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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41808/psn-pdf
     October 08, 2024 - specialty pharmacies to ensure medication safety, including strategic planning, risk assessment, and Just … Culture principles. … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

282. 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.

283. Apply CUSP | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/apply/index.html
     July 01, 2018 - Apply CUSP The Apply CUSP module of the CUSP Toolkit introduces Just Culture principles, which … Accessible Version ) Team Check-up Tool [ - 227.5 KB] ( Accessible Version ) Video Understand Just … Culture (YouTube video, 5 min., 32 sec.)

284. 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

285. Medical culture about errors may be changing. | PSNet
     psnet.ahrq.gov/issue/medical-culture-about-errors-may-be-changing
     September 19, 2018 - Newspaper/Magazine Article Medical culture about errors may be changing. … Citation Text: Medical culture about errors may be changing. Gulliver D. Herald Tribune. … This article describes how the culture around medical errors is evolving to include disclosure and transparency … Copy URL Cite Citation Citation Text: Medical culture … October 2, 2017 When a surgeon should just say 'I'm sorry'.

286. 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.

287. In Conversation With... Remle P. Crowe, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
     May 16, 2022 - it called “Just Culture.” … and a non-punitive culture. … What do you think is driving that increased awareness around culture of safety and non-punitive culture … I think as a profession we're just growing. … on individual error to a Just Culture where the system is the primary focus.

288. 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

289. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
     September 01, 2009 - Achieving a culture of safety requires an understanding of the values, beliefs, and norms about what … Safety Culture Definition The safety culture of an organization is the product of individual and … The Hospital Survey on Patient Safety Culture examines patient safety culture from a hospital staff … term “unit” may be replaced by an equivalent term, such as “department,” if it suits the hospital (just … It is just by chance that more serious mistakes don't happen around here.

290. 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.

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47373/psn-pdf
     November 14, 2018 - https://psnet.ahrq.gov/issue/blame-what-does-it-look A just culture balances organizational context … https://psnet.ahrq.gov/issue/blame-what-does-it-look https://psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment

292. 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.

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845354/psn-pdf
     March 01, 2023 - February 2023;16-21 https://psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling The concept of just … culture was challenged in a high-profile medication error resulting in criminal charges for a nurse … //psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture

294. 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 .

295. 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

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847716/psn-pdf
     April 19, 2023 - Barriers included inadequate organizational support and resources, weak safety culture, lack of training … continuous improvement based on incident reporting systems included continuous training for staff, a just … culture, leadership investment, and tangible improvements stemming from incident analysis. … psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

297. 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.

298. 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.

299. 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.

300. 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