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psnet.ahrq.gov/node/60949/psn-pdf
September 23, 2020 - Why accountability sharing in health care organizational
cultures means patients are probably safer. … https://psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-
patients-are-probably … This article discusses how implementation of just culture
principles can assign accountability appropriately … https://psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably … https://psnet.ahrq.gov/issue/human-error-medicine
https://psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part
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psnet.ahrq.gov/node/60034/psn-pdf
March 11, 2020 - Responding to unprofessional behavior by trainees - a
"just culture" framework. … Responding to Unprofessional Behavior by Trainees — A “Just
Culture” Framework. … https://psnet.ahrq.gov/issue/responding-unprofessional-behavior-trainees-just-culture-framework
This … paper discusses adapting a just culture framework to respond to unprofessional behavior in medical … Applying a ‘just culture’ framework can help
medical educators facilitate learning while fairly and
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psnet.ahrq.gov/node/33643/psn-pdf
December 01, 2006 - That is, the norms, the practices, the values, and the beliefs of the people working in a given unit, … conversation-withj-bryan-sexton-phd-ma
important information, but they're different genders, from different national cultures … That's just not the case in the cockpit. … Physicians in general are trained to
communicate in bullet points, just the headlines. … Through these
discussions, the institutions and units help each other just as much as we help them.
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psnet.ahrq.gov/node/37254/psn-pdf
January 02, 2017 - Creating a fair and just culture: one institution's path
toward organizational change. … Creating a fair and just culture: one institution's pat toward
organizational change. … https://psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational … -
change
This article describes Dana-Farber Cancer Institute’s (DFCI) efforts at creating a "Just Culture … https://psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
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psnet.ahrq.gov/issue/development-and-expression-high-reliability-organization
November 03, 2021 - organizations (HROs) and how one healthcare organization sought to become an HRO by emphasizing a culture … January 11, 2023
Rooting an error review process in just culture: lessons learned. … October 5, 2022
The barriers and enhancers to trust in a just culture in hospital settings … August 17, 2022
Integrating principles of safety culture and just culture into nursing … September 30, 2020
Why accountability sharing in health care organizational cultures
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psnet.ahrq.gov/node/60649/psn-pdf
July 01, 2020 - The differences between human error, at-risk behavior,
and reckless behavior are key to a just culture … /psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-
key-just-culture … Successful development of a just culture centers on understanding different types of flawed human … ://psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture … https://psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
https://
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psnet.ahrq.gov/node/46897/psn-pdf
October 13, 2018 - An assessment of the impact of just culture on quality
and safety in US hospitals. … An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. … https://psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
Just culture … This study examined a survey about just culture in
conjunction with Hospital Compare quality ratings … The author concludes that just culture is not sufficient to create a blame-free culture in
hospitals
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psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
October 20, 2014 - This brief commentary discusses the relationship between blame, accountability , and just culture , … December 1, 2021
Just culture: the foundation of staff safety in the perioperative environment … October 3, 2017
Creating a fair and just culture: one institution's path toward organizational … January 4, 2012
From a blame culture to a just culture in health care. … Culture
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psnet.ahrq.gov/node/47389/psn-pdf
November 02, 2018 - What 'just culture' doesn't understand about just
punishment.
November 2, 2018
Reis-Dennis S. … What 'Just Culture' doesn't understand about just punishment. … https://psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment
The concept of … /issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives … https://psnet.ahrq.gov/issue/just-culture-guide
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - That is, the norms, the practices, the values, and the beliefs of the people working in a given unit, … That's just not the case in the cockpit. … Physicians in general are trained to communicate in bullet points, just the headlines. … Establishing a Safety Culture: Thinking Small
December 1, 2006
Perspective
Safety cultures … Implementing safety cultures in medicine: what we learn by watching physicians.
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psnet.ahrq.gov/node/33658/psn-pdf
October 01, 2007 - In 2001, he wrote a seminal paper describing the concept of just culture, which
became a focal point … Just culture provides some of the
answers by controlling the system design and making it safe. … between the early thrust in patient safety toward no blame with the belief that sometimes blame is … How does the just culture concept reconcile or deal with that tension? … In the
just culture model, you identify three classes of human fallibility.
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psnet.ahrq.gov/issue/patient-safety-it-just-another-bandwagon
June 12, 2013 - Commentary
Patient safety: is it just another bandwagon? … Patient safety: is it just another bandwagon? Nurs Leadersh (Tor Ont). 2005;18(2):39-55. … Patient safety: is it just another bandwagon? Nurs Leadersh (Tor Ont). 2005;18(2):39-55. … about Patient Safety Amid Nursing Workforce Challenges
April 24, 2024
Safety culture … Providers
Health Care Executives and Administrators
Error Analysis
Nurse Staffing Ratios
Culture
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psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
February 26, 2025 - He has written several bestselling books on system failure and human error, including Just Culture, … RW : How do you think about the concept of just culture? … SD : I have always found it very difficult to define a just culture. … A just culture is a culture that balances accountability and safety. But what does that mean? … culture mechanisms, typically just.
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psnet.ahrq.gov/issue/building-safety-culture
December 21, 2014 - Commentary
Building a safety culture. … Building a safety culture. Nurs Stand. 2005;20(11):48-52. … British patient safety efforts for nurses and midwives and emphasize the importance of supporting a just … culture in the National Health Service. … Building a safety culture. Nurs Stand. 2005;20(11):48-52.
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psnet.ahrq.gov/node/865810/psn-pdf
May 08, 2024 - Reframing the morbidity and mortality conference: the
impact of a just culture. … Reframing the morbidity and mortality conference: the impact of a just
culture. … https://psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
Morbidity … culture. … https://psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
https:/
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psnet.ahrq.gov/node/838257/psn-pdf
October 05, 2022 - Fatal Solutions: How a Healthcare System Used Tragedy
to Transform Itself and Redefine Just Culture. … psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-
redefine-just-culture … psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture … psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture … psnet.ahrq.gov/issue/managing-risks-organizational-accidents
https://psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice
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psnet.ahrq.gov/node/856635/psn-pdf
January 01, 2024 - System planning for modern-day Just Culture to mitigate
worker distress and second victim response. … System planning for modern-day Just Culture to mitigate worker
distress and second victim response. … https://psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second … https://psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response … https://psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response
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psnet.ahrq.gov/node/42789/psn-pdf
December 04, 2013 - Development of the just culture assessment tool:
measuring the perceptions of health-care professionals … Development of the just culture assessment tool: measuring the
perceptions of health-care professionals … https://psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care … strategy to reduce
medical errors, growing support has emerged for the establishment of a just culture … This study sought to develop a survey that would measure individual
perceptions of just culture in a
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psnet.ahrq.gov/node/73302/psn-pdf
May 26, 2021 - KH: As you know, our conversation today is around Just Culture and thinking about it in the
context … For our audience who might not know what Just Culture is, can you just briefly
describe that, and then … KH: I think one of the big components of Just Culture in other settings is the tracking and reporting … When you talk about Just Culture and we talk about culture as defining behavior,
we've got to change … to support the Just Culture, or vice versa?
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psnet.ahrq.gov/node/864352/psn-pdf
March 13, 2024 - Creating a just culture in the perioperative setting.
March 13, 2024
Hooven K, Altmiller G. … Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. … https://psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
Fear of retaliation by leaders … This article presents strategies to improve just culture in the perioperative
environment, which is … https://psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
https://psnet.ahrq.gov/issue