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501. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet
     psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
     February 01, 2017 - in and uptake of TeamSTEPPS abroad, especially given the wide variation in health care and national cultures … TeamSTEPPS tools and strategies—including briefs, huddles, and debriefs—to be generalizable across cultures … Of course, that's just not the case. … It's just not useful anymore. … The industry culture is changing. And small changes can make a big difference.

502. Patient safety systems for case management. | PSNet
     psnet.ahrq.gov/issue/patient-safety-systems-case-management
     December 22, 2008 - Citation Related Resources From the Same Author(s) Patient safety: it's not just … carefulness, it's a culture. … October 19, 2022 The barriers and enhancers to trust in a just culture in hospital settings

503. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49493/psn-pdf
     November 01, 2005 - In an effort to balance error, blame, and discipline, the principles of a “just culture” have emerged … .(10) A just culture strives to balance communication and deterrence. … According to the just culture classification, he was likely culpable of an intentional rule violation … Patient Safety and the “Just Culture”: A Primer for Health Care Executives. … Creating and sustaining a culture of safety.

504. Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. | PSNet
     psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
     January 04, 2017 - Citation Text: Just S, Schepers G, Piotrowski MM, et al. … Share Facebook Twitter Linkedin Copy URL January 2, 2017 Just … Linkedin Copy URL Cite Citation Citation Text: Just … Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture … September 20, 2011 Building and sustaining a systemwide culture of safety.

505. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
     psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
     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 … Many are temporary staff that just come in for a day here or there, that the facility might have less … So getting traction on major changes in the way things are done in nursing homes can be quite tough just … In many cases I'm not so sure that you wouldn't be just as dissatisfied somewhere else.

506. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet
     psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
     January 01, 2015 - Rather, it is just another temporary phase on the upward journey to better and better performance. … And in collecting specimens to improve the flow instead of just focusing on cost. … It should be a no-blame culture. … It's going to take time to build up even just a basic level of comfort let alone building up trust to … it starts feeling like this is our new culture.

507. In Conversation With… Mark Graban, MS, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
     January 01, 2015 - And in collecting specimens to improve the flow instead of just focusing on cost. … huge opportunities to improve the way we manage and to engage employees in improvement, instead of just … It should be a no-blame culture. … it starts feeling like this is our new culture. … Rather, it is just another temporary phase on the upward journey to better and better performance.

508. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33875/psn-pdf
     March 01, 2019 - that they were a dot-com and we were a dot-org and that explained many of the different practices and beliefs … SH: My opinion is that every hospital develops its own culture and its own operating system. … —just as if a hospital were initiating a new EHR on its own independent of a merger. … There is so much to be said for just sitting at the labor floor desk. … This PSA [professional services agreement] thing is just enormous.

509. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
     June 01, 2005 - simultaneously studying clinical research, health policy, and management] was to combine those two cultures—quality … Their theories, which are often very elegant, are just not always applicable to bedside reality. … By exposing that, we revealed the dissonance between our pride and our belief that we are a great institution … PP: Unequivocally, they should start with culture change. … It simply says, measure your culture (we use J.

510. In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE | PSNet
     psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
     August 31, 2020 - Another experience that was of vital importance to me occurred just a couple of years ago when I met … That's just a fact. … feel comfortable to step up and speak up and protect patient safety, with action and not just words. … This is not something where you just came in one day and started hiring nurses who fill that safety culture … Or is it just a paradigm shift of how your thinking of the care you are providing?

511. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867850/psn-pdf
     February 26, 2025 - But they just were not being listened to. … High reliability and safety culture are fragile, and they need to be re- accomplished. … When that leader left, the culture reverted completely back to a much more traditional approach where … So let us just do them all together, and that will make us highly reliable. … One thing that came out of COVID was a pretty consistent finding that safety culture eroded.

512. In Conversation with...Brent C. James, MD, MStat | PSNet
     psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
     February 26, 2025 - But we built from there and just started to expand out. … Yet you and others have written about the culture of medicine being so individualistic. … Now I would argue that this is the core of that culture. … We got to talking about exactly the issue that you just raised, the culture. As Dr. … But for adult learners this is just absolutely critical.

513. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49495/psn-pdf
     December 01, 2005 - Subsequent urine cultures were negative. … Consider the lowest person in the hierarchy of a hospital, perhaps a young ward clerk (it could just … It was just a paperwork snafu, and the patient really was supposed to go to surgery. … Do her colleagues snicker at her, whispering just out of earshot during coffee breaks, while the surgical … Hospital Survey on Patient Culture.

514. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33706/psn-pdf
     February 01, 2011 - But we built from there and just started to expand out. … Yet you and others have written about the culture of medicine being so individualistic. … Now I would argue that this is the core of that culture. … We got to talking about exactly the issue that you just raised, the culture. As Dr. … But for adult learners this is just absolutely critical.

515. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33783/psn-pdf
     April 01, 2015 - LL: In a sense it's a mix—I think they fell prey to the belief that checklists are a simple thing. … you just do this one thing. … Why can't you just make it happen? … It just is not simple. … Finally, I think the culture change we seek will happen faster than we expect.

516. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33831/psn-pdf
     April 01, 2017 - The second is safety culture. … Just do it the way I said." … Their culture is completely different. … That changes their culture. … Also, zero harm is not just getting rid of complications.

517. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33755/psn-pdf
     September 01, 2013 - Contemplate culture. … culture of a given organization and its subunits. … Creating a culture of safety requires leading differently. … undermine their ability to affect lasting change and create a learning orientation by focusing on just … ref7 https://psnet.ahrq.gov//#ref8 https://psnet.ahrq.gov//#ref9 https://psnet.ahrq.gov//#ref10 have beliefs

518. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43571/psn-pdf
     October 01, 2014 - Following evidence that walkrounds improved safety culture, this practice became widely endorsed by … highlighting that failure to follow up on concerns raised may actually erode, rather than enhance, safety culture … effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units https://psnet.ahrq.gov/primer/culture-safety … https://psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences

519. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33712/psn-pdf
     June 01, 2011 - Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture … First of all, are they so anticipatable that we should just now expect them? … that is that organizations can start to deviate from established procedures and bend them if in their culture … The culture created at the top is more important than any number of experts that you have there. … Japan's culture made it harder to discuss the risk.

520. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33809/psn-pdf
     June 01, 2016 - It wasn't just the notion that culture has an impact on safety, but that it could be quantified or measured … Just focusing on joy and meaning without really looking at culture and leadership is also going to be … And that's not just physicians; the same is true of nursing. … The truth is that today we're getting more cross-fertilization, not just at the university level but … Just like we see in other fields, we're going to have individuals who are working in the area who are