Results

Total Results: 3,234 records

Showing results for "just culture".
Users also searched for: just culture

401. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
     psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
     March 01, 2017 - going right that seem very obvious to me, in the same ways we don't learn about how to avoid obesity just … For example, with the use of routine beta-blockers in surgery, where that technical intervention just … Is it just you've digitized this world, but it's the same kind of issues. … There are evolutionary reasons why it's difficult to change cultures, because they're there to keep coherence … This is just fluffy stuff." The reality is that that's usually the really hard stuff.

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49507/psn-pdf
     April 01, 2006 - The first joke I ever heard about surgeons had as its punch line: “Oh, that’s God, he just thinks he … four-handed.(2) This evolution in the nature of surgery now means that the surgical personality is not just … The anesthesiologist voiced his belief that the surgeon had placed the device in the pericardial space … ) Two elements are critical to safety cultures. … A number of factors are critical if safety cultures are to become a reality rather than a rhetorical

403. Safety culture of nursing homes: opinions of top managers. | PSNet
     psnet.ahrq.gov/issue/safety-culture-nursing-homes-opinions-top-managers
     June 02, 2010 - Study Safety culture of nursing homes: opinions of top managers. … Safety culture of nursing homes: opinions of top managers. … Safety culture of nursing homes: opinions of top managers. … June 2, 2010 Nursing home administrators' opinions of the resident safety culture in … December 4, 2016 Integrating principles of safety culture and just culture into nursing

404. Infectious Complications Related to the Catheter Other Than CAUTI | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-slides.html
     December 01, 2017 - for MDRO, and Clostridium difficile Solution: minimize catheter exposure, avoid unnecessary cultures … Slide 31 How Culture Plays a Role in CAUTI Prevention Kathlyn E. … The people who don't, you know, just think it is a burden.” … –RN Slide 41 Nurses and Physician Barriers Especially in the ICU, the belief in the need for … And then also just the documentation of it.

405. 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

406. Improving nursing home safety through adoption of a practical resilient health care approach. | PSNet
     psnet.ahrq.gov/issue/improving-nursing-home-safety-through-adoption-practical-resilient-health-care-approach
     August 26, 2020 - September 23, 2020 How does patient safety culture in the operating room and post-anesthesia … September 24, 2010 Identifying organizational cultures that promote patient safety. … 16, 2011 View More Related Resources Surveys on Patient Safety Culture … Residing in Nursing Homes February 24, 2022 Integrating principles of safety culture … and just culture into nursing homes: lessons from the pandemic.

407. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
     September 26, 2023 - cultural assessment, site-specific planning and coaching efforts Fostered leadership engagement and Just … Culture of Safety Safety values and practices are used to prevent harm and learn from mistakes. … learning opportunities and a network of peer-to-peer connections Foundational training in HRO concepts, Just … Culture principles and error management tools HRO Baseline Training Safety behaviors and practices … When something goes wrong, I trust my organization and leaders will correct it and treat everyone in a just

408. 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.

409. SynergyHealth - St. Joseph's Hospital: Designing a safe hospital (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
     January 01, 2005 - Push • Standardize Work • Visual Control • Proven Technology • Culture of stopping to fix problems • … of Safety • Shared Values and Beliefs about Safety within the Organization • Always Anticipating … Precarious Events • Informed Employees and Medical Staff • Culture of Reporting • Learning Culture • … “Just” Culture • Blame-Free Environment Recognizing Human Infallibility • Physician Team Work • Culture … Lean Principles Process Recommendations Creating a Culture of Safety 2005: Baseline Research Guiding

410. 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

411. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety | PSNet
     psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
     April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety Brian K. … Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety. … Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety. … I just was quiet, and he said, "We're talking about you." … Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety.

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33636/psn-pdf
     July 01, 2006 - creating reliable team interactions, ensuring reliably designed processes, and promoting the value of a just … culture. … A just culture is one that supports and encourages open and honest reporting of medical errors. … It is important for officers to have a clear understanding about what it means to work in a just culture … Feedback loops are essential to move the organization toward a just culture.

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867345/psn-pdf
     December 11, 2024 - This study identified improvements in patient safety culture scores (particularly risk identification … , just culture, and error transparency) and increased event reporting behavior in the 2 years after … primer/high-reliability https://psnet.ahrq.gov/primer/high-reliability https://psnet.ahrq.gov/primer/culture-safety

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867755/psn-pdf
     March 12, 2025 - nurse-leader-perspectives-and-experiences-caregiver-support-following- serious-medical-error Nursing leadership plays an important role in establishing a culture … the importance of formal support programs, including peer support, education, error analysis, and just … culture. … nurse-managers-leadership-patient-safety-and-quality-care-systematic-review https://psnet.ahrq.gov/primer/culture-safety

415. Antibiotic Stewardship Slides, Part 1: Hand Hygiene
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
     March 01, 2017 - If there are no signs or symptoms, then don’t send a urine culture. … “Extra urine cultures lead to extra antibiotics—and that’s not good for anyone.” … Family says: “Let’s just give him antibiotics just in case.” … In our second example, the family says: “Let’s just give him some antibiotics just in case.” … Second, that positive urine cultures do not indicate CAUTI.

416. If safety is your yardstick, measuring culture from the top down must be a priority. | PSNet
     psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
     April 29, 2018 - Newspaper/Magazine Article If safety is your yardstick, measuring culture from the … Citation Text: If safety is your yardstick, measuring culture from the top down must be a priority. …  suggestions for measuring organizational culture to inform improvements. … June 5, 2018 Administering just the diluent or one of two vaccine components leaves patients … December 22, 2010 The safety culture in a children's hospital.

417. Tablet splitting: Do it only if you "half" to, and then do it safely. | PSNet
     psnet.ahrq.gov/issue/tablet-splitting-do-it-only-if-you-half-and-then-do-it-safely
     November 13, 2018 - Related Resources From the Same Author(s) Our long journey towards a safety-minded just … culture. … May 7, 2018 Administering just the diluent or one of two vaccine components leaves patients … June 4, 2014 Our long journey towards a safety-minded just culture.

418. Keeping patients safe in healthcare organizations: a structuration theory of safety culture. | PSNet
     psnet.ahrq.gov/issue/keeping-patients-safe-healthcare-organizations-structuration-theory-safety-culture
     September 04, 2010 - Keeping patients safe in healthcare organizations: a structuration theory of safety culture … Keeping patients safe in healthcare organizations: a structuration theory of safety culture. … Keeping patients safe in healthcare organizations: a structuration theory of safety culture. … From the Same Author(s) Influencing leadership perceptions of patient safety through just … culture training.

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836876/psn-pdf
     May 16, 2022 - and the need to make decisions for time-sensitive conditions with often incomplete information are just … Contributions to Safer Care in the Prehospital Setting Safety culture measurement, another indicator … on individual error to a Just Culture where the system is the primary focus. … Healthcare leaders have used safety culture measurement to assess and transform culture in hospital … and staff have the seeds to grow the culture of safety in EMS organizations.

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45067/psn-pdf
     May 11, 2016 - Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. … https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report … Measuring and improving safety culture are core patient safety activities. … https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/surveys-patient-safety-culture … issue/nurse-staffing-levels-and-quality-care-hospitals https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives