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Showing results for "just culture".
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  1. 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 ”.

  2. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
    June 18, 2024 - behavior training and application Safe tables PFAC committees Safety huddles Causal analysis Just … System Focus Just Culture - consistent understanding and application Financial Stability PSO All … , Equitable, Patient-centered NAP Assessment 2022 2024 Projection Patient and Family Engagement Just … All rights reserved. 41 Quality and Safety Goals October 2023 • Launched quality belief and new, aligned … All rights reserved. 43 OUR SHARED QUALITY BELIEF Quality connects us.

  3. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
    December 01, 2017 - 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.

  4. 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

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865454/psn-pdf
    March 27, 2024 - Psychologically safe cultures focus more on learning and how system failures lead to safety events rather … The concept of just culture seeks to balance this systems-based approach to safety events with appropriate … One pre- https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition … Another integrative review on Just Culture showed that leaders can demonstrate full commitment to Just … integrative-systematic-review-employee-silence-and-voice-healthcare-what-are-we-really https://psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review

  6. 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

  7. 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

  8. 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

  9. Leadership committed to safety. | PSNet

    psnet.ahrq.gov/issue/leadership-committed-safety
    December 23, 2016 - this sentinel event alert , the Joint Commission calls for senior health care leaders to establish a culture … of safety within their organizations, use just culture principles to establish transparent and fair … Please review The essential role of leadership in developing a safety culture for updated recommendations … July 19, 2016 A just culture after Mid Staffordshire.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33615/psn-pdf
    June 01, 2005 - simultaneously studying clinical research, health policy, and management] was to combine those two cultures—quality … By exposing that, we revealed the dissonance between our pride and our belief that we are a great institution … RW: In terms of big buckets—informatics, culture change, hiring more nurses, standard procedures—how … PP: Unequivocally, they should start with culture change. … It simply says, measure your culture (we use J.

  11. SOPS™ Best Practices for Web-based SOPS Surveys Webcast Transcript (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/bestpractices-web-sopssurveys-transcript.pdf
    June 12, 2019 - to measure patient safety culture in a variety of facilities. … We just expect that they'll just be increasing in their use. … Let's just see. I think, yes. … Let me just double check. Okay. There's another question that we just got in. … The AHRQ SOPS survey or the AHRQ Surveys on Patient Safety Culture is a safety culture survey.

  12. 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

  13. Doctors are more dangerous than gun owners: a rejoinder to error counting. | PSNet

    psnet.ahrq.gov/issue/doctors-are-more-dangerous-gun-owners-rejoinder-error-counting
    June 24, 2020 - systems do not account for the "higher order" organizational characteristics that constitute the safety culture … October 11, 2017 A just culture after Mid Staffordshire. … December 9, 2014 Just culture: who gets to draw the line? … February 10, 2021 Intolerance of error and culture of blame drive medical excess. … December 15, 2014 The effect of the fit between organizational culture and structure

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867676/psn-pdf
    February 26, 2025 - A just culture promotes shared accountability and emphasizes that safety events are usually a product … facts with healthcare staff should be done with objectivity and compassion guided by principles of just … for all employees and establishing clarity around roles, expectations, and accountability promotes a just … culture. … modules/notes7.html https://psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture

  15. Creating a culture of accountability promotes safe medical care. | PSNet

    psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
    July 17, 2017 - Newspaper/Magazine Article Creating a culture of accountability promotes safe medical … Citation Text: Creating a culture of accountability promotes safe medical care. … Frontline leadership should model just culture behaviors to encourage reporting and discussion of error … Copy URL Cite Citation Citation Text: Creating a culture

  16. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. | PSNet

    psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods
    October 26, 2022 - and mixed methods for assessing safety culture in hospitals. … assessing safety culture in hospitals. … This systematic review identified 694 studies of safety culture in hospitals. … assessing safety culture in hospitals. … July 21, 2021 Role of the regulator in enabling a just culture: a qualitative study in

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47242/psn-pdf
    January 01, 2021 - it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error- disclosure Effective error disclosure fosters a just … culture. … it-matters-what-i-think-not-what-you-say-scientific-evidence-medical-error-disclosure https://psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/issue/just-culture-guide

  18. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
    December 01, 2012 - Just Culture, which is described in more detail later in this presentation.. … Learn how Just Culture principles can augment CUSP. Review key steps of the CUSP Toolkit. … A Just Culture learning environment allows the review of both system design and the employee's choice … Shared responsibility is the norm in a Just Culture, and a commitment to eliminating the possibility … of error is widespread within a Just Culture

  19. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
    April 01, 2013 - must do based on the evidence to get the best outcome, and teamwork or the behaviors and attitudes and beliefs … that are part of the culture on our units. … There are a number of tools out there that are part of the Just Culture work, there are tools out there … We've developed a culture within our hospital -- and what Chris said or maybe she didn't, maybe I just … remember this from our training -- but culture is how you do things here, and we’ve changed our culture

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867229/psn-pdf
    January 01, 2025 - improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned … https://psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
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