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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - The survey results were a wake-up call for the organization's leaders. … First, a small group of 10 key clinical and operational leaders attended a day-long session with David … The leaders who attended enthusiastically embraced the just culture concept, finding that it provides … We then conducted a "big bang" educational session for all operational and clinical leaders across the … Leaders must ask hard questions like, "How prevalent is this behavior? Why are people doing this?
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psnet.ahrq.gov/node/854994/psn-pdf
January 01, 2024 - The authors suggest hospital leaders consider these contextual
factors prior to implementing similar
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - Carole Stockmeier: More than leader support, safety culture requires the personal commitment of leaders … considered in the context of a culture of safety and high reliability organizing,
I’m sure most healthcare leaders
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psnet.ahrq.gov/issue/first-curriculum-cultivating-speaking-behaviors-clinical-learning-environment
May 25, 2022 - September 20, 2012
Guidance for health care leaders during the recovery stage of the … March 24, 2012
Residents feel unprepared and unsupervised as leaders of cardiac arrest
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psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
March 09, 2022 - November 16, 2022
Crisis management for surgical teams and their leaders, lessons from … September 15, 2021
Guidance for health care leaders during the recovery stage of the
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psnet.ahrq.gov/issue/wrong-site-surgeries-rise
November 08, 2006 - Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders … May 21, 2019
Health Care Opinion Leaders' Views on the Quality and Safety of Health Care
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psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-2nd-ed
November 26, 2008 - October 18, 2017
ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient … Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders
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psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
March 14, 2018 - The process was widely accepted by leaders and frontline staff at both sites. … July 11, 2018
Latent risk assessment tool for health care leaders.
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - problems lack leadership involvement in the investigation process.(3) Administrative and medical staff
leaders … Leaders must encourage RCA teams to delve deeper to find the system problems that contributed to the … psnet.ahrq.gov//#ref3
https://psnet.ahrq.gov//#ref3
The final role for administrative and medical staff leaders … Medical staff leaders were unwilling to speak up and say, "For the sake of patient safety, we will
no
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psnet.ahrq.gov/node/33613/psn-pdf
May 01, 2005 - As with the Dana-Farber experience, the death made
headlines around the world and devastated the leaders … As Duke physicians, nurses, and hospital leaders tried to find meaningful lessons in the aftermath of … Leaders in patient safety often point to several other industries that, like health care, are highly … patients in our safety efforts by conducting safety walk rounds.(4)
During these rounds, physician leaders
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psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues
January 31, 2024 - Citation
Related Resources From the Same Author(s)
Care Deficiencies and Leaders … March 16, 2022
Deficiencies in Facility Leaders' Response to Critical Surgical Events
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psnet.ahrq.gov/issue/edge-nursing-age-complexity
August 20, 2012 - Resources From the Same Author(s)
Edgeware: Insights from Complexity Science for Health Care Leaders … February 27, 2008
Taking the Lead in Patient Safety: How Healthcare Leaders Influence
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psnet.ahrq.gov/issue/patient-safety-battles-put-your-armor
July 14, 2010 - Citation
Related Resources From the Same Author(s)
Patient safety practices: leaders … November 10, 2015
The partnership with patients: a call to action for leaders.
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psnet.ahrq.gov/issue/health-care-errors-and-patient-safety
August 29, 2017 - December 5, 2018
Taking the Lead in Patient Safety: How Healthcare Leaders Influence … Influencing the Quality, Risk and Safety Movement in Healthcare: In Conversation with International Leaders
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psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical
March 03, 2021 - Related Resources From the Same Author(s)
How to do no harm: empowering local leaders … January 12, 2022
How to do no harm: empowering local leaders to make care safer in low-resource
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psnet.ahrq.gov/issue/implementing-rise-second-victim-support-programme-johns-hopkins-hospital-case-study
March 03, 2019 - Collective insights from patient safety leaders in Maryland. … Collective insights from patient safety leaders in Maryland.
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psnet.ahrq.gov/issue/diagnostic-disparities-and-strategies-enhancing-diagnostic-equity-hospital-medicine
April 12, 2023 - Identifying and measuring administrative harms experienced by hospitalists and administrative leaders … December 7, 2011
Hospitalists as emerging leaders in patient safety: targeting a few
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psnet.ahrq.gov/issue/making-healthcare-safer-iii
March 27, 2019 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders … Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - With CRICO's support, we were able to pull together leaders of clinical, network development, general … It is critical that the executive leaders of the system, as well as the leaders of the member hospitals … Leaders must be provided data along with the skills of interpretation and change management that allow … Providing local safety leaders access to such information can help to drive safety priorities. … The role for leaders of health care organizations in patient safety.
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - It is critical that the executive leaders of the system, as well as the leaders of the member hospitals … Leaders must be provided data along with the skills of interpretation and change management that allow … After the initial training, the management and leaders at each hospital localized the incorporation of … Providing local safety leaders access to such information can help to drive safety priorities. … The role for leaders of health care organizations in patient safety.