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81. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - 21 Just Culture Seeks middle ground between historical “shame/blame-bad apple” approach and “blame-free … Culture. … Just Culture principles are a crucial accompaniment to the CANDOR process framework and will spark the … If a Just Culture is so important to an organization’s culture, why do we still focus on blame? … In a Just Culture, not only is shared responsibility the norm, but a commitment to eliminating the possibility

82. Resource List - AHRQ Nursing Home Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
    April 01, 2023 - Just Culture a. … provides links to ways to engage and teach about a Just Culture, execute a Just Culture, and Evaluate … a Just Culture. … Nursing 2015 Just Culture Toolkit https://nursing2015.wordpress.com/blue-team/blue-team-documents/just-culture-tool-kit … - building/ This website provides a definition of Just Culture, presentations on Just Culture, a case

83. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - A Just Culture supports disclosure and learning from errors and encourages viewing every event as an … This element supports the creation of just culture. … Improved culture of safety as a result of open, fair, and just management of individual and system issues … More information on Just Culture can be found in the Apply CUSP module of the AHRQ CUSP Toolkit. … to a systems approach to Event Investigation and Analysis supports a Just Culture.

84. Previous Announcements About SOPS Surveys | Agency for Healthcare Research and Quality
    www.ahrq.gov/sops/news/previous-announcements.html
    March 01, 2025 - Updated AHRQ Surveys on Patient Safety Culture Action Planning Tool AHRQ Surveys on Patient Safety Culture … Hospitals can administer the items at the end of the SOPS Hospital Survey 2.0, just before the background … Medical offices can administer the items at the end of the SOPS Medical Office Survey, just before the … Why Choose the AHRQ Surveys on Patient Safety Culture?   … Shifting to a “Just Culture” framework to assess  Response to Error.

85. Prologue | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/prologue.html
    August 01, 2017 - Transparency between and among medical colleagues and a supportive just culture 1 are also central aspects … Introduction to the Just Culture. What is just culture? Outcome Engenuity Web site. … Available at https://www.outcome-eng.com/david-marx-introduces-just-culture/ . … See for example the Survey on Patient Safety Culture Database. … Available at https://www.ahrq.gov/topics/topic-survey-on-patient-safety-culture-database.html .

86. Facilitator Guide: Overview of the Improvement Model (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
    December 01, 2017 - Adaptive work addresses the attitudes, beliefs, and values of clinicians that drive behaviors, norms, … This ensures we address the local values, attitudes, and beliefs that drive our actions. … Just finding the time to meet can be difficult. … Notice that “right” is in quotation marks, because a just or “right” culture sends the signal that safety … Alternatively, in cultures where the “right” thing to do is to get people in and out of beds as fast

87. Program Overview: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
    December 01, 2017 - Adaptive work addresses the attitudes, beliefs, and values of clinicians that drive behaviors, norms, … This ensures we address the local values, attitudes, and beliefs that drive our actions. … Just finding the time to meet can be difficult. … Notice that “right” is in quotation marks, because a just or “right” culture sends the signal that safety … Alternatively, in cultures where the “right” thing to do is to get people in and out of beds as fast

88. Overcoming Mindsets | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/mindsets.html
    April 01, 2022 - Overcoming Mindsets It can be difficult to address your staff’s underlying attitudes and beliefs … With time, effort, and shared understanding, your team can change those attitudes and beliefs to create … a stronger safety culture. … Engaging Physicians in Preventing CLABSI and CAUTI (PDF, 286.2 KB) Making It Work – Overcoming the "Just … ; Transcript , PDF, 304.5 KB) Audio interview with David Thompson – How To Address Attitudes and Beliefs

89. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/module-3-slides.pptx
    March 01, 2017 - 2017 1 Objectives Cite staff empowerment concepts Discuss how staff empowerment contributes to a culture … Leader support and teams Communication and information sharing Positive reinforcement Confidence Just … | 25 PLAY VIDEO Video 3.5: Just Culture and Open Communication - https://youtu.be/WdN-WdWKduU Video … 3.5: Just Culture and Open Communication 25 Barriers to Staff Empowerment10 Lack of senior leader support … Just Culture, Healthcare Services Overview.

90. Module 3: Staff Empowerment | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-slides.html
    March 01, 2017 - Just Culture. … Culture 8,9 Mission, values, and expectations. … Just Culture, Healthcare Services Overview . Outcome Engineering; 2012. 9. CUSP Toolkit . … Slide 25: A Just Culture Image: Indicating a video on the slide PLAY VIDEO Video 3.5: Just Culture … Just Culture, Healthcare Services Overview . Outcome Engineering; 2012. CUSP Toolkit .

91. Faclearncusp (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
    January 01, 2009 - Introduce Just Culture principles, 2. Learn how Just Culture principles can augment CUSP, and 3. … A Just Culture learning environment allows the review of both system design and the employee’s choice … David Marx developed the Just Culture framework based on risk management concepts from high-reliability … Shared responsibility is the norm in a Just Culture, and a commitment to eliminating the possibility … of error is widespread within a Just Culture.

92. Paul Tedrick (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
    May 13, 2014 - to the urinary catheter culture. … And it’s really a set of values and beliefs that guide actions and decisions. … What are the values and the beliefs of your unit about urinary catheters and how does that guide actions … what are the values and beliefs about the indications, about insertion and maintenance, and about removal … And again, that way we can change the values and beliefs about urinary catheters that guides our actions

93. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
    December 01, 2017 - to the urinary catheter culture. … And it's really a set of values and beliefs that guide actions and decisions. … What are the values and the beliefs of your unit about urinary catheters and how does that guide actions … what are the values and beliefs about the indications, about insertion and maintenance, and about removal … And again, that way we can change the values and beliefs about urinary catheters that guides our actions

94. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/liability/waever.html
    August 01, 2017 - unanticipated issues. 4,6 However, limited empirical work examines linkages between organizational cultures … not fully reflected in existing culture measurement tools include aspects of “just culture,” such as … Recommendation 4: Examine sub-cultures and clearly define the perspective your metric is asking respondents … physicians, nurses, and administrators on several dimensions. 15 , 37,38 Despite documentation of sub-cultures … Just culture: Balancing safety and accountability. London, United Kingdom: Ashgate; 2007. 32.

95. Module 3: Staff Empowerment: Material Use Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/guide.html
    March 01, 2017 - Discuss how staff empowerment contributes to a culture of resident safety, leading to improved outcomes … Video 3.3: Positive Reinforcement Video 3.4: Collaborative Trust and Confidence Video 3.5: Just … Culture and Open Communication Barriers to Staff Empowerment Slide 26 Key Concepts … Teamwork and Support, Open Communication, Positive Reinforcement, Collaborative Trust and Confidence, A Just … , Open Communication video, Positive Reinforcement video, Collaborative Trust and Confidence video, Just

96. Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/guide.docx
    March 01, 2017 - Learning Objectives: · Cite staff empowerment concepts · Discuss how staff empowerment contributes to a culture … Communication · Video 3.3: Positive Reinforcement · Video 3.4: Collaborative Trust and Confidence · Video 3.5: Just … Culture and Open Communication Barriers to Staff Empowerment · Slide 26 Key Concepts Review · Slide … Teamwork and Support, Open Communication, Positive Reinforcement, Collaborative Trust and Confidence, A Just … , Open Communication video, Positive Reinforcement video, Collaborative Trust and Confidence video, Just

97. Final Progress Report: Safety Culture Research: Ways to improve existing methods (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
    January 01, 2024 - but many smaller leader/professional driven cultures. … the negatively worded questions is shifting the focus of the nonpunitive response to error over to a just … • Complex adaptive systems: We need to consider that measures do not just function as measures; they … data, how to get it back to the community, and how to follow up on it with the goal being to avoid just … o Qualitative methods can yield more than just the surveys in terms of feedback and can be an intervention

98. Action Planning for the SOPS Surveys Webcast Transcript (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
    June 01, 2019 - Just briefly mention relative to our conversation today about patient safety culture that topic has … Just a little bit more detail, I mentioned that the Steering Committee is focused on culture and along … with culture, leadership, so it relates to the last question that Naomi just answered about leadership … I think the committee has recognized culture and leaderships' responsibility for setting the right culture … Again, one is leadership and culture. The second is also represented within culture.

99. Resource List - AHRQ Medical Office Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
    April 01, 2023 - Just Culture a. … provides links to ways to engage and teach a Just Culture, execute a Just Culture, and evaluate a Just … Nursing 2015 Just Culture Toolkit https://nursing2015.wordpress.com/blue-team/blue-team-documents/just-culture-tool-kit … - building/ This website provides a definition of Just Culture, presentations on Just Culture, a … Just Culture 5. Living a Culture of Patient Safety Policy and Brochure 6.

100. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - Culture. … Just Culture principles are a crucial accompaniment to the CANDOR process framework and will spark the … If a Just Culture is so important to an organization’s culture, why do we still focus on blame? … In a Just Culture, not only is shared responsibility the norm, but a commitment to eliminating harm resulting … from error is widespread within the culture.