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381. Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. | PSNet
     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

382. 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

383. Ambulatory Surgery Center Survey on Patient Safety Pilot Study Results (pdf file)
     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

384. 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

385. 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

386. 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

387. 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.

388. 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.

389. 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

390. 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

391. 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.

392. 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

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42719/psn-pdf
     December 18, 2014 - The importance of institutional support, particularly in establishing a just culture that promotes error … liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program https://psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

394. 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,

395. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
     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

396. PowerPoint Presentation
     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.

397. Rudeness at work. | PSNet
     psnet.ahrq.gov/issue/rudeness-work
     May 29, 2014 - March 24, 2011 Measuring safety culture in healthcare: a case for accurate diagnosis. … Does the culture of the medical profession influence health outcomes? … December 8, 2016 'Just culture': improving safety by achieving substantive, procedural … March 15, 2016 A just culture after Mid Staffordshire.

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38673/psn-pdf
     April 30, 2014 - Leape advocates for just culture—a balance between systems approaches and individual accountability—and … intervention-decrease-catheter-related-bloodstream-infections-icu https://psnet.ahrq.gov/issue/checklist https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

399. 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?

400. 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.