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61. Our long journey towards a safety-minded just culture. Part I: Where we've been. | PSNet
    psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-i-where-weve-been
    November 13, 2018 - Newspaper/Magazine Article Our long journey towards a safety-minded just culture. … Citation Text: Our long journey towards a safety-minded just culture. Part I: Where we've been. … This article discusses the difference between a blame-free and just culture  and describes why the latter … culture. … April 16, 2019 Our long journey towards a safety-minded just culture.

62. Slide 1 (ppt file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
    January 01, 2013 - Reporting Culture Just Culture Flexible (Teamwork) Culture Learning Culture Effective reporting and … just cultures create atmosphere of trust Sensemaking8 of patient safety events and high reliability result … Just – James Reason introduced the concept of Just Culture, which he describes as… “What is needed is … create cultures when they create groups and organizations. . . … (A1) BELIEF 2.

63. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
    January 01, 2024 - , flexible, and learning cultures. … Perceptions of organizational beliefs and practices that support a just culture, a flexible culture, … , flexible, and learning cultures. … reporting practices and practices that support just, flexible, and learning cultures. … , flexible, and learning cultures.

64. A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. | PSNet
    psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
    April 03, 2005 - The action plan proposed by this project includes ensuring a just culture so staff feel empowered to … April 17, 2024 Nurse leader attitudes and beliefs regarding medical errors. … March 6, 2024 Rooting an error review process in just culture: lessons learned. … October 5, 2022 The barriers and enhancers to trust in a just culture in hospital settings … April 20, 2022 Just culture: the foundation of staff safety in the perioperative environment

65. Creating an Improvement Culture (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Creating_an_Improvement_Culture_2011_10_01_Transcript.pdf
    January 01, 2011 - Creating an Improvement Culture Creating an Improvement Culture October 2011  Podcast Speaker … Having a positive organizational culture is important not just for patient experience but for all areas … Slide 13 Now if we go to the next slide, I just want to touch on a few of the service tactics. … Slide 15 If you go to the next slide, that’s just a sample of one of our service recovery coupons. … Slide 25 If you look at the next slide, I’ll just touch base on a couple of these.

66. Second victims need emotional support after adverse events: even in a just safety culture. | PSNet
    psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-culture
    April 12, 2023 - Commentary Second victims need emotional support after adverse events: even in a just … safety culture. … Second victims need emotional support after adverse events: even in a just safety culture. … The authors suggest that peer support programs are also required in organizations with blame-free cultures … Second victims need emotional support after adverse events: even in a just safety culture.

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33563/psn-pdf
    September 16, 2024 - 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 … A just culture focuses on identifying and addressing systems issues that lead individuals to engage … In a just culture, the response to an error or near miss is predicated on the type of behavior associated … https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

68. In Conversation with...David Marx, JD | PSNet
    psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
    October 01, 2007 - between the early thrust in patient safety toward no blame with the belief that sometimes blame is appropriate … time, we conduct this complex leadership function guided by little more than vague policies, personal beliefs … , implementing policies that support just culture, and building just culture principles into the practices … that don't allow you to incorporate just culture." … Just culture principles will help you change your organizational culture.

69. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
    December 01, 2017 - Culture is made up of the values, beliefs, underlying assumptions, attitudes and behaviors shared by … (Schein, 2010, pp. 24, 27) Image: Pyramid with the top level saying Behaviors, middle level Beliefs … Reporting Culture Just Culture Flexible (Teamwork) Culture Learning Culture: Effective … reporting and just cultures create atmosphere of trust Sense-making of patient safety events and high … Image: Pyramid with the following layers from top to bottom: HRO, Learning, Flexible, Just,

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33659/psn-pdf
    October 01, 2007 - Making Just Culture a Reality: One Organization's Approach October 1, 2007 Page AH. … time, we conduct this complex leadership function guided by little more than vague policies, personal beliefs … , implementing policies that support just culture, and building just culture principles into the practices … that don't allow you to incorporate just culture." … Just culture principles will help you change your organizational culture.

71. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. | PSNet
    psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care
    February 07, 2018 - analysis (eACA) tool, which combines features from high reliability, human factors engineering, and just … October 19, 2022 Association of diagnostic stewardship for blood cultures in critically … March 13, 2024 Nurse leader attitudes and beliefs regarding medical errors. … culture. … Culture

72. The meaning of justice in safety incident reporting. | PSNet
    psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
    April 11, 2011 - This article describes how the principles of just culture can inform the design of effective incident … An AHRQ WebM&M interview and perspective address the concept of just culture and its implementation … May 25, 2016 A just culture after Mid Staffordshire. … May 29, 2014 Just culture: who gets to draw the line? … October 14, 2009 Balancing just culture with regulatory standards.

73. Establishing a Safety Culture: Thinking Small | PSNet
    psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
    December 01, 2006 - kinds of attitudes and behaviors that need to be in place for safety cultures to emerge. … Implementing safety cultures in medicine: what we learn by watching physicians. … That is, the norms, the practices, the values, and the beliefs of the people working in a given unit, … That's just not the case in the cockpit. … Physicians in general are trained to communicate in bullet points, just the headlines.

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/863755/psn-pdf
    March 06, 2024 - Nurse leader attitudes and beliefs regarding medical errors. … Nurse leader attitudes and beliefs regarding medical errors. … attitudes regarding medical error reporting and underscores the importance of nurse leaders in fostering a just … culture. … effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives

75. The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
    April 01, 2017 - The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures AHRQ Safety Program … Order Urine Cultures Welcome to today's educational session on The Culture of Culturing: The Importance … Determine when (or not) to order urine cultures. … Residents with urinary catheters have bacteria in their bladders—usually just colonizing the bladder … Urinalysis Urine culture Urinalysis and antibiotics Culture and antibiotics Nothing Slide

76. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
    August 01, 2022 - Explain how Just Culture can enhance support for the CANDOR process implementation. … Therefore, promoting a culture that is fair and just is an underlying value needed to promote CANDOR … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … For more information on Just Culture, see the Apply CUSP module of the AHRQ CUSP Toolkit. … How does it support accountability in a Just Culture?

77. SOPS™ ASC Webcast Transcript (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-non-ad.pdf
    February 01, 2019 - Ginsberg, Slide 10 Let me just talk a little bit about what patient safety culture is. … patient safety culture as the beliefs and values and norms that support and promote patient safety within … These beliefs, values, and norms can be shared by the providers, and the staff in that organization. … I just want to be extra clear that the ASC SOPS surveys measures patient safety culture at a single … However, you can add supplemental or custom questions to the end of the core survey before the background

78. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - Another key element to create a culture of safety is explained in the principles of Just Culture. … Slide 17: Understanding Just Culture 1 Say: The term "Just Culture" refers to a system of shared … PLAY VIDEO:  Understand Just Culture Ask: How would you describe Just Culture to someone? … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … Slide 20: Leadership's Role in Just Culture Say: There are key ways leaders can apply Just Culture

79. Blame: what does it look like? | PSNet
    psnet.ahrq.gov/issue/blame-what-does-it-look
    February 02, 2022 - A just culture balances organizational context with appropriate accountability after an error. … March 1, 2023 Why accountability sharing in health care organizational cultures means … March 20, 2019 Using good catches to promote a just culture and perioperative patient … December 12, 2018 Improving patient safety by practicing in a just culture. … March 31, 2010 Balancing just culture with regulatory standards.

80. SOPS™ ASC Webcast Transcript (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-asc-webcast-transcript-ad.pdf
    February 01, 2019 - Ginsberg, Slide 10 Let me just talk a little bit about what patient safety culture is. … patient safety culture as the beliefs and values and norms that support and promote patient safety within … These beliefs, values, and norms can be shared by the providers, and the staff in that organization. … I just want to be extra clear that the ASC SOPS surveys measures patient safety culture at a single … However, you can add supplemental or custom questions to the end of the core survey before the background