … October 26, 2011 An anesthesiology department leads culture change at a hospital system … January 4, 2011 Improving safety culture on adult medical units through multidisciplinary
  10. psnet.ahrq.gov/issue/addressing-systemic-racism-nursing-homes-time-action
    November 18, 2020 - August 26, 2020 Patient safety culture in assisted living: staff perceptions and association … Community discharge among post-acute nursing home residents: an association with patient safety culture … June 30, 2021 Integrating principles of safety culture and just culture into nursing
  11. psnet.ahrq.gov/issue/trainee-perceptions-resident-duty-hour-restrictions-qualitative-study-online-discussion
    August 10, 2022 - Related Resources From the Same Author(s) Role of the regulator in enabling a justculture: a qualitative study in mental health and hospital care. … October 5, 2022 Predictors of response rates of safety culture questionnaires in healthcare … December 23, 2020 Dimensions of safety culture: a systematic review of quantitative, … qualitative and mixed methods for assessing safety culture in hospitals.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37281/psn-pdf
    December 23, 2011 - crime-workplace-part-1 The author discusses the dynamic between blame and accountability within the context of the justculture paradigm.
  13. psnet.ahrq.gov/web-mm/low-totem-pole
    October 01, 2003 - 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.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838258/psn-pdf
    October 05, 2022 - medication-errors-and-processes-reduce-them-care-homes-united-kingdom-scoping-review https://psnet.ahrq.gov/issue/role-regulator-enabling-just-culture-qualitative-study-mental-health-and-hospital-care
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836833/psn-pdf
    March 30, 2022 - //psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
  16. psnet.ahrq.gov/issue/whistleblowing-and-patient-safety-patients-or-professions-interests-stake
    June 10, 2020 - June 13, 2018 'Just culture': improving safety by achieving substantive, procedural and … May 25, 2016 Culture, language, and patient safety: making the link. … January 14, 2011 Improving hospital performance: culture change is not the answer.
  17. psnet.ahrq.gov/issue/ethical-issues-patient-safety-implications-nursing-management
    June 10, 2020 - October 8, 2016 Differences between professionals' views on patient safety culture in … 5, 2014 A systematic integrative review of specialized nurses' role to establish a culture … Diagnostic Safety and Quality April 26, 2023 Rooting an error review process in justculture: lessons learned.
  18. psnet.ahrq.gov/issue/detection-patient-risk-nurses-theoretical-framework
    September 24, 2010 - September 27, 2016 Influencing leadership perceptions of patient safety through justculture training. … Keeping patients safe in healthcare organizations: a structuration theory of safety culture
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33619/psn-pdf
    September 01, 2005 - A third area would be AHRQ's Hospital Survey on Patient Safety Culture—more and more organizations are … It's probably one part technology and two parts culture and workflow change. … We don't just struggle with this in patient safety, we struggle with it on the U.S. … https://psnet.ahrq.gov/issue/surveys-patient-safety-culture https://psnet.ahrq.gov/issue/surveys-patient-safety-culture … CC: I guess when I was trained as a student and resident, the culture of medicine was such that doctors
  20. psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-method-identify
    August 07, 2013 - For example, warfarin was disproportionately co-reported with communication errors just as oxycodone … December 21, 2016 Transparency, public reporting, and a culture of change to quality … November 9, 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

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