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Showing results for "just culture".
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  1. Implementing a systematic response to medication errors. | PSNet

    psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
    August 27, 2009 - March 23, 2022 Association of diagnostic stewardship for blood cultures in critically … View More Related Resources Rooting an error review process in just … culture: lessons learned. … March 20, 2019 Impact of nurse peer review on a culture of safety. … February 22, 2019 Improving patient safety by practicing in a just culture.

  2. Accountability in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/accountability-patient-safety
    January 01, 2018 - While the patient safety world has largely embraced the concept of a just culture for many years , this … The researchers worried that "rule-based, calculus-like approaches intended to support a 'just culture … They suggested that rather than attempting to create a just culture that balances a systems approach … culture. … culture in hospital settings: a systematic review.

  3. ISMP Medication Safety Intensive. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-safety-intensive
    February 05, 2025 - specialty pharmacies to ensure medication safety , including strategic planning, risk assessment, and Just … Culture principles. … reporting safety concerns October 2, 2019 Our long journey towards a safety-minded just … culture.

  4. Leadership and vision for a culture of safety. | PSNet

    psnet.ahrq.gov/issue/leadership-and-vision-culture-safety
    May 27, 2021 - Commentary Leadership and vision for a culture of safety. … Citation Text: Leadership and vision for a culture of safety. Gandhi TK. NEJM Catalyst. … Leadership has an important role in establishing a culture of safety in health care organizations. … This commentary describes key skills required of health care executives to establish and nurture the culture … Areas of focus include the importance of modeling behaviors such as transparency, adopting just culture

  5. The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross
    August 10, 2022 - June 9, 2021 The relationship between job stress and patient safety culture among nurses … May 15, 2024 Requirements for implementing a 'just culture' within healthcare organisations … May 10, 2023 Effect of patient safety education interventions on patient safety culture … January 11, 2023 Rooting an error review process in just culture: lessons learned. … September 30, 2020 Why accountability sharing in health care organizational cultures

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867653/psn-pdf
    February 26, 2025 - It is not just an event that happens and goes on a shelf. … culture, that culture of being able to speak up, that non-punitive culture where we are focused on … How are we looking at human error versus reckless behavior (i.e., just culture)? … It's the same thing if we do not have just culture. … culture.  

  7. Understanding the CMS Patient Safety Structural Measure Requirements for Hospitals (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cms-patient-safety-measure-hospitals-webcast.pdf
    July 08, 2025 - • A just culture that encourages reporting and learning from errors is implemented. … Patient Safety Culture The beliefs, values, norms, shared by health care staff Determines behaviors … Options for a Pulse Version of the SOPS Hospital 2.0 Survey • Option 1: The full 34-item survey just … for selected units or selected staff • Option 2: A “custom” pulse survey using a custom selection … item) Hospital Management Support Handoffs and Information Exchange Option 2: Example of a Custom

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33982/psn-pdf
    December 22, 2008 - Patient safety: it's not just carefulness, it's a culture. December 22, 2008 Powell S. … Patient Safety: it's not just carefulness, it's a culture. … https://psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture This editorial overview …  touches upon several key elements within the field, from AHRQ's Hospital Survey on Patient Safety Culture … https://psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture

  9. Using a Tiered Approach With CUSP Principles Slides

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-slides.pptx
    April 01, 2022 - CUSP + Tiered Approach ׀ 6 Standardize Care Create Independent Checks Learn From Defects Just … Values, and Expectations System Design Behavioral Choices Improved Outcomes Foundational elements of Just … Culture include promotion of learning systems, accountability, and justice. … Understand Just Culture. http://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/videos … Patient Safety and the “Just Culture”: A Primer for Health Care Executives.

  10. National Content Series Facilitator’s Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/role-play.html
    May 01, 2017 - of Culturing: The Importance of Knowing When to Order Urine Cultures Facilitator Instructions This … situation-background-assessment-recommendation) to effectively communicate resident care and when to order urine cultures … Mullins, a resident of Sunny Terrace Long-Term Care, has just been transferred back from a stay in the … I think it’s just pulling on her leg. Dr. Killbug : You think she’s got leg pain? … Nurse Nohai : Catheters just aren’t good for our patients.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41562/psn-pdf
    August 01, 2012 - final-check-say-it-out-loud This Web site provides resources to help reduce incidence of mislabeled blood specimens based on just … culture concepts. … ://psnet.ahrq.gov/web-mm/right-patient-wrong-sample https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42855/psn-pdf
    February 06, 2014 - initially built on the establishment of a no-blame philosophy, but recently experts have called for a just … culture that balances systems-based thinking with personal accountability. … An AHRQ WebM&M perspective discusses the organizational implementation of a just culture. … responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives … publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach

  13. PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/safety-modules.pptx
    March 01, 2017 - assessments Provide templates and discussion guides to project leads Educate teams on T.E.A.M.S. and Just … HAIs/CAUTI Long-Term Care Safety Modules Applying Safety Principles | ‹#› 16 Understanding Just … Applying Safety Principles | ‹#› Video: A Just Culture http://www.ahrq.gov/professionals/education/ … CAUTI Long-Term Care Safety Modules Applying Safety Principles | ‹#› 19 Leadership’s Role in Just … Just Culture, Healthcare Services Overview.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846563/psn-pdf
    March 21, 2023 - These health systems will also maintain a just culture in which they promote a blame-free environment … #_edn2 https://psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-culture … https://psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review … Just culture: a safety imperative. ACHE blog. Accessed November 23, 2022. … https://www.ache.org/blog/2022/just-culture-a-safety-imperative 6.

  15. Implementation of patient safety rounds in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-safety-rounds-childrens-hospital
    October 19, 2022 - January 16, 2019 Using good catches to promote a just culture and perioperative patient … November 14, 2018 Improving patient safety by practicing in a just culture. … December 7, 2011 Influencing leadership perceptions of patient safety through just culture … February 4, 2009 Balancing just culture with regulatory standards.

  16. 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

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37318/psn-pdf
    January 04, 2012 - psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting This article describes how the principles of just … culture can inform the design of effective incident reporting systems. … An AHRQ WebM&M interview and perspective address the concept of just culture and its implementation. … psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43007/psn-pdf
    December 12, 2014 - 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient … ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient … https://psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and … While senior leaders espoused key principles such as an open, blame-free culture and frontline staff … https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small

  19. 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

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33590/psn-pdf
    September 15, 2024 - https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov … /primer/culture-safety https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/primer/high-reliability … of safety and establishing a just culture for addressing errors. … identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints https://psnet.ahrq.gov/issue/leadership-committed-safety https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition … https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
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