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Patient Safety, Culture of Safety
and Just Culture
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Speaker
▪ Sue Dill Calloway RN, MSN, Esq.
CPHRM, CCMSCP
▪ AD, BA, BSN, MSN, JD
▪ President of Patient Safety and
Education Consulting
▪ 5447 Fawnbrook Lane
▪ Dublin, Ohio 43017
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2
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Headlines About Patient Safety in Hospitals
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http://www.ihi.org/resources/Pages/I
HIWhitePapers/Framework-Safe-
Reliable-Effective-Care.aspx
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5
http://www.ihi.org/resources/Pages/Tools/Patient-
Safety-Essentials-Toolkit.aspx
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400, 000 Preventable Deaths a Year
6
http://journals.lww.com/journalpatientsafety/Fulltext/2013/09000/A_New,_Evidence_based_Estimate_of_Patient_Harms.2.a
spx
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7
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January 2012 OEI-06-09-00091
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The Just Culture Company
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https://justculture.com/about/
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Safety Attitudes Questionnaire
10
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Multi-Causal Theory “Swiss Cheese” diagram (Reason,
1991)
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Team Work Toolkit TeamSTEPPS
12
www.ahrq.gov/teamstepps/index.html
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13
http://www.psnet.ahrq.gov/resource.aspx?resourceID=4619
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