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Showing results for "just culture".
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  1. Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/effect-patient-safety-education-interventions-patient-safety-culture-health-care
    January 26, 2022 - Review Effect of patient safety education interventions on patient safety culture … safety culture in many hospitals. … August 2, 2023 Requirements for implementing a 'just culture' within healthcare organisations … March 29, 2023 Rooting an error review process in just culture: lessons learned. … September 30, 2020 Why accountability sharing in health care organizational cultures

  2. Psn-Pdf (pdf file)

    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

  3. Psn-Pdf (pdf file)

    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

  4. Psn-Pdf (pdf file)

    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://

  5. Psn-Pdf (pdf file)

    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

  6. Psn-Pdf (pdf file)

    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

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41449/psn-pdf
    February 13, 2019 - Just Culture and its critical link to patient safety—part 1 and part 2. … https://psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part-1-and-part-2 This … to help hospitals assess their safety and establish a just culture. … https://psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part-1-and-part-2 https … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

  8. Development and expression of a high-reliability organization. | PSNet

    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

  9. Getting it right when things go wrong. | PSNet

    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

  10. Psn-Pdf (pdf file)

    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.

  11. Psn-Pdf (pdf file)

    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.

  12. (“Apply CUSP” cover slide with CUSP Toolkit logo)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/applycusp.pptx
    August 18, 2011 - Culture principles can augment CUSP 2 Introduce Just Culture principles 2 Introduction to Just … Culture Principles 3 3 Understand Just Culture 4 4 Just Culture1 A system that: Holds itself … : Transparency is impossible Blame-Free Culture: No accountability Just Culture: Optimally supports a … system of safety 10 11 Leadership Team’s Role in Applying Just Culture Principles Have a procedure … Just Culture. Plano, TX: Outcome Engineering; 2011 (Adapted from) Dayton E, Henricksen K.

  13. Just in Time Training: CHG Cloth and Mupirocin (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-mupirocin.docx
    March 01, 2022 - Just in Time Training: CHG Cloth and Mupirocin Decolonization of Non-ICU Patients With Devices Section … 11-1 – Just in Time Training: Chlorhexidine Cloth Bathing or Showering Plus Mupirocin What Is Targeted … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening test, or clinical culture

  14. Psn-Pdf (pdf file)

    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

  15. Psn-Pdf (pdf file)

    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:/

  16. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
    May 01, 2023 - Just Culture a. … provides links to ways to engage in 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

  17. Psn-Pdf (pdf file)

    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

  18. Building a Safety Program in a Vast Health Care Network | PSNet

    psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
    March 01, 2019 - After developing a toolkit and workshop series focused on managing within a just culture, more than 1000 … Institution of just culture physician peer review in an academic medical center. … Fair and just culture, team behavior, and leadership engagement: the tools to achieve high reliability … that they were a dot-com and we were a dot-org and that explained many of the different practices and beliefs … April 24, 2018 Institution of just culture physician peer review in an academic medical

  19. Developing a reporting culture: learning from close calls and hazardous conditions. | PSNet

    psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-conditions
    February 26, 2025 - Sentinel Event Alerts Developing a reporting culture: learning from close calls and … Citation Text: Developing a reporting culture: Learning from close calls and hazardous conditions. … It highlights bright spots: organizations that use a just culture approach to investigating errors, … Perspective reviewed the context of the no-blame movement and the recent shift toward a framework of a just … culture.

  20. Just in Time Training: CHG Liquid and Mupirocin (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-liquid-mupirocin.docx
    March 01, 2022 - Just in Time Training: CHG Liquid and Mupirocin Decolonization of Non-ICU Patients With Devices Section … 11-2 – Just-in-Time Training: Chlorhexidine Basin Bathing or Showering Plus Mupirocin What Is Targeted … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening tests, or clinical culture
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