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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
September 01, 2015 - We also have our
Nursing Home Patient Safety Culture, the Medical Office Survey Culture and Community … It’s the beliefs, it’s the
values and the norms that they share. … about how
12
we’re doing and just continue what we’re doing and just enjoy the process of taking … They’re just busy, and that’s just something that they -- one thing else they have to do. … This was merely just a pilot to refine the Ambulatory Surgery
Center Survey on Patient Safety 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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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - Just Culture
a. … a Just Culture toolkit that
introduces the main concepts of Just Culture, ways to implement, and case … Just Culture Decision Support Tool
https://www.patientsafety.va.gov/docs/Just-Culture-Decision-Support-Tool … 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
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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
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psnet.ahrq.gov/node/39113/psn-pdf
November 18, 2009 - From a blame culture to a just culture in health care. … From a blame culture to a just culture in health care. … https://psnet.ahrq.gov/issue/blame-culture-just-culture-health-care
This article argues that a deep … https://psnet.ahrq.gov/issue/blame-culture-just-culture-health-care
https://psnet.ahrq.gov//#bluntend … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
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psnet.ahrq.gov/node/45028/psn-pdf
May 25, 2016 - 'Just culture': improving safety by achieving substantive,
procedural and restorative justice. … ‘Just culture:’ Improving safety by achieving substantive, procedural and
restorative justice. … https://psnet.ahrq.gov/issue/just-culture-improving-safety-achieving-substantive-procedural-and-restorative … -
justice
A just culture balances organizational context with appropriate accountability after an error … This
commentary outlines moral and safety issues that just culture approaches should address to build
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Just Culture
a. … -
building/
This website provides a definition of Just Culture, presentations on Just Culture, a case … provides links to ways to engage in and teach about a Just Culture, execute a
Just Culture, and evaluate … a Just Culture. … resources and videos on Just Culture.
4.
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psnet.ahrq.gov/node/73968/psn-pdf
October 13, 2021 - Institution of just culture physician peer review in an
academic medical center. … Institution of just culture physician peer review in an academic
medical center. … https://psnet.ahrq.gov/issue/institution-just-culture-physician-peer-review-academic-medical-center … Culture peer
review algorithm to identify opportunities for system improvements. … https://psnet.ahrq.gov/issue/institution-just-culture-physician-peer-review-academic-medical-center
https
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
January 01, 2014 - Famolaro, Slide 8
Just specifically, the medical office survey was designed to measure the culture of … It assesses staff and provider attitudes and beliefs about patient safety. … Just to be
brief on this slide, I’m just going to point out some large differences in percent positive … Famolaro, Slide 23
So, let’s go on -- and just as a reminder you can download this information, I just … Do you ever focus on one domain at a time or one patient safety culture area at a
time, or you just
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www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
March 01, 2013 - Slide 2
Learning Objectives
Introduce Just Culture principles
Learn how Just Culture principles … Culture Principles
Slide title
Slide title
Slide 4
Understand Just Culture
(vignette … still)
Video icon
Slide 5
Just Culture 1
A system that:
Holds itself accountable … : Transparency is impossible
Blame-Free Culture: No accountability
Just Culture: Optimally supports … Just Culture. Plano, TX: Outcome Engineering; 2011
(Adapted from) Dayton E, Henricksen K.
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psnet.ahrq.gov/node/838249/psn-pdf
October 05, 2022 - Rooting an error review process in just culture: lessons
learned. … Rooting an error review process in just culture:
lessons learned. … Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5. … https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
Shifting to a … https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/46208/psn-pdf
July 12, 2017 - Improving patient safety by practicing in a just culture.
July 12, 2017
Duffy W. … Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. … https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
The importance of just … https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
https://psnet.ahrq.gov/ … issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/855000/psn-pdf
November 01, 2023 - Perioperative Safety Culture: Principles, Practices, and
Pragmatic Approaches. … https://psnet.ahrq.gov/issue/perioperative-safety-culture-principles-practices-and-pragmatic-approaches … Organizational, unit, and team culture affect the safety of surgical care. … https://psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
https:// … psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Educate teams on T.E.A.M.S. and Just Culture. … Just Culture principles. … at Understand Just Culture .
1. … Just Culture, Healthcare Services Overview. Outcome Engineering ; 2012. … Just Culture, Healthcare Services Overview. Outcome Engineering ; 2012.