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psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
October 14, 2020 - Safety
Health Plan Patient Safety Initiatives
July 10, 2024
Culture … as a Cure: Assessments of Patient Safety Culture in OECD Countries. … July 15, 2020
Two cultures in modern science and technology: for safety and validity … October 30, 2019
Our long journey towards a safety-minded just culture.
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psnet.ahrq.gov/node/867382/psn-pdf
December 18, 2024 - The authors suggest that a switch from a compliance-based culture to a just culture, where
workers and … learning-experience-qualitative-study-surgeons-perspectives-reporting-and-dealing-serious
https://psnet.ahrq.gov/issue/creating-stronger-culture-safety-within-us-community-pharmacies
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psnet.ahrq.gov/issue/maintaining-perioperative-safety-uncertain-times-covid-19-pandemic-response-strategies
December 23, 2020 - October 28, 2020
Just culture: the foundation of staff safety in the perioperative environment … November 10, 2021
Integrating principles of safety culture and just culture into nursing
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psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
July 26, 2023 - July 5, 2023
Rooting an error review process in just culture: lessons learned. … June 16, 2021
It’s time to consider national culture when designing team training initiatives … July 31, 2017
'Just culture': improving safety by achieving substantive, procedural and
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psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
May 01, 2019 - Organizational safety culture refers to the collective beliefs and perceptions of workers regarding the … Strategy for a National EMS Culture of Safety. … 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?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
April 01, 2025 - 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?
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www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
June 01, 2013 - in multiple areas of the hospital to reduce harm beyond CLABSI and CAUTI and to improve the overall culture … performance
Pay structure and clinical ladder
Decreased agency
Web-based error reporting system
Just … Culture principles
Resilience Resource Team
Return to Contents
Slide 24. … Connecting the Dots
A diagram that shows that just culture, open communication, CUSP Teams, resilience … of safety and just culture
Stop the Line Policy
Return to Contents
Slide
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psnet.ahrq.gov/issue/review-quality-care-and-treatment-provided-14-hospital-trusts-england-overview-report
August 02, 2023 - Citation
Related Resources From the Same Author(s)
Improving Patient Safety Culture … July 18, 2018
A Just Culture Guide. … January 31, 2018
Just a Cup of Tea – an Introduction to the SEIPS Framework.
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psnet.ahrq.gov/web-mm/cultural-dimensions-depression
September 01, 2018 - Many of the traditional beliefs had been changed because of the effects of war, losses, and migration … , and being exposed to a new culture. … in the interpretation of language and culture. … physicians, especially psychiatrists, who recognize that depression presents variably in different cultures … , 2017
WebM&M Cases
Premature Closure: Was It Just
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - immobile intensive
What the science & evidence show:
CAUTI is a serious patient safety issue.1
“It’s just … • It's about more than just the Foley. … RETHINK THE “CULTURE OF CULTURING” URINE
Reflex pan culturing may
lead to C. difficile infection. … Change the culture. Visit www.ahrq.gov/CAUTItools for more information.
1. Bell L. … Change the culture. Visit www.ahrq.gov/CAUTItools for more information.
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psnet.ahrq.gov/issue/second-victim-review
June 26, 2019 - The authors highlight the importance of safety culture , disclosure, and peer support as mechanisms … July 13, 2016
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 … November 25, 2020
Second victims need emotional support after adverse events: even in a just … safety culture.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - Influences Patient Safety Culture? … Human Error 1990
Patient Safety Culture in Nursing Homes
• Safety culture scores are lower on average … to one which is just … Safety Culture
Medical Error: A Leading Cause of Death
Patient Safety Culture: An Increasing Priority … The Importance of Safety Culture
What Influences Patient Safety Culture?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
December 01, 2017 - For example, preventing surgical site infections is not just about giving the right antibiotic at the … Adaptive work addresses the attitudes, beliefs, and values of clinicians that drive behaviors, norms, … However, not all leaders are great at building this culture. … It is much easier to engage someone (anyone, not just executives) if you can be clear about what will … Don’t just invite them to come to the unit and walk through the OR with you.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - For example, preventing surgical site infections is not just about giving the right antibiotic at the … Adaptive work addresses the attitudes, beliefs, and values of clinicians that drive behaviors, norms, … It is much easier to engage someone (anyone, not just executives) if you can be clear about what will … Consider a brief safety culture summary, highlighting important points or culture score results. … Don’t just invite them to come to the unit and walk through the OR with you.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-june-2024.pdf
January 01, 2024 - 2) Psychological Safety:
Please push back or
disagree or just ask
questions as Pam, Deanna,
and … be the Leader in Improving Child Health
Simplified View of
our Journey
Pursuing
Perfection
Culture … of
Improvement
HRO:
Culture of
Safety/
Operational
Excellence
Solutions
for
Patient
Safety … 2) Psychological Safety:
Please push back or
disagree or just ask
questions as Pam, Deanna,
and … 2) Psychological Safety:
Please push back or
disagree or just ask
questions as Pam, Deanna,
and
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psnet.ahrq.gov/issue/standardise-educate-harmonise-commissioning-conditions-safer-surgery
August 02, 2023 - Citation
Related Resources From the Same Author(s)
Improving Patient Safety Culture … July 18, 2018
A Just Culture Guide. … July 16, 2014
Just a Cup of Tea – an Introduction to the SEIPS Framework.
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psnet.ahrq.gov/node/61087/psn-pdf
January 01, 2022 - This
article describes the implementation of a high-reliability hospital framework on patient safety culture … Framework components included an annual patient safety
assessment, annual safety culture survey, annual … root cause analysis (RCA) training, leadership walk
arounds, and just culture training. … Three years after implementation, patient safety culture and event
reporting rates improved, and the
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - These health systems will also maintain a just culture in which they promote a blame-free environment … health systems reaffirmed their commitment to improving patient safety and continuing to move toward a just … Patient Safety Culture and the Second Victim Phenomenon: Connecting Culture to Staff Distress in Nurses … Just culture: a safety imperative. ACHE blog . Accessed November 23, 2022. … https://www.ache.org/blog/2022/just-culture-a-safety-imperative
6.
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psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
April 14, 2021 - January 25, 2023
Role of the regulator in enabling a just culture: a qualitative study … April 19, 2017
What has been the impact of Covid-19 on safety culture? … August 17, 2022
Role of the regulator in enabling a just culture: a qualitative study
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psnet.ahrq.gov/issue/emotional-responses-and-support-needs-healthcare-professionals-after-adverse-or-traumatic
April 03, 2019 - Same Author(s)
Second victims need emotional support after adverse events: even in a just … safety culture. … Annual Perspective
Ensuring Patient and Workforce Safety Culture … February 7, 2024
Fostering a just culture in healthcare organizations: experiences in