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Staff perceive a punitive environment; Which contributes to limited error ... 50% of nurse/phar recognize errors result from complex work environment, ...
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www.vipcs.org/fellowship/2003/Buttspresentation.ppt
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A survey of staff and managers revealed significant confusion about what a non-punitive environment entailed. Managers had to be taught how to respond to staffers who raise safety concerns, ... "They see they are not only creating a safer environment for patients, but also a safer work environment for themselves."
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www.ihi.org/IHI/Topics/PatientSafety/MedicationSystems/...
www.ihi.org/IHI/Topics/PatientSafety/MedicationSystems/ImprovementStories/TrustThrivesInAnOpenEnvironmentMissouriBaptist.htm
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At the end of the session the participant will be able to: 1. Describe the role of nurses in medical errors; 2. Identify the steps involved in establishing a non-punitive model for resolving medical errors; ... C. Environment; D. Sun exposure; E. Smoking; F. Diet; G. Alcohol; VI. Superficial Treatments; ... 1. How does it work?
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www.aacn.org/WD/NTI2008/Docs/PPBook/Sessions_S-U.pdf
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Environmental factors: Having a well-designed system offers the best chance of preventing errors; however, sometimes the environment in which we work contributes to medication errors. Environmental factors that often contribute to medications errors include poor lighting, noise, interruptions and a significant workload.
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In his primer, Patient Safety and the "Just Culture," Marx10 acknowledges that, while a non-punitive work environment is essential, certain types of behavior are not acceptable and warrant specific sanctions.
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www.jaapl.org/cgi/content/full/34/1/96
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Keeping Patients Safe: Transforming the Work Environment of Nurses the things we talk about in this report. ... we called it non-punitive initially. I like this term Fair and Just better, but we had a non-punitive policy. I can tell you that. I was the CEO. One of my staff said, “Maybe we ought to ask the staff out there if...
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books.nap.edu/openbook.php?record_id=11151&page=14
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We then present evidence of the key role played by nurses in patient care and safety, and briefly describe some of the characteristics of the current health care delivery system that shape the work and work environment of nurses, ... Although a punitive response may be appropriate in cases of willful wrongdoing,
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books.nap.edu/books/0309090679/html/23.html
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create a "hostile or abusive work environment" ... But a Vietnam era veteran was required to remove a poster considered offensive by members of a non-protected group. ... And I describe below many instances in which harassment complaints were brought based on legitimate art, from Goya to New Yorker cartoons, but which never came...
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www.law.ucla.edu/volokh/harass/breadth.htm
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Instead, I want to focus briefly on the one area to which (perhaps surprisingly) a little less attention has been paid: Exactly what speech does "hostile work environment" harassment law restrict? ... But a Vietnam era veteran was required to remove a poster considered offensive by members of a non-protected group.
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www.law.ucla.edu/volokh/harassg.htm
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