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301. 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.

302. Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses. | PSNet
     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

303. Health IT Patient Safety Supplemental Items for the SOPS Hospital Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/surveys/hospital/supplemental-items/health-it.html
     December 01, 2024 - Safety Supplemental Items for the SOPS Hospital Survey The AHRQ Surveys on Patient Safety Culture … with the core  SOPS Hospital Survey to help hospitals assess the extent to which their organization's culture … The 15 supplemental items may be added to the end of the Hospital Survey, just before the Background … Pilot study results are available for just over 9,000 hospital respondents who completed the supplemental

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852795/psn-pdf
     August 23, 2023 - Perceptions of radiation safety culture in medical imaging by role. … https://psnet.ahrq.gov/issue/perceptions-radiation-safety-culture-medical-imaging-role Fostering a culture … , which could hinder efforts to establish a just culture and a positive organizational radiation safety … culture. … /primer/culture-safety https://psnet.ahrq.gov/perspective/safety-radiology

305. Previous SOPS Webcasts | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/webcasts/previous.html
     June 01, 2023 - (February 19, 2020) Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … (July 25, 2018) New AHRQ SOPS Value and Efficiency Supplemental Items (January 9, 2018) Using Just … Culture to Improve Hospital Survey on Patient Safety Culture Results (November 9, 2016) Introducing … the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture  (July 15, 2015) Success Stories … Safety Culture (April 29, 2011)

306. Engaging-Nurse-Physician-Patient-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
     June 02, 2025 - Second is the physician culture can also be a barrier. … Secondly to reframe values and beliefs, third was to segment the engagement plan. … The second element is about reframing values and beliefs. … Of course this requires a change in beliefs and attitudes. Next slide. … Have a belief in what you're doing.

307. Improving departmental psychological safety through a medical school-wide initiative | PSNet
     psnet.ahrq.gov/issue/improving-departmental-psychological-safety-through-medical-school-wide-initiative
     July 19, 2023 - March 20, 2024 Responding to unprofessional behavior by trainees - a "just culture" … June 5, 2019 The association between organizational culture and the ability to benefit … from "just culture" training. … Medicine Psychological and Social Complications Education and Training Students Just … Culture

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43222/psn-pdf
     February 13, 2019 - Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture … Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture … of identifying and addressing safety concerns, has shown potential as a means of improving safety culture … https://psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences … https://psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences

309. 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'.

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846750/psn-pdf
     March 29, 2023 - This commentary calls for moving from the reactive "bad apple" paradigm to a proactive just culture, … errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame https://psnet.ahrq.gov/glossary-0#glossary-heading-term-73800 https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

311. When a surgeon should just say 'I'm sorry'. | PSNet
     psnet.ahrq.gov/issue/when-surgeon-should-just-say-im-sorry
     February 05, 2014 - Newspaper/Magazine Article When a surgeon should just say 'I'm sorry'. … Citation Text: When a surgeon should just say 'I'm sorry'. Cohen E. CNN. March 24, 2016. … URL Cite Citation Citation Text: When a surgeon should just … November 25, 2009 Hospital Survey on Patient Safety Culture: 2016 User Comparative Database

312. Nurses: Guilty verdict for dosing mistake could cost lives. | PSNet
     psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
     April 27, 2022 - A just culture centers on moving from blaming individuals for medical errors towards a systems-based … September 28, 2022 Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 … Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just … culture.

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41294/psn-pdf
     June 01, 2012 - reducing-specimen-identification-errors This commentary describes a hospital safety improvement effort based on just … culture principles that reduced specimen identification errors. … psnet.ahrq.gov/issue/reducing-specimen-identification-errors https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

314. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
     August 01, 2023 - What is “patient safety culture”? … Patient safety culture is the extent to which an organization’s culture supports and promotes patient … Patient safety culture refers to the beliefs, values, and norms shared by healthcare practitioners and … term “unit” may be replaced by an equivalent term, such as “department,” if it suits the hospital (just … In addition, we have provided the response options for each composite measure in parentheses just below

315. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
     December 01, 2017 - 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 … Identifying organizational cultures that promote patient safety.

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851926/psn-pdf
     August 02, 2023 - Improving Patient Safety Culture – A Practical Guide. … https://psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide A strong patient safety … culture needs nurturing to serve as a foundation for launching and sustaining improvements. … https://psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide https://psnet.ahrq.gov/ … /issue/fostering-just-culture-healthcare-organizations-experiences-practice https://psnet.ahrq.gov/perspective

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849337/psn-pdf
     May 24, 2023 - Actions to renew focus on safety culture. May 24, 2023 Salvon-Harman J. … https://psnet.ahrq.gov/issue/actions-renew-focus-safety-culture A strong safety work environment is … listen broadly, embody accountability, support disclosure, and build trust to build a robust safety culture … https://psnet.ahrq.gov/issue/actions-renew-focus-safety-culture https://psnet.ahrq.gov/primer/culture-safety … https://psnet.ahrq.gov/issue/listening-learning-responding-concerns https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

318. Improving responses to safety incidents: we need to talk about justice. | PSNet
     psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice
     February 02, 2022 - Patient safety advocates recommend a shift from a blame culture to a just culture . … The authors invite debate around the concept of just culture and its role in the “ real world ”.

319. Module 1: Overview - Facilitator's Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
     February 01, 2023 - We know that just because a patient is in the ICU, the patient may not require a urinary catheter. … Challenges Say: In some instances, resistance to changing catheter use practices comes from the belief … Behavior-based beliefs are a challenge. … Behavioral or Cultural Factors Say: Many ICUs obtain cultures from multiple sites when a patient … the temperature increase should warrant a critical evaluation of the patient rather than an automatic culture

320. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
     February 26, 2025 - It is not just an event that happens and goes on a shelf. … culture, that culture of being able to speak up, that non-punitive culture where we are focused on improvement … How are we looking at human error versus reckless behavior (i.e., just culture)? … It's the same thing if we do not have just culture. … culture.