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psnet.ahrq.gov/node/42984/psn-pdf
February 26, 2014 - Suggested interventions include disclosure training and implementing a just culture. … psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp-psychological-safety.html
November 01, 2024 - (CLABSI)
Prevention of Hospital-Acquired Pneumonia: VAP & NV-HAP
Antibiotic Stewardship
Blood Culture … CUSP encourages and thrives in a culture of open communication and trust, encouraging the sharing of … viewing this presentation, viewers will be able to: Explain how the science and art of safety compliment culture … AHRQ Core CUSP Toolkit delves deeper into psychological safety, introducing the CUSP principles of Just … Culture and accountability.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - • Improve organizational culture. … Just Culture
https://www.unmc.edu/patient-safety/patientsafetyculture/just-culture.html
This website … provides links to ways to engage in and teach about a Just Culture, execute a Just
Culture, and evaluate … a Just Culture.
2. … Just Culture
2.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - • Improve organizational culture. … SEM is a comprehensive, cohesive, and integrated
solution to support, create, and sustain cultures of … Just Culture
https://www.unmc.edu/patient-safety/patientsafetyculture/just-culture.html
This website … Culture. … Additional sources on this website include information on executing and evaluating a Just
Culture.
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www.ahrq.gov/sops/international/hospital/translators-version-2.html
October 01, 2024 - 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
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www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
April 01, 2013 - interested in having areas that don’t have CUSP teams but that already do have strong, mature safety cultures … to one of a culture of safety. … Our two hospitals have very different cultures, so sometimes our delivery methods and communications … need to adapt to the different cultures. … Our organization is going through a very formalized approach to just culture and decisionmaking around
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psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
December 27, 2019 - can be defined as the “personal identification, language, thoughts, communications, actions, customs … , beliefs, values, and institutions that are often specific to ethnic, racial, religious, geographic, … communities, it is unrealistic for providers to have sufficient understanding of all of the different cultures … CB : A cultural broker is someone who understands two different cultures and mediates in cross-cultural … don’t think we have evidence as to whether that’s produced a more culturally competent workforce, or just
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
June 01, 2021 - Let’s get a UA and urine culture. … The lab just called me, and he has a resistant organism growing in his urine culture. … I’m calling because our policy states I must inform a health care practitioner about all positive cultures … The lab just called – he has a resistant organism in his urine. … Our policy states I must inform the on-call physician about all positive cultures.
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psnet.ahrq.gov/node/33734/psn-pdf
August 01, 2012 - The nursing home information is very well developed in the
sense just like Hospital Compare and Home … I just returned from a
provider conference, and the session that was standing room only was on how to … There are turnaround specialists
that some of the nursing home chains have, but there are also just … In many cases I'm not so sure that you wouldn't
be just as dissatisfied somewhere else. … It is not a
matter of just housing residents in a room and watching TV all day or lining them up in
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - In particular, aspects of safety culture like teamwork: Do you feel comfortable speaking up? … I think we're entering an era of Safety Culture 2.0. … And resilience is just the opposite. … If somebody would just fire Mark we'd be fine." … Obviously the point has been made that it's not just a checklist but relates deeply to culture and communication
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psnet.ahrq.gov/issue/unacceptable-behaviours-between-healthcare-workers-just-tip-patient-safety-iceberg
February 16, 2022 - Commentary
Unacceptable behaviours between healthcare workers: just the tip of the … Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. … Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. … June 12, 2018
Creating a culture of safety in the emergency department: the value of … Health Care Executives and Administrators
Psychological and Social Complications
Latent Errors
Culture
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psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
May 29, 2014 - Download Citation
Related Resources From the Same Author(s)
A just … culture after Mid Staffordshire. … May 29, 2014
'Just culture': improving safety by achieving substantive, procedural and … December 9, 2014
Just culture: who gets to draw the line?
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psnet.ahrq.gov/issue/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety
November 04, 2020 - Community discharge among post-acute nursing home residents: an association with patient safety culture … Community discharge among post-acute nursing home residents: an association with patient safety culture … Survey on Patient Safety Culture and community discharge of long-term care (LTC) residents. … December 9, 2020
Integrating principles of safety culture and just culture into nursing … June 20, 2011
Safety culture of nursing homes: opinions of top managers.
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psnet.ahrq.gov/issue/patient-safety-culture-assisted-living-staff-perceptions-and-association-state-regulations
June 30, 2021 - Study
Patient safety culture in assisted living: staff perceptions and association … Long-term care facilities can struggle with establishing a safety culture. … Survey to assess patient safety culture in assisted living facilities. … A PSNet perspective discusses how to change safety culture. … November 4, 2020
Integrating principles of safety culture and just culture into nursing
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
April 01, 2022 - How do we do this well so that a strong culture of
safety is built? … Just like with anything else, you want champions. … One is, traditionally, we have hierarchical
cultures. … You just saw them. … Building that safe culture.
Pat: Yeah, and respect and preventing defensiveness.
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psnet.ahrq.gov/node/46855/psn-pdf
February 21, 2018 - Leadership and vision for a culture of safety.
February 21, 2018
Gandhi TK. NEJM Catalyst. … https://psnet.ahrq.gov/issue/leadership-and-vision-culture-safety
Leadership has an important role in … establishing a culture of safety in health care organizations. … Areas of focus include the importance of modeling
behaviors such as transparency, adopting just culture … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
January 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items
SOPS
TM … are grouped according to
the safety culture composites they are intended to measure. … Safe Surgery 2015: South Carolina Tool 2: Surgical Safety Culture Survey. … Just before the start of procedures, all team members stopped to discuss the overall plan of what was … Just before the start of procedures, the doctor encouraged every team member to speak up at any time
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psnet.ahrq.gov/node/35582/psn-pdf
June 17, 2010 - Building a safety culture.
June 17, 2010
Milligan F, Dennis S. Building a safety culture. … https://psnet.ahrq.gov/issue/building-safety-culture
The authors provide an introduction to British … patient safety efforts for nurses and midwives and emphasize
the importance of supporting a just culture … https://psnet.ahrq.gov/issue/building-safety-culture
https://psnet.ahrq.gov//#justculture
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - antibiotic use
Recognize that patient harm is largely preventable
Recognize that changes to the system, not just … Antibiotic Overuse2,3
We’re not sure if you have hypertension, but…we’re going to put you on lisinopril just … Have we collected appropriate cultures and diagnostic tests before starting antibiotics? … Safety
15
16
Saturday—Nurse aide noted a 76-year-old woman in the facility did not eat breakfast and just … Urine culture did not need to be sent.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - Survey Development
Patient safety culture can be defined as the set of values, beliefs, and norms about … Patient Safety Culture Composites and Definitions
Patient Safety Culture Composite Definition: The extent … Just before the start of procedures, the doctor encouraged all team members to speak up at any time … Just before the start of procedures, all team members stopped to discuss the overall plan of what was … Just before the start of procedures, all team members stopped to discuss the overall plan of what was