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1. Just Culture Webcast Intro (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-1-intro.pdf
   November 09, 2016 - Just Culture Webcast Intro Using Just Culture to Improve Hospital Survey on Patient Safety Culture … Exists at multiple levels: System Organization Department Unit Beliefs, values & norms Shared by … staff What is: • Rewarded • Supported • Expected • Accepted What is Just Culture? … Culture to Improve Hospital Survey on Patient Safety Culture Results Need Help? … What is Just Culture?

2. Just Culture Webcast Presentation (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
   May 01, 2007 - Just Culture Webcast Presentation University of North Carolina Health System 13 Celeste Mayer, PhD … October 48% 41% (2012) 2013 December 51% 42% (2014) 2015 October 53% 43% (2016) North Carolina Just … Culture Collaborative 2006/2007 • What it was – Partnership between the NC Quality Center and Outcome … Culture into the strategic plan – Offered Continuing Nurse Education credit for managers – Created … Culture Principles into the Corrective Action policy • Incorporating Just Culture Principles into

3. Just Culture Webcast Closing (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-3-closing.pdf
   June 01, 2017 - Just Culture Webcast Closing Updating the Hospital Survey and Nonpunitive Response to Error • HSOPS … 2.0 to be released in early 2018 – Revising the Nonpunitive Response to Error composite to reflect Just … Culture concepts 31 Nonpunitive Response to Error Response to Error • Next HSOPS database submission … Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture

4. Just Culture Webcast November 2016 (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
   June 01, 2017 - Just Culture Webcast November 2016 Using Just Culture to Improve Hospital Survey on Patient Safety … by using Just Culture initiatives. … It's the beliefs, the values, the norms shared by staff, and is what is rewarded, supported and expected … So, what is Just Culture? … Okay, so have you integrated Just Culture in physician peer review and engaged physicians in Just Culture

5. Understand Just Culture | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cusp/videos/07a-just-culture/index.html
   July 01, 2018 - Understand Just Culture CUSP Toolkit The CUSP toolkit includes training tools to make care … Understand "Just Culture" [5 min. 32 sec.]

6. Webcast: Using Just Culture To Improve Hospital SOPS Results | Agency for Healthcare Research and Quality
   www.ahrq.gov/sops/events/webinars/just-culture.html
   December 01, 2018 - Webcast: Using Just Culture To Improve Hospital SOPS Results November 9, 2016 Summary Speakers … November 9, 2016, the Agency for Healthcare Research and Quality (AHRQ) hosted a webcast featuring Just … Culture initiatives that helped improve scores on the Hospital Survey on Patient Safety Culture , particularly … Topics discussed during the webcast included strategies used to implement Just Culture in a health care … 57:40) Video: YouTube embedded video: https://www.youtube-nocookie.com/embed/a-fotF-hBWQ Using Just

7. Connecting the Dots: Improving Unit Safety Culture to Stop HAI | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
   December 01, 2017 - 7 Reporting Culture Just Culture Flexible (Teamwork) Culture Learning Culture: Effective … reporting and just cultures create atmosphere of trust Sensemaking 8 of patient safety events and … Planning: Interventions to Support Just Culture Last item “R3. … BELIEF 88% 2. … Patient Safety and the “Just Culture”: A Primer for Health Care Executives.

8. Connecting the Dots: Improving Unit Safety Culture to Stop HAI (October 8, 2013) | Agency for Healthcare Research and Quality
   www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-transcript.html
   December 01, 2017 - If you think about it, all culture, whether it's our national beliefs and behaviors, the culture of our … There are the cultures that we have within all of our organizations, our organizational culture. … We can think about reporting, just culture, flexible culture, and learning culture. … With just culture then, we just have the non-punitive response to error dimension. … Moving to slide 26 then, about just culture, I want to just point out that there's three items in this

9. Slide 1
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
   January 01, 2013 - 5 Culture is made up of the values, beliefs, underlying assumptions, attitudes and behaviors shared by … Assumptions Four Components of Safety Culture 15 Reporting Culture Just Culture Flexible (Teamwork … ) Culture Learning Culture Effective reporting and just cultures create atmosphere of trust Sense-making … Just – James Reason introduced the concept of Just Culture, which he describes as… “What is needed is … a just culture, an atmosphere of trust in which people are encouraged, even rewarded, for providing

10. Surveys on Patient Safety Culture | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/surveys-patient-safety-culture.html
    November 09, 2016 - Surveys on Patient Safety Culture AHRQ’s Surveys on Patient Safety Culture (SOPS … Hospital The Hospital Survey on Patient Safety Culture helps hospitals assess the culture of safety … The Webinar on Using Just Culture to Improve Hospital SOPS Results from November 9, 2016, features … Just Culture initiatives that helped improve scores on the Hospital Survey on Patient Safety Culture, … Topics discussed include strategies used to implement Just Culture in a health care system and how these

11. The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
    March 01, 2017 - The Culture of Culturing: The Importance of Knowing When to Order Urine Cultures The Culture of Culturing … — The Importance of Knowing When To Order Urine Cultures AHRQ Pub. … Determine when (or not) to order urine cultures—sometimes a urine culture just isn’t needed. … LONG-TERM CARE: HAIs/CAUTI Residents with urinary catheters have bacteria in their bladders—usually just … of the testes, epididymis, or prostate Purulent (pus) discharge from around the catheter We just

12. Paul Tedrick (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-transcript.doc
    October 08, 2013 - If you think about it, all culture, whether it's our national beliefs and behaviors, the culture of our … There are the cultures that we have within all of our organizations, our organizational culture. … We can think about reporting, just culture, flexible culture, and learning culture. … With just culture then, we just have the non-punitive response to error dimension. … Moving to slide 26 then, about just culture, I want to just point out that there's three items in this

13. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
    February 23, 2008 - culture is a safe culture.3 These components identify the beliefs and practices present in an organization … culture, a just culture, and a flexible culture but not for the beliefs and practices that support … Perceptions of organizational beliefs and practices that support a just culture, a flexible culture, … and practices of just, flexible, and learning cultures. … However, a reporting culture must interact with just, flexible, and learning cultures.

14. St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
    January 01, 2014 - and has been validated in many contexts and cultures," says James M. … Just culture balances nonpunitive response to errors with elements of fair and just accountability. … Officials saw that "certain dimensions of the survey are very relevant to a just culture," notes Hoffman … that is striving to implement a just culture throughout the entire institution. … As a research effort, we have developed and validated a tool to specifically measure just culture in

15. Slide 1 (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
    January 01, 2013 - Reporting Culture Just Culture Flexible (Teamwork) Culture Learning Culture Effective reporting and … just cultures create atmosphere of trust Sensemaking8 of patient safety events and high reliability result … Just – James Reason introduced the concept of Just Culture, which he describes as… “What is needed is … create cultures when they create groups and organizations. . . … (A1) BELIEF 2.

16. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
    January 01, 2024 - , flexible, and learning cultures. … Perceptions of organizational beliefs and practices that support a just culture, a flexible culture, … , flexible, and learning cultures. … reporting practices and practices that support just, flexible, and learning cultures. … , flexible, and learning cultures.

17. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
    December 01, 2017 - Culture is made up of the values, beliefs, underlying assumptions, attitudes and behaviors shared by … (Schein, 2010, pp. 24, 27) Image: Pyramid with the top level saying Behaviors, middle level Beliefs … Reporting Culture Just Culture Flexible (Teamwork) Culture Learning Culture: Effective … reporting and just cultures create atmosphere of trust Sense-making of patient safety events and high … Image: Pyramid with the following layers from top to bottom: HRO, Learning, Flexible, Just,

18. Creating an Improvement Culture (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Creating_an_Improvement_Culture_2011_10_01_Transcript.pdf
    January 01, 2011 - Creating an Improvement Culture Creating an Improvement Culture October 2011  Podcast Speaker … Having a positive organizational culture is important not just for patient experience but for all areas … Slide 13 Now if we go to the next slide, I just want to touch on a few of the service tactics. … Slide 15 If you go to the next slide, that’s just a sample of one of our service recovery coupons. … Slide 25 If you look at the next slide, I’ll just touch base on a couple of these.

19. The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
    April 01, 2017 - The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures AHRQ Safety Program … Order Urine Cultures Welcome to today's educational session on The Culture of Culturing: The Importance … Determine when (or not) to order urine cultures. … Residents with urinary catheters have bacteria in their bladders—usually just colonizing the bladder … Urinalysis Urine culture Urinalysis and antibiotics Culture and antibiotics Nothing Slide

20. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
    August 01, 2022 - Explain how Just Culture can enhance support for the CANDOR process implementation. … Therefore, promoting a culture that is fair and just is an underlying value needed to promote CANDOR … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … For more information on Just Culture, see the Apply CUSP module of the AHRQ CUSP Toolkit. … How does it support accountability in a Just Culture?