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381. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
     August 01, 2022 - Kotter’s Step 8 is "Create a new culture." … Slide 4 Say: Sustainability occurs when processes, outcomes, ideas, beliefs, principles, … with an organization’s commitment to make the necessary changes that promote a timely, thorough, and just … staff to report CANDOR events and other adverse patient events by promoting transparency and a fair and just … culture.

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836877/psn-pdf
     May 16, 2022 - it called “Just Culture.” … I also think that the culture is changing. … 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.

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839813/psn-pdf
     November 09, 2022 - Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. … Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. … https://psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac … https://psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery … psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and-redefine-just-culture

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838031/psn-pdf
     September 13, 2022 - Addressing the Loss of Trust in Safety Culture. …   https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture Trust in patient safety processes … https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture https://psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review

385. Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review. | PSNet
     psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
     September 14, 2022 - January 12, 2022 Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative … April 12, 2023 Effect of patient safety education interventions on patient safety culture … October 12, 2022 The barriers and enhancers to trust in a just culture in hospital settings … September 30, 2020 Why accountability sharing in health care organizational cultures

386. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
     December 01, 2017 - Not using data is part of the culture of safety. … I talk about creating a culture of confidence. … of possibility, optimism, and self-belief drown out the voices of self-doubt. … This is 1 way to make sure the culture of confidence maintains that culture of optimism. … It was just part of their process.

387. Siminoff_ECCS2012 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/siminoff_eccs2012.pdf
     January 01, 2012 - • A set of norms and beliefs (“guidelines”) that individuals learn as members of a particular society … These norms and beliefs shape how individuals perceive and experience the world and tell  them  how … • Culture  is not race  or ethnicity  itself  but the  product of belonging to  a group … Patient: “Well, he just figured I should go to the doctor more often. … Because usually [I] do, [and] he just noticed that I hadn’t.

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36966/psn-pdf
     June 20, 2007 - Second Annual Nursing Leadership Congress: "Building the Foundation for a Culture of Safety" conference … https://psnet.ahrq.gov/issue/second-annual-nursing-leadership-congress-building-foundation-culture-safety … The authors summarize sessions from an annual nurse executive conference that focused on leadership, just … culture, disclosure, change management, and mentorship. … https://psnet.ahrq.gov/issue/second-annual-nursing-leadership-congress-building-foundation-culture-safety-conference

389. Safety requires a state of mindfulness. | PSNet
     psnet.ahrq.gov/issue/safety-requires-state-mindfulness
     May 02, 2018 - May 7, 2018 Smart pump custom concentrations without hard "low concentration" alerts … August 9, 2023 Just Culture and its critical link to patient safety—part 1 and part 2 … Annual Perspective Ensuring Patient and Workforce Safety Culture … Providers Health Care Executives and Administrators Non-Health Care Professionals Latent Errors Culture

390. Workplace Safety Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
     October 01, 2021 - 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. … Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic Just … Culture Know the Facts – Worker Safety in Your Hospital Leading a Culture of Safety: A Blueprint for

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45565/psn-pdf
     May 24, 2017 - Leading a Culture of Safety: a Blueprint for Success. … https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success Health care leadership plays an … 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 … https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success https://psnet.ahrq.gov/primer/leadership-role-improving-safety

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33573/psn-pdf
     March 15, 2025 - Two of the central tenets of a safe culture - teamwork across disciplines and a blame-free environment … Indeed, a workplace culture that tolerates demeaning or insulting behavior is likely to be one in which … The concept of just culture provides an appropriate foundation for dealing with disruptive behavior, … Other interventions to prevent disruptive behavior include measures to improve safety culture. … https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives https://psnet.ahrq.gov

393. Safety-I, Safety-II and resilience engineering. | PSNet
     psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering
     December 16, 2015 - These authors discuss how four adaptive performance modes – just-in-time, just-for-now, just-in-case, … and just-this-way performance – play out in acute care settings and their relationship to Safety-II … December 16, 2015 The relationship of organizational culture, stress, satisfaction, and … to Report March 1, 2007 The Challenger Launch Decision: Risky Technology, Culture

394. In Conversation with...James P. Bagian, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
     September 01, 2006 - , just stay out of this . … Some of the most useful insights concern three areas: how to create a just culture that is conducive … Aviation has spent decades establishing a just culture of safety in which there are careful agreements … For example, European just culture legislation in November 2015 extended a range of legal protections … around the appropriate use of aviation safety data.( 11 ) Such just culture principles remain patchily

395. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
     October 01, 2024 - Learn, don’t just recover, when things go wrong.  … It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff … Patient safety culture can be measured by determining the values, beliefs, norms, and behaviors related … Personal responsibility is just one factor. Focus on systems, not individuals. … What Is Patient Safety Culture?

396. AHRQ Webcast Introducing the New SOPS Hospital Survey 2.0 - Ginsberg (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2-ginsberg-sops-hospital-survey-2-0-webcast.pdf
     June 01, 2020 - Webcast Introducing the New SOPS Hospital Survey 2.0 - Ginsberg AHRQ’s Surveys on Patient Safety Culture … ► the collection of data and informative reporting of patient safety culture data ► patient safety … relevance • Received feedback from users: ► Content: staff positions/work areas; orientation to just … culture; ► Structure: NA/DK; negatively worded and complex items • Used the standard SOPS methodology … What’s different about HSOPS 2.0 compared to the original survey (HSOPS 1.0) • How patient safety culture

397. In Conversation With… Jane Brice, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
     May 01, 2019 - It's just as critical a piece of information as their blood pressure. … JB : Do I need to say more than what you just said? RW : Is that just it? JB : Yes, that's it. … RW : So is it just again triage and alerting? … Organizational safety culture refers to the collective beliefs and perceptions of workers regarding the … Strategy for a National EMS Culture of Safety.

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37960/psn-pdf
     September 24, 2010 - The concept of just culture has been proposed in order to maintain individual accountability for unsafe … issue/acog-committee-opinion-508-disruptive-behavior https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

399. Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet
     psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
     September 07, 2022 - April 13, 2022 Integrating principles of safety culture and just culture into nursing … Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just … culture.

400. Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. | PSNet
     psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
     February 23, 2018 - Topics discussed include just culture , disclosure , and bias. … March 15, 2017 Just Culture: Restoring Trust and Accountability in Your Organization,