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  1. www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
    December 01, 2017 - 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
  2. psnet.ahrq.gov/issue/criminalization-mistakes-nursing
    June 13, 2011 - March 1, 2023 Just culture: it's more than policy. … June 5, 2019 Using good catches to promote a just culture and perioperative patient safety … November 14, 2018 Improving patient safety by practicing in a just culture. … October 12, 2011 Balancing just culture with regulatory standards.
  3. www.ahrq.gov/patient-safety/reports/liability/waever.html
    August 01, 2017 - unanticipated issues. 4,6 However, limited empirical work examines linkages between organizational cultures … not fully reflected in existing culture measurement tools include aspects of “just culture,” such as … Recommendation 4: Examine sub-cultures and clearly define the perspective your metric is asking respondents … physicians, nurses, and administrators on several dimensions. 15 , 37,38 Despite documentation of sub-culturesJust culture: Balancing safety and accountability. London, United Kingdom: Ashgate; 2007. 32.
  4. psnet.ahrq.gov/issue/patient-safety-culture-and-second-victim-phenomenon-connecting-culture-staff-distress-nurses
    December 21, 2016 - Study Patient safety culture and the second victim phenomenon: connecting culture … Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses … The authors suggest that bolstering safety culture can help prevent negative effects of second victim … Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses … September 16, 2020 Development of the just culture assessment tool: measuring the perceptions
  5. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/guide.html
    March 01, 2017 - Discuss how staff empowerment contributes to a culture of resident safety, leading to improved outcomes … Video 3.3: Positive Reinforcement Video 3.4: Collaborative Trust and Confidence Video 3.5: JustCulture and Open Communication Barriers to Staff Empowerment Slide 26 Key Concepts … Teamwork and Support, Open Communication, Positive Reinforcement, Collaborative Trust and Confidence, A Just … , Open Communication video, Positive Reinforcement video, Collaborative Trust and Confidence video, Just
  6. Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/guide.docx
    March 01, 2017 - Learning Objectives: · Cite staff empowerment concepts · Discuss how staff empowerment contributes to a culture … Communication · Video 3.3: Positive Reinforcement · Video 3.4: Collaborative Trust and Confidence · Video 3.5: JustCulture and Open Communication Barriers to Staff Empowerment · Slide 26 Key Concepts Review · Slide … Teamwork and Support, Open Communication, Positive Reinforcement, Collaborative Trust and Confidence, A Just … , Open Communication video, Positive Reinforcement video, Collaborative Trust and Confidence video, Just
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33754/psn-pdf
    September 01, 2013 - 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.
  8. psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors
    October 27, 2021 - The importance of institutional support, particularly in establishing a just culture that promotes … July 2, 2014 A just culture after Mid Staffordshire. … February 6, 2014 Development of the just culture assessment tool: measuring the perceptions
  9. www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
    January 01, 2024 - but many smaller leader/professional driven cultures. … the negatively worded questions is shifting the focus of the nonpunitive response to error over to a just … • Complex adaptive systems: We need to consider that measures do not just function as measures; they … data, how to get it back to the community, and how to follow up on it with the goal being to avoid just … o Qualitative methods can yield more than just the surveys in terms of feedback and can be an intervention
  10. psnet.ahrq.gov/issue/health-care-professionals-perceptions-unprofessional-behaviour-clinical-workplace
    November 03, 2021 - View More Related Resources Associations between patient safety culture … and workplace safety culture in hospital settings. … 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
  11. psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
    March 01, 2019 - that they were a dot-com and we were a dot-org and that explained many of the different practices and beliefsculture at the local level. … After developing a toolkit and workshop series focused on managing within a just culture, more than 1000 … Institution of just culture physician peer review in an academic medical center. … Fair and just culture, team behavior, and leadership engagement: the tools to achieve high reliability
  12. psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    September 01, 2006 - Some of the most useful insights concern three areas: how to create a just culture that is conducive … Aviation has spent decades establishing a just culture of safety in which there are careful agreements … For example, European just culture legislation in November 2015 extended a range of legal protections … around the appropriate use of aviation safety data.( 11 ) Such just culture principles remain patchily … , just stay out of this .
  13. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
    June 01, 2019 - Just briefly mention relative to our conversation today about patient safety culture that topic has … Just a little bit more detail, I mentioned that the Steering Committee is focused on culture and along … with culture, leadership, so it relates to the last question that Naomi just answered about leadership … I think the committee has recognized culture and leaderships' responsibility for setting the right culture … Again, one is leadership and culture. The second is also represented within culture.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33876/psn-pdf
    August 01, 2018 - culture at the local level. … After developing a toolkit and workshop series focused on managing within a just culture, more than … culture into their daily operations. … Institution of just culture physician peer review in an academic medical center. … Fair and just culture, team behavior, and leadership engagement: the tools to achieve high reliability
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
    April 01, 2023 - Just Culture a. … provides links to ways to engage and teach a Just Culture, execute a Just Culture, and evaluate a Just … 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 … Just Culture 5. Living a Culture of Patient Safety Policy and Brochure 6.
  16. www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - 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 harm resulting … from error is widespread within the culture.
  17. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
    June 01, 2021 - You just removed a contaminated catheter. … Explain to the resident that you need phlegm from her lungs, not just spit from her mouth. … Collection of Specimens 17 Summary Bacterial cultures should only be collected from … Review the Collecting Bacterial Cultures and Urine Culture Collection posters and display them in common … Supporting Materials Collection of Microbiological Cultures Collecting Bacterial Cultures Poster Urine
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
    March 01, 2016 - of Safety Understand Just Culture iv Using Change Concepts for Improvement Will It Work Here … Patient Safety and the “Just Culture” http://www.health.ny.gov/professionals/patients/patient_safety/ … culture, the safety task, the just culture model, and statewide initiatives in New York. … The Apply CUSP module of the CUSP toolkit presents the principles of a just culture, a nonpunitive … Included in the module is this video on understanding just culture.
  19. psnet.ahrq.gov/issue/second-annual-nursing-leadership-congress-building-foundation-culture-safety-conference
    March 01, 2023 - Proceedings Second Annual Nursing Leadership Congress: "Building the Foundation for a Culture … Citation Text: Second Annual Nursing Leadership Congress: "Building the Foundation for a Culture of … The authors summarize sessions from an annual nurse executive conference that focused on leadership, justculture, disclosure, change management, and mentorship. … March 20, 2019 Impact of nurse peer review on a culture of safety.
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
    April 01, 2011 - Culture, and others to provide complete tools to support units in improving culture 11 11 Toolkit … care Ambiguous orders or directions Change in team members Work load 26 26 Apply CUSP Introduce JustCulture principles Learn how Just Culture principles can augment CUSP Review key steps of the CUSP Toolkit … A Just Culture system6 Holds itself accountable Holds staff members accountable Has staff members that … Just Culture. Plano, TX: Outcome Engineering; 2011. Pronovost P, Goeschel C, Colantuoni E, et al.