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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
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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.
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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-cultures … Just culture: Balancing safety and accountability. London, United Kingdom: Ashgate; 2007.
32.
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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
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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: Just … Culture 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
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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/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: Just … Culture 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
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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.
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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
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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
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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
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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 beliefs … culture 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
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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 .
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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.
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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
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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.
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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.
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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
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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.
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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, just … culture, disclosure, change management, and mentorship. … March 20, 2019
Impact of nurse peer review on a culture of safety.
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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 Just … Culture 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.