Organizational Policy/Guidelines Dana-Farber Cancer Institute Principles of a Fair and Just Culture. Citation Text: Dana-Farber Cancer Institute. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Dana-Farber Cancer Institute. Dana-Farber Cancer Institute defines a "just culture" and illustrates how to implement and sustain it. Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Dana-Farber Cancer Institute. Copy Citation Related Resources From the Same Author(s) Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. September 25, 2013 How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. January 11, 2023 Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. December 2, 2020 Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. November 25, 2020 Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. May 12, 2021 Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. November 10, 2021 Breast cancer screening and overdiagnosis. August 11, 2021 Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study. August 19, 2020 Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. March 30, 2022 Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. March 16, 2022 Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort. March 16, 2022 Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. August 10, 2022 Encouraging patients to speak up about problems in cancer care. January 12, 2022 Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. December 22, 2021 Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. November 9, 2022 The patient perspective on errors in cancer care: results of a cross-sectional survey. December 1, 2019 The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. March 29, 2023 Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. March 8, 2023 Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. May 25, 2022 Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment. February 15, 2023 What do patients and their carers do to support the safety of cancer treatment and care? A scoping review. December 14, 2022 Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. December 7, 2022 Early diagnosis of cancer: systems approach to support clinicians in primary care. April 5, 2023 Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 24, 2021 Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. February 17, 2021 Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020 Computer-based simulation to reduce EHR-related chemotherapy ordering errors. November 18, 2020 Impact of the COVID-19 pandemic on cancer care: a global collaborative study. November 11, 2020 Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pandemic. October 21, 2020 Association of current opioid use with serious adverse events among older adult survivors of breast cancer. October 14, 2020 Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. November 17, 2021 Structural racism--a 60-year-old black woman with breast cancer. April 10, 2019 Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. September 22, 2021 Racial disparities in diagnostic delay among women with breast cancer. August 18, 2021 The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. August 18, 2021 Resilience from a stakeholder perspective: the role of next of kin in cancer care. September 23, 2020 Missed breast cancer: effects of subconscious bias and lesion characteristics. August 5, 2020 Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. July 29, 2020 Human-computer collaboration for skin cancer recognition. July 22, 2020 Defining, estimating, and communicating overdiagnosis in cancer screening. June 27, 2018 Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis. January 25, 2017 Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. November 1, 2017 Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice January 22, 2020 Improving Diagnosis: Teenage Cancer Trust Report on Improving the Diagnostic Experience of Young People With Cancer. December 4, 2013 Predictors of prescription errors involving anticancer chemotherapy agents. February 15, 2012 Just Bag It. November 30, 2016 Possible net harms of breast cancer screening: updated modelling of Forrest report. December 21, 2011 Medication errors reported in a pediatric intensive care unit for oncologic patients. September 14, 2011 More than words: patients' views on apology and disclosure when things go wrong in cancer care. August 24, 2011 Why Current Breast Pathology Practices Must Be Evaluated. January 24, 2007 Quality in cancer diagnosis. May 26, 2010 Medication errors involving oral chemotherapy. March 24, 2010 Patient Safety and Artificial Intelligence: Opportunities and Challenges for Care Delivery. May 29, 2024 Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. December 13, 2017 Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. July 12, 2017 Moving Measurement into Action: Global Principles for Measuring Patient Safety. January 8, 2020 Canada continues to lag behind other OECD countries on measures of patient safety December 4, 2019 2012 ISMP International Medication Safety Self Assessment for Oncology. April 18, 2012 FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. January 26, 2023 ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. March 4, 2020 Disrespectful behavior in your workplace. April 13, 2022 Diversion is a Threat to Patient Safety: Adopting Best Practices. April 6, 2022 - April 6, 2022 Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. March 2, 2022 ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. August 24, 2022 The Uneven Burden of Maternal Mortality in the U.S. August 10, 2022 Judy Smetzer Just Culture Champion Scholarships. August 16, 2023 Medication safety issues with newly authorized PAXLOVID. January 12, 2022 Age-related COVID-19 vaccine mix-ups. December 15, 2021 Declaration to Advance Patient Safety. May 25, 2022 Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. April 4, 2022 Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. May 6, 2022 - May 6, 2022 10 Medication Safety Tips for Hospitalized Patients. September 25, 2019 Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. 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March 31, 2011 Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021 Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. February 17, 2021 Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Dangerous wrong-route errors with tranexamic acid. September 30, 2020 Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. January 30, 2003 A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020 Improving Patient Safety with Human Factors Methods. October 10, 2024 - October 11, 2024 ISMP Medication Safety Self Assessment® for Perioperative Settings. January 25, 2022 DAISY Award for Extraordinary Nurses in Patient Safety. September 18, 2023 Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 26, 2021 - October 26, 2021 Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? August 18, 2021 Safer Together: A National Action Plan to Advance Patient Safety. September 16, 2020 Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. August 19, 2020 Reimagining Healing after Healthcare Harm: The Potential for Restorative Practices. July 29, 2020 ISMP Survey on IV Push Medication Practices. August 15, 2018 View More Related Resources ISMP Medication Safety Intensive. August 6, 2024 - August 9, 2024 Annual Perspective Equity in Patient Safety March 27, 2024 Annual Perspective Ensuring Patient and Workforce Safety Culture in Healthcare March 27, 2024 Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2022. September 11, 2023 Perspectives on Safety Beyond the Pandemic: Creating Total Systems Safety August 30, 2023 Perspectives on Safety Interview In Conversation with... 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Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. September 25, 2013
How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. January 11, 2023
Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. December 2, 2020
Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. November 25, 2020
Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. May 12, 2021
Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. November 10, 2021
Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study. August 19, 2020
Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. March 30, 2022
Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. March 16, 2022
Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. August 10, 2022
Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. December 22, 2021
Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. November 9, 2022
The patient perspective on errors in cancer care: results of a cross-sectional survey. December 1, 2019
The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. March 29, 2023
Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. March 8, 2023
Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. May 25, 2022
Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment. February 15, 2023
What do patients and their carers do to support the safety of cancer treatment and care? A scoping review. December 14, 2022
Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. December 7, 2022
Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 24, 2021
Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. February 17, 2021
Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. December 16, 2020
Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pandemic. October 21, 2020
Association of current opioid use with serious adverse events among older adult survivors of breast cancer. October 14, 2020
Use of artificial intelligence for image analysis in breast cancer screening programmes: systematic review of test accuracy. November 17, 2021
Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. September 22, 2021
The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. August 18, 2021
Resilience from a stakeholder perspective: the role of next of kin in cancer care. September 23, 2020
Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. July 29, 2020
Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer. November 1, 2017
Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice January 22, 2020
Improving Diagnosis: Teenage Cancer Trust Report on Improving the Diagnostic Experience of Young People With Cancer. December 4, 2013
Possible net harms of breast cancer screening: updated modelling of Forrest report. December 21, 2011
Medication errors reported in a pediatric intensive care unit for oncologic patients. September 14, 2011
More than words: patients' views on apology and disclosure when things go wrong in cancer care. August 24, 2011
Patient Safety and Artificial Intelligence: Opportunities and Challenges for Care Delivery. May 29, 2024
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. July 12, 2017
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. May 6, 2022 - May 6, 2022
Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. February 15, 2023
Ambulatory CUSP (Comprehensive Unit Based Safety Program) Training. September 12, 2024 - September 13, 2024
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. April 7, 2021
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021
A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 26, 2021 - October 26, 2021
Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? August 18, 2021
Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. August 19, 2020
Perspectives on Safety Interview In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety August 30, 2023
Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023
Interview In Conversation with... Regina Hoffman about Building Capacity for Patient Safety July 31, 2023
Systems approach to suicide prevention: strengthening culture, practice, and education. June 28, 2023
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update. May 17, 2023
Interview In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023
Perspective Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023
Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey. April 12, 2023
Perspectives on Safety Annual Perspective Technology as a Tool for Improving Patient Safety March 29, 2023
Perspectives on Safety Annual Perspective Impact of System Failures on Healthcare Workers March 21, 2023
A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. January 11, 2023
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. October 26, 2022
Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors. October 12, 2022
Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. October 5, 2022
ASHP Guidelines on the Safe Use of Automated Compounding Devices for the Preparation of Parenteral Nutrition Admixtures. June 15, 2022
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. May 6, 2022 - May 6, 2022