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461. We're not your enemy: an appeal from a consumer to re-imagine tort reform. | PSNet
     psnet.ahrq.gov/issue/were-not-your-enemy-appeal-consumer-re-imagine-tort-reform
     March 27, 2005 - Employee safety climate and patient safety culture in health care. … September 11, 2019 Our long journey towards a safety-minded just culture. … March 17, 2010 Blame culture and defensive medicine.

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37196/psn-pdf
     June 06, 2018 - fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer

463. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
     February 26, 2025 - But they just were not being listened to. … High reliability and safety culture are fragile, and they need to be re-accomplished. … So let us just do them all together, and that will make us highly reliable. … We are not measuring individuals perceptions; we cannot just survey a wide array of physicians. … One thing that came out of COVID was a pretty consistent finding that safety culture eroded.

464. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
     February 26, 2025 - But they just were not being listened to. … High reliability and safety culture are fragile, and they need to be re-accomplished. … So let us just do them all together, and that will make us highly reliable. … We are not measuring individuals perceptions; we cannot just survey a wide array of physicians. … One thing that came out of COVID was a pretty consistent finding that safety culture eroded.

465. A pinpoint beam strays invisibly, harming instead of healing. | PSNet
     psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
     March 09, 2011 - September 3, 2011 Gap assessment of hospitals' adoption of the just culture principles … March 23, 2009 In just a flash, simple surgery can turn deadly.

466. Wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/wrong-site-surgery-1
     September 02, 2020 - May 26, 2021 Development and validation of a brief culture-of-safety survey. … July 7, 2021 Safety culture as a patient safety practice for alarm fatigue. … comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture … September 2, 2020 Association between hospital safety culture and surgical outcomes in … May 23, 2018 A hospital is not just a factory, but a complex adaptive system—implications

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33826/psn-pdf
     February 01, 2017 - Of course, that's just not the case. … It's just not useful anymore. … RW: Talk a little bit about the overarching org chart and management leadership culture you found in … In health care you have a unique overlay, the culture of physicians, the craftsman piece. … The industry culture is changing. And small changes can make a big difference.

468. Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review. | PSNet
     psnet.ahrq.gov/issue/factors-associated-potentially-harmful-medication-prescribing-nursing-homes-scoping-review
     September 27, 2016 - October 28, 2020 Integrating principles of safety culture and just culture into nursing … January 12, 2022 Patient safety culture in assisted living: staff perceptions and association … 30, 2022 View More Related Resources Surveys on Patient Safety Culture

469. The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. | PSNet
     psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
     September 19, 2016 - Download Citation Related Resources From the Same Author(s) Patient safety culture … and the second victim phenomenon: connecting culture to staff distress in nurses. … September 23, 2020 A multilevel analysis of U.S. hospital patient safety culture relationships … September 16, 2020 Development of the just culture assessment tool: measuring the perceptions

470. A human right-based approach to dealing with adverse events in residential care facilities. | PSNet
     psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
     May 27, 2011 - July 25, 2008 Effect of interventions to improve safety culture on healthcare workers … July 13, 2022 Integrating principles of safety culture and just culture into nursing … January 12, 2022 Differences between professionals' views on patient safety culture in

471. Does Nursing Home Compare reflect patient safety in nursing homes? | PSNet
     psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes
     February 10, 2015 - September 20, 2011 View More Related Resources Patient safety culture … May 3, 2022 Integrating principles of safety culture and just culture into nursing homes … March 11, 2020 Perceived patient safety culture in nursing homes associated with "Nursing

472. Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. | PSNet
     psnet.ahrq.gov/issue/enhancing-safety-reporting-adult-ambulatory-oncology-clinician-champion-practice-innovation
     January 05, 2017 - January 5, 2017 Creating a fair and just culture: one institution's path toward organizational … and Quality April 26, 2023 Evaluating incident learning systems and safety culture … May 11, 2011 Assessing and improving safety culture throughout an academic medical centre

473. Systemic failures in health care oversight. | PSNet
     psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
     July 05, 2006 - March 14, 2018 Just Culture, Medication Error Prevention, and Second Victim Support: … January 15, 2025 AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New … February 28, 2024 Occupational Health and Organizational Culture within a Healthcare

474. The Economics of Patient Safety: Strengthening a Value-based Approach to Reducing Patient Harm at National Level. | PSNet
     psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
     May 02, 2018 - October 7, 2020 Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries … November 19, 2018 Our long journey towards a safety-minded just culture.

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38108/psn-pdf
     September 30, 2014 - no-more-blame-shame-developing-event-reporting-systems-may-go-long-way- reducing-patient-care This article describes how applying a just … culture and systems approach to adverse events may help change the "blame-and-shame" mentality in emergency

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47241/psn-pdf
     October 10, 2018 - In a single hospital, a 4-hour training on high reliability and just culture for registered nurses did

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33843/psn-pdf
     October 01, 2017 - The problem, however, is that the culture of the institutions is not changing. … JS: Just starting to. … But you also have to create the culture that it's okay to use it. … That's how you create that culture. … That's part of the culture.

478. The impact of errors on healthcare professionals in the critical care setting. | PSNet
     psnet.ahrq.gov/issue/impact-errors-healthcare-professionals-critical-care-setting
     October 27, 2021 - The impact of COVID-19 response on central line associated bloodstream infections and blood culture … October 3, 2013 The effect of the fit between organizational culture and structure on … August 28, 2019 Second victims need emotional support after adverse events: even in a just … safety culture. … May 11, 2011 What is patient safety culture? A review of the literature.

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43301/psn-pdf
     May 01, 2015 - Some studies have shown that walkrounds can improve safety culture, but both randomized trials and qualitative … walkrounds-practice-corrupting-or-enhancing-quality-improvement-intervention-qualitative https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds https://psnet.ahrq.gov/primer/culture-safety … effectiveness-management-walking-around-randomized-field-study https://psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences

480. In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace | PSNet
     psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
     October 31, 2023 - nothing will change or improve, even if they put time and effort into reporting incidents, and this belief … because they’re just so overwhelmed in some situations. … Sarah Mossburg: You just mentioned access to security. … Underreporting of workplace violence incidents may be due to healthcare workers’ beliefs that violence … is an expected part of the job, beliefs that no action will be taken against perpetrators of violence