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181. Making It Work Tip Sheet: Overcoming the Just in Case Mindset (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdf
     April 01, 2022 - bloodstream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) and improve safety culture … This can be impeded by a unit’s culture and clinicians who believe that it is safer for the patient … to have the catheter “just in case” the patient takes a turn for the worse. … An engaged culture is critical in creating an environment where clinicians understand the risk of increased … in Case” Mindset Issue Barriers Suggested Strategies Addressing Culture, Education, and Auditing

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34749/psn-pdf
     January 09, 2017 - Patient Safety and the "Just Culture": A Primer for Health Care Executives. … Patient Safety And The "Just Culture": A Primer For Health Care Executives. … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives Accountability … steer their organizations and patients toward understanding and accepting the idea of a blameless culture … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

183. Independent Review of Gross Negligence Manslaughter and Culpable Homicide. | PSNet
     psnet.ahrq.gov/issue/independent-review-gross-negligence-manslaughter-and-culpable-homicide
     July 08, 2019 - May 16, 2012 Broken Trust: Making Patient Safety More than Just a Promise. … January 9, 2024 Role of the regulator in enabling a just culture: a qualitative study … culture. … February 27, 2019 Just Culture: Restoring Trust and Accountability in Your Organization … June 17, 2014 A just culture after Mid Staffordshire.

184. SOPS™ 101 Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
     June 01, 2020 - This is summarizing what I've just said. … 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. … If you just focus on one unit that, could be good for patient safety culture improvement just for that … and Just Culture.

185. Improving Patient Safety Culture – A Practical Guide. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide
     April 23, 2014 - Toolkit Improving Patient Safety Culture – A Practical Guide. … Citation Text: Improving Patient Safety Culture – A Practical Guide. … A strong patient safety culture needs nurturing to serve as a foundation for launching and sustaining … July 18, 2018 A Just Culture Guide. … January 31, 2018 Just a Cup of Tea – an Introduction to the SEIPS Framework.

186. What is the effectiveness of reporting systems in promoting learning in healthcare? | PSNet
     psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
     September 23, 2020 - limitations (e.g., under- or over-reporting), and factors influencing use of these systems (e.g., safety culture … 2014 Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture … July 2, 2014 AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses. … March 27, 2024 Nurse leader attitudes and beliefs regarding medical errors. … January 11, 2023 The barriers and enhancers to trust in a just culture in hospital settings

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47544/psn-pdf
     December 12, 2018 - Using good catches to promote a just culture and perioperative patient safety. … Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. … https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety … https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety … https://psnet.ahrq.gov/issue/good-catch-campaign-improving-perioperative-culture-safety

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74858/psn-pdf
     February 23, 2022 - improving-responses-safety-incidents-we-need-talk-about-justice Patient safety advocates recommend a shift from a blame culture … to a just culture. … The authors invite debate around the concept of just culture and its role in the “real world”. … improving-responses-safety-incidents-we-need-talk-about-justice https://psnet.ahrq.gov/issue/new-perspective-blame-culture-experimental-study … psnet.ahrq.gov/glossary-0#glossary-heading-term-73799 https://psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals

189. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. | PSNet
     psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
     July 21, 2021 - The authors highlight the importance of fostering an organizational culture that encourages cooperation … and mixed methods for assessing safety culture in hospitals. … March 29, 2023 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 … January 12, 2022 Why accountability sharing in health care organizational cultures means

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47424/psn-pdf
     November 21, 2018 - Creating a culture of accountability promotes safe medical care. … https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership … should model just culture behaviors to encourage reporting and discussion of error to facilitate improvement … /issue/assessment-impact-just-culture-quality-and-safety-us-hospitals https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going … https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73358/psn-pdf
     June 02, 2021 - Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing … https://psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better … https://psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription … https://psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription

192. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. | PSNet
     psnet.ahrq.gov/issue/health-care-risk-managers-consensus-management-inappropriate-behaviors-among-hospital-staff
     June 16, 2021 - Disruptive and unprofessional behavior creates an unhealthy institutional culture and leads to patient … October 26, 2022 Why accountability sharing in health care organizational cultures means … September 23, 2020 Creating a culture of accountability promotes safe medical care. … November 21, 2018 An assessment of the impact of just culture on quality and safety in … October 13, 2018 Our long journey towards a safety-minded just culture.

193. Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/culture.html
     April 01, 2022 - Culture A strong patient safety culture supports a learning environment and invites diverse input … Use these tools to help your team make lowering infections part of your culture.​ … Examples of common barriers that inhibit developing this culture are ineffective action from leaders, … in Preventing Healthcare Associated Infections (PDF, 291.7 KB) Making It Work – Overcoming the "Just

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33938/psn-pdf
     December 18, 2008 - Dana-Farber Cancer Institute Principles of a Fair and Just Culture. … https://psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture Dana-Farber … Cancer Institute defines a "just culture" and illustrates how to implement and sustain it. … https://psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture

195. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
     June 10, 2014 - , and then when to treat and not treat those positive urine cultures. … those cultures the right way. … Have the cultures come back? … So, three quarters do not have guidelines for ordering urine cultures, a quarter do. … Changing culture is not an easy thing to do.

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865925/psn-pdf
     May 22, 2024 - Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic … Effect of interventions to improve safety culture on healthcare workers in hospital settings: a systematic … https://psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital- … Teamwork and collaboration, leadership support for safety, and just culture were the most reported themes … https://psnet.ahrq.gov/issue/just-culture-guide

197. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
     March 01, 2017 - A Just Culture is one that allows teams to learn from mistakes in a safe environment. … Slide 24: Just Culture 8,9 Say: The term "Just Culture" refers to a system of shared accountability … A Just Culture environment helps provide a foundation for staff empowerment. … Within the Just Culture model, five key elements contribute to improved outcomes. … Slide 25: A Just Culture Say: A system of Just Culture recognizes that people make mistakes.

198. Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet
     psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
     November 30, 2022 - January 11, 2023 Rooting an error review process in just culture: lessons learned. … October 5, 2022 Fostering a just culture in healthcare organizations: experiences in … August 31, 2022 The barriers and enhancers to trust in a just culture in hospital settings … December 1, 2021 'Just culture': improving safety by achieving substantive, procedural … June 29, 2011 Just culture: who gets to draw the line?

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36282/psn-pdf
     April 29, 2018 - Our long journey towards a safety-minded just culture. Part I: Where we've been. … https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been … This article discusses the difference between a blame-free and just culture and describes why the latter … https://psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been

200. Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture®, TeamSTEPPS® | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202502.html
     June 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture®, TeamSTEPPS® … Permanente (KP) School of Anesthesia in Pasadena, California, uses AHRQ’s  Surveys on Patient Safety Culture … This survey is designed specifically for ASC staff, asking their opinions about the culture of patient … Establish a “just culture” for all anesthesia practitioners (an atmosphere of trust where those who provide … “Every year, we conduct TeamSTEPPS training for our students to promote that just culture,” Dr.