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281. PowerPoint Presentation
     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

282. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     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.

283. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
     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.

284. Perceptions of radiation safety culture in medical imaging by role. | PSNet
     psnet.ahrq.gov/issue/perceptions-radiation-safety-culture-medical-imaging-role
     September 27, 2023 - Study Perceptions of radiation safety culture in medical imaging by role. … Citation Text: Perceptions of radiation safety culture in medical imaging by role. … Fostering a culture of safety is a core patient safety objective. … , which could hinder efforts to establish a just culture and a positive organizational radiation safety … culture.

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39004/psn-pdf
     April 04, 2011 - unidimensional systems-focused model, with past commentaries exploring the tension between a "no blame" culture … genre have considered this tension in the educational setting, and a popular construct involves a just … culture framework, which differentiates "no blame" from blameworthy acts. … particularly in cases involving physicians), and proposes a working balance that not only promotes a safety culture … systems-errors-versus-physicians-errors-finding-balance-medical-education https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

286. Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/keydrivers/nuture-leadership.html
     November 01, 2018 - Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice … small practices, even solo practitioners need to nurture themselves and their employees to create a culture … To create a cohesive culture, leaders will need to engage in active listening and gain an understanding … This means more than just paying for conference registrations. … Everyone in the practice, not just clinicians, may need time to create and adjust to shifts in what and

287. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet
     psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
     September 25, 2019 - A mixed methods study exploring patient safety culture at 4 VHA Hospitals. … A mixed methods study exploring patient safety culture at 4 VHA Hospitals. … March 1, 2023 Why accountability sharing in health care organizational cultures means … View More See More About The Topic Hospitals Medicine Nurse Care Just … Culture Transparency and Accountability

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47228/psn-pdf
     August 09, 2018 - provide a list of practical tactics to shift health care organizations toward a more respectful and just … culture. … A PSNet perspective examined how to accelerate organizational culture change in health care. … and-part-2 https://psnet.ahrq.gov/primer/patient-engagement-and-safety https://psnet.ahrq.gov/issue/just-culture-guide … https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865491/psn-pdf
     April 03, 2024 - commentary shares strategies for organizations to facilitate recovery for these individuals, building on a just … culture including counseling services and peer support. … caring-our-own-deploying-systemwide-second-victim-rapid-response-team https://psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response

290. Identifying factors influencing clinicians' reporting of medication errors: a systematic review and qualitative evidence synthesis using the theoretical domains framework. | PSNet
     psnet.ahrq.gov/issue/identifying-factors-influencing-clinicians-reporting-medication-errors-systematic-review-and
     December 11, 2013 - Beliefs about consequences emerged as both a facilitator and barrier to reporting. … , 2011 Association of implementation and social network factors with patient safety culture … September 30, 2020 Why accountability sharing in health care organizational cultures … Hospitals Medication Safety Psychological and Social Complications Error Reporting Just … Culture

291. Appendix B. Search Terms | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appb.html
     March 01, 2017 - Patient satisfaction Customer service Patient Safety Patient safety Safety Safety culture … Safety climate Medical error Disclosure Adverse events Just culture Error reporting … Reporting culture Communication Error Harm Diagnostic error Defensive medicine

292. SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
     January 09, 2018 - It's the belief, values and norms shared by health care staff about what's important and what attitudes … Different systems will have different organizational cultures. … within those sites, the departments and the units will also have slightly different organizational cultures … We also saw a number of comments on just using less paper. … culture.

293. Mod01-Grand-Rounds-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - 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.

294. Rafael Borja (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
     September 09, 2014 - Fletcher will be discussing the role of unis culture on prevention of claudi. … When we talk about avoiding unnecessary cultures, we talk about deciding on doing a urine culture when … This is especially true in the ICU, that there is a belief in the needs of close monitoring of Is and … It’s not just feeding back all of the data. … We’ve turned our efforts toward reducing unnecessary urine cultures.

295. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
     November 01, 2015 - Fletcher will be discussing the role of unis culture on prevention of claudi. … When we talk about avoiding unnecessary cultures, we talk about deciding on doing a urine culture when … This is especially true in the ICU, that there is a belief in the needs of close monitoring of Is and … It's not just feeding back all of the data. … We've turned our efforts toward reducing unnecessary urine cultures.

296. Leading a Culture of Safety: a Blueprint for Success. | PSNet
     psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
     August 20, 2018 - Book/Report Leading a Culture of Safety: a Blueprint for Success. … Citation Text: Leading a Culture of Safety: a Blueprint for Success. … This report discusses how executives can develop a culture of safety in health care organizations. … Vision, trust, board engagement , and just culture are highlighted as elements that augment safety … culture .

297. Achieving a successful patient safety program with implementation of a harm reduction strategy. | PSNet
     psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-strategy
     February 22, 2023 - commentary calls for a morally neutral approach to human error, an elimination of blame in favor of a just … culture, and harm reduction efforts that target the system instead of the individual. … February 21, 2024 Enhancing a culture of safety through disclosure of adverse events. … April 3, 2024 Creating a just culture in the perioperative setting.

298. Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame. | PSNet
     psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame
     August 24, 2022 - This commentary calls for moving from the reactive "bad apple" paradigm to a proactive just culture … March 13, 2024 Requirements for implementing a 'just culture' within healthcare organisations … April 26, 2023 Effect of patient safety education interventions on patient safety culture

299. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - It refers to the values, beliefs, and norms shared by healthcare practitioners and other personnel throughout … Patient safety culture can be measured by determining the values, beliefs, norms, and behaviors related … However, personal responsibility is just one part of the system. … These are just some of the system factors at play. … A team of just physicians or just nurses won’t lead to the change efforts needed.

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854832/psn-pdf
     October 25, 2023 - commentary calls for a morally neutral approach to human error, an elimination of blame in favor of a just … culture, and harm reduction efforts that target the system instead of the individual. … ://psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture