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psnet.ahrq.gov/node/39017/psn-pdf
October 14, 2009 - Just culture: who gets to draw the line?
October 14, 2009
Dekker SWA. … Just culture: who gets to draw the line? Cognition, Technology & Work. 2008;11(3). … https://psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
This commentary explores the just culture … https://psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
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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/39475/psn-pdf
September 04, 2010 - Influencing leadership perceptions of patient safety
through just culture training. … Influencing leadership perceptions of patient safety
through just culture training. … https://psnet.ahrq.gov/issue/influencing-leadership-perceptions-patient-safety-through-just-culture-training … This article reports on a Missouri effort to train health care leaders in the foundations of just culture … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
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psnet.ahrq.gov/node/37590/psn-pdf
April 13, 2018 - Just Culture: Restoring Trust and Accountability in Your
Organization, Third Edition. … https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition … He argues that a just culture in health care is critical to creating a
safety culture. … https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition … https://psnet.ahrq.gov/issue/just-culture-improving-safety-achieving-substantive-procedural-and-restorative-justice
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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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psnet.ahrq.gov/node/43051/psn-pdf
May 29, 2014 - A just culture after Mid Staffordshire.
May 29, 2014
Dekker SWA, Hugh TB. … A just culture after Mid Staffordshire. BMJ Qual Saf. 2014;23(5):356-8. … https://psnet.ahrq.gov/issue/just-culture-after-mid-staffordshire
In the context of public reactions … The authors advocate for
a just culture that balances blame and accountability to address complexities … https://psnet.ahrq.gov/issue/just-culture-after-mid-staffordshire
https://psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
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psnet.ahrq.gov/node/867525/psn-pdf
January 15, 2025 - issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-
insights-radonda
A just … culture ensures that staff feel safe reporting errors without fear of reprisal or retaliation. … culture. … teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture … prosecution-radonda-vaught-ethical-and-legal-mistake
https://psnet.ahrq.gov/issue/role-regulator-enabling-just-culture-qualitative-study-mental-health-and-hospital-care
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
June 01, 2020 - Gray, Slide 11
Patient safety culture can be defined as the beliefs, values, and norms that support … These beliefs, values and norms are shared by healthcare providers and staff in the
organization. … [Describer: Other topics include: Success Stories from the Medical Office SOPS, Using Just Culture To … If you just focus on one unit that, could be good
for patient safety culture improvement just for that … and Just Culture.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/guide.html
March 01, 2017 - Overview of Toolkit Modules
Slides 6–13
Implementing Change
Slides 14–16
Just … During the meeting, obtain a commitment from leaders to improve safety culture. … Materials: Slides 14–19
Audience: LTC administrators and leaders
Topic: Just Culture
Method: During … a meeting, use the slides and facilitator notes to define and discuss the principles of Just Culture … Through an open discussion or a written exercise, ask the team to reflect on what elements of Just Culture
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www.ahrq.gov/news/newsroom/case-studies/201411.html
August 01, 2014 - Mercy Health Uses AHRQ's Patient Safety Culture Survey and TeamSTEPPS® to Enhance Care
Search All … largest nonprofit health systems in the United States, has used AHRQ's Hospital Survey on Patient Safety Culture … Mercy also uses the AHRQ resources to gain critical insights into opportunities to enhance safety culture … The Hospital Survey on Patient Safety Culture is a tool hospitals can use to assess their patient safety … Implementing "Just Culture Principles," which include creating an open and just environment, learning
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
July 01, 2023 - Just Culture.
Image: TeamSTEPPS penguin and logo—as seen in TeamSTEPPS®. … Slide 12: Introduction to Just Culture Principles
Introduction to Just Culture Principle
Slide … 13: Understand Just Culture
Image: Opening shot of Just Culture video with the words "Click to play … Blame-free culture: no accountability.
Just culture: optimally supports a system of safety. … Just Culture . Plano, TX: Outcome Engineering; 2011.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
June 02, 2025 - do things around here”
Exists at
multiple
levels:
System
Organization
Department
Unit
Beliefs … Composites
27 items assess 8 composites of patient safety culture
1. … Never
88%
positive
29
29
Communication About
Patient Information
% Positive Response
Just … of procedures, all team members
stopped to discuss the overall plan of what was to be done 92%
Just … Safety Culture?
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psnet.ahrq.gov/node/41003/psn-pdf
April 16, 2018 - Gap assessment of hospitals' adoption of the just culture
principles. … https://psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles
This article … reports that Pennsylvania health care organizations overestimated their adoption of just culture
principles … https://psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles
https://psnet.ahrq.gov … /issue/just-culture-who-gets-draw-line
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - and beliefs
Identifies system opportunities to prevent them from occurring again
Identifying Targets … Clinicians are not using appropriate criteria to order urine cultures. … Pocket guides with criteria for when to order urine cultures. … Identifying Targets
15
Adaptive Problems
Adaptive solutions require a change in attitudes, beliefs, … They should only be used when necessary, not “just in case.”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/guide.docx
March 01, 2017 - Infection Prevention
Overview of Toolkit Modules
· Slides 6–13
Implementing Change
· Slides 14–16
Just … During the meeting, obtain a commitment from leaders to improve safety culture. … Materials: Slides 14–19
Audience: LTC administrators and leaders
Topic: Just Culture
Method: During … a meeting, use the slides and facilitator notes to define and discuss the principles of Just Culture … Through an open discussion or a written exercise, ask the team to reflect on what elements of Just Culture
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psnet.ahrq.gov/node/38166/psn-pdf
October 22, 2008 - Balancing just culture with regulatory standards.
October 22, 2008
Gorzeman J. … Balancing Just Culture with regulatory standards. Nurs Adm Q. 2008;32(4):308-11. … https://psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
This commentary discusses the … concept of just culture and its role in nursing practice standards, event
reporting, and accountability … https://psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
https://psnet.ahrq.gov//#justculture
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psnet.ahrq.gov/node/837859/psn-pdf
August 17, 2022 - The barriers and enhancers to trust in a just culture in
hospital settings: a systematic review. … The barriers and enhancers to trust in a just culture in hospital
settings: a systematic review. … https://psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review … Underutilization of error reporting systems may be due to a variety of factors, including a culture … https://psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
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psnet.ahrq.gov/node/39041/psn-pdf
October 21, 2009 - The OR and a "just culture."
October 21, 2009
Hamlin L. The OR and a "just culture". … https://psnet.ahrq.gov/issue/or-and-just-culture
To illustrate the value of just culture implementation … https://psnet.ahrq.gov/issue/or-and-just-culture
https://psnet.ahrq.gov//#justculture
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/47832/psn-pdf
February 27, 2019 - Another round of the blame game: a paralyzing criminal
indictment that recklessly "overrides" just culture … psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-
overrides-just-culture … //psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture … //psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
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psnet.ahrq.gov/issue/ladder-based-safety-culture-assessments-inversely-predict-safety-outcomes
January 22, 2025 - ‘Ladder’‐based safety culture assessments inversely predict safety outcomes. … High-reliability organizations frequently assess the strength of their safety culture. … ‘Ladder’‐based safety culture assessments inversely predict safety outcomes. … Download Citation
Related Resources From the Same Author(s)
Restorative just … June 24, 2020
Integrating principles of safety culture and just culture into nursing