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241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46023/psn-pdf
     May 03, 2017 - patient-safety-and-leadership-do-you-walk-walk Hospital leaders are increasingly encouraged to help establish and sustain a safety culture … commentary highlights ways leadership can support safety goals, including demonstrating commitment to culture … assessment, teamwork training, and adopting a just culture. … leadership-role-improving-safety https://psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture … https://psnet.ahrq.gov/issue/surveys-patient-safety-culture https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

242. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - A Just Culture supports disclosure and learning from errors and encourages viewing every event as an … This element supports the creation of just culture. … Improved culture of safety as a result of open, fair, and just management of individual and system issues … More information on Just Culture can be found in the Apply CUSP module of the AHRQ CUSP Toolkit. … to a systems approach to Event Investigation and Analysis supports a Just Culture.

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46963/psn-pdf
     April 18, 2018 - A Just Culture Guide. April 18, 2018 NHS Improvement. … https://psnet.ahrq.gov/issue/just-culture-guide Although focusing on system failure has been highlighted … https://psnet.ahrq.gov/issue/just-culture-guide https://psnet.ahrq.gov/primer/systems-approach https:

244. Failure to report poor care as a breach of moral and professional expectation. | PSNet
     psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
     March 05, 2025 - Culture, hierarchy, and lack of opportunity can hinder reporting of concerns and mistakes. … February 22, 2017 View More Related Resources 'Just culture': improving … May 25, 2016 Perspective: a culture of respect—part 1 and part 2. … October 23, 2013 Culture, language, and patient safety: making the link. … June 29, 2011 Telling cultures: 'cultural' issues for staff reporting concerns about

245. Previous Announcements About SOPS Surveys | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/news/previous-announcements.html
     March 01, 2025 - Updated AHRQ Surveys on Patient Safety Culture Action Planning Tool AHRQ Surveys on Patient Safety Culture … Hospitals can administer the items at the end of the SOPS Hospital Survey 2.0, just before the background … Medical offices can administer the items at the end of the SOPS Medical Office Survey, just before the … Why Choose the AHRQ Surveys on Patient Safety Culture?   … Shifting to a “Just Culture” framework to assess  Response to Error.

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47323/psn-pdf
     September 26, 2018 - politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture … Politeness, Face, and Feedback: Exploring Resident and Faculty Perceptions of How Institutional Feedback Culture … The authors advocate for transitioning to a culture of growth, which would shift their institution toward … a more just culture. … https://psnet.ahrq.gov/issue/just-culture-guide

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33798/psn-pdf
     January 01, 2015 - While the patient safety world has largely embraced the concept of a just culture for many years, this … issue/balancing-no-blame-accountability-patient-safety https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives … ://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives https://psnet.ahrq.gov … 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

248. Prologue | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/prologue.html
     August 01, 2017 - Transparency between and among medical colleagues and a supportive just culture 1 are also central aspects … Introduction to the Just Culture. What is just culture? Outcome Engenuity Web site. … Available at https://www.outcome-eng.com/david-marx-introduces-just-culture/ . … See for example the Survey on Patient Safety Culture Database. … Available at https://www.ahrq.gov/topics/topic-survey-on-patient-safety-culture-database.html .

249. Facilitator Guide: Overview of the Improvement Model (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
     December 01, 2017 - Adaptive work addresses the attitudes, beliefs, and values of clinicians that drive behaviors, norms, … This ensures we address the local values, attitudes, and beliefs that drive our actions. … Just finding the time to meet can be difficult. … Notice that “right” is in quotation marks, because a just or “right” culture sends the signal that safety … Alternatively, in cultures where the “right” thing to do is to get people in and out of beds as fast

250. Program Overview: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
     December 01, 2017 - Adaptive work addresses the attitudes, beliefs, and values of clinicians that drive behaviors, norms, … This ensures we address the local values, attitudes, and beliefs that drive our actions. … Just finding the time to meet can be difficult. … Notice that “right” is in quotation marks, because a just or “right” culture sends the signal that safety … Alternatively, in cultures where the “right” thing to do is to get people in and out of beds as fast

251. Overcoming Mindsets | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/mindsets.html
     April 01, 2022 - Overcoming Mindsets It can be difficult to address your staff’s underlying attitudes and beliefs … With time, effort, and shared understanding, your team can change those attitudes and beliefs to create … a stronger safety culture. … Engaging Physicians in Preventing CLABSI and CAUTI (PDF, 286.2 KB) Making It Work – Overcoming the "Just … ; Transcript , PDF, 304.5 KB) Audio interview with David Thompson – How To Address Attitudes and Beliefs

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836969/psn-pdf
     April 20, 2022 - //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 … https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836932/psn-pdf
     April 13, 2022 - A just culture centers on moving from blaming individuals for medical errors towards a systems- based … psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition … psnet.ahrq.gov/issue/learning-not-blaming https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837000/psn-pdf
     May 06, 2022 - May 6, 2022 Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022. … lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition … https://psnet.ahrq.gov/issue/will-prosecuting-medical-errors-lead-culture-silence https://psnet.ahrq.gov

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38935/psn-pdf
     March 01, 2017 - this sentinel event alert, the Joint Commission calls for senior health care leaders to establish a culture … of safety within their organizations, use just culture principles to establish transparent and fair … Please review The essential role of leadership in developing a safety culture for updated recommendations … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture

256. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/module-3-slides.pptx
     March 01, 2017 - 2017 1 Objectives Cite staff empowerment concepts Discuss how staff empowerment contributes to a culture … Leader support and teams Communication and information sharing Positive reinforcement Confidence Just … | 25 PLAY VIDEO Video 3.5: Just Culture and Open Communication - https://youtu.be/WdN-WdWKduU Video … 3.5: Just Culture and Open Communication 25 Barriers to Staff Empowerment10 Lack of senior leader support … Just Culture, Healthcare Services Overview.

257. Module 3: Staff Empowerment | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-slides.html
     March 01, 2017 - Just Culture. … Culture 8,9 Mission, values, and expectations. … Just Culture, Healthcare Services Overview . Outcome Engineering; 2012. 9. CUSP Toolkit . … Slide 25: A Just Culture Image: Indicating a video on the slide PLAY VIDEO Video 3.5: Just Culture … Just Culture, Healthcare Services Overview . Outcome Engineering; 2012. CUSP Toolkit .

258. 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. | PSNet
     psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences
     June 22, 2022 - Study 'I think we should just listen and get out': a qualitative exploration of views … ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient … While senior leaders espoused key principles such as an open, blame-free culture and frontline staff … These findings spotlight the challenge of implementing interventions intended to bolster safety culture … ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient

259. Faclearncusp (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
     January 01, 2009 - Introduce Just Culture principles, 2. Learn how Just Culture principles can augment CUSP, and 3. … A Just Culture learning environment allows the review of both system design and the employee’s choice … David Marx developed the Just Culture framework based on risk management concepts from high-reliability … Shared responsibility is the norm in a Just Culture, and a commitment to eliminating the possibility … of error is widespread within a Just Culture.

260. Paul Tedrick (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
     May 13, 2014 - to the urinary catheter culture. … And it’s really a set of values and beliefs that guide actions and decisions. … What are the values and the beliefs of your unit about urinary catheters and how does that guide actions … what are the values and beliefs about the indications, about insertion and maintenance, and about removal … And again, that way we can change the values and beliefs about urinary catheters that guides our actions