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www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - healthcare practitioners and other staff throughout the organization that influence their actions and behaviors … Patient safety culture can be measured by determining the values, beliefs, norms, and behaviors related
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www.ahrq.gov/hai/cusp/modules/apply/sl-cusp.html
December 01, 2012 - Systems and Behaviors Work Together To Improve Outcomes
Slide 9. Accountability
Slide 10. … Engineering System Design to Support Behavior Choices
Slide 11. … Manage through:
Removal of incentives for at-risk behaviors. … Creation of incentives for healthy behaviors.
Situational awareness. … Systems and Behaviors Work Together To Improve Outcomes 1
System Design.
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex516.html
March 01, 2013 - to at least one community resource that provided assistance with one or more of the four unhealthy behaviors … Patient-specific health behavior and demographic information was entered by the CHERL based on self-report … eligible patients (those identified by the clinician as needing improvement in one or more unhealthy behavior … patient was identified by the clinician as needing improvement in one or more of the four unhealthy behaviors … community health educator referral liaison (CHERL): A primary care practice role for promoting healthy behaviors
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapa.html
July 01, 2018 - (Probe for specific behaviors and actions)
What facilitates or challenges those behaviors? … (Probe for specific behaviors and actions)
What facilitates or challenges those behaviors? … What behaviors do health care professionals need to do to support patient and family engagement in safety … What facilitates or challenges those behaviors? … What are the best ways to educate and change the behaviors of health care professionals?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide.html
April 01, 2016 - Has there been followup to a potential change in behavior? What is the underlying cause? … Three or more different behaviors (an increase in behaviors or change in types of behaviors from the … Behavior only has to be documented once per shift to be included in the count. … Behavior. … Note: In some facilities, nursing assistants do not document behaviors, so the behavior section may
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-vbac-ab-pain.html
July 01, 2023 - Clinical Context, Triggers, Distractors, and Expected Behaviors for the Simulation Facilitator. … The Expected Behaviors offer a list of ideal actions that the clinical team might take in response to … Expected behavior/performance (not in any particular order) :
Nurse introduces self to the patient … Expected behavior/performance (not in any particular order):
Nurse turns patient on left side, increases … Expected behavior/performance (not in any particular order):
Team provides reassurance and information
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/carnahan.pdf
January 01, 2014 - Improving
anti-psychotic agent use in nursing homes: development of an algorithm for treating problem behaviors … Responding to challenging behaviors in dementia: the IA-ADAPT project. … Responding to challenging behaviors in dementia: the IA-ADAPT project.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
April 30, 2013 - staff as well the organizational policies and procedures that support these behaviors. … The strategy supports behavior change through individual tools. … Keep in mind that taking on new behaviors will be challenging. … Although information is necessary, it is not sufficient to support behavior change. … behavior, providing feedback, and practicing skills.21
If your hospital is implementing more than
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/applycusp.pptx
August 18, 2011 - Human Behavior1
Human Error: Inadvertently completing the wrong action; slip, lapse, mistake
At-Risk Behavior … choice: risk believed insignificant or justified
Manage through:
Removal of incentives for at-risk behaviors … Creation of incentives for healthy behaviors
Situational awareness
Coach
Reckless Behavior
Conscious … and unjustifiable risk
Manage through:
Remedial action
Punitive action
Punish
7
Systems and Behaviors … and accountability and supports improved outcomes by emphasizing both robust systems and appropriate behaviors
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
March 01, 2020 - far more unpleasant activities, such as responding to complaints and managing unsatisfactory staff behavior … Another problem with developing standards is that some of the behaviors are hard to describe. … Use these guidelines to identify job-specific behaviors. … Crystallize these behaviors into scripts and protocols. (Read about the use of talking points.) … Puts words to your behaviors.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - In a punitive culture that does not strive to understand potential underlying reasons for behaviors, … Slide 9
Say:
To improve outcomes, human error, at-risk behavior, and reckless behavior … to verify the system encourages healthy, risk-reducing behaviors. … It is critical to reinforce behaviors that will reduce risk and deter behaviors that increase risk. … Individual staff must recognize when they are engaging in at-risk behavior and how their behavior might
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
April 30, 2013 - staff as well the organizational
policies and procedures that support these behaviors. … The strategy supports
behavior change through individual tools. … Keep in mind that taking on
new behaviors will be challenging. … Although information is necessary, it is not sufficient to support behavior
change. … behavior, providing
feedback, and practicing skills.21
Guide Resources
Tool 5: Overview of
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
June 01, 2020 - Personal Preferences and Behaviors. … Personal Preferences and Behaviors. … study, since examining HIV risk factors probably includes examining personal behaviors. … ) preferences or behaviors. … Behaviors.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-cord-prolapse.html
July 01, 2023 - Clinical Context, Triggers, Distractors, and Expect Behaviors for the Simulation. … Expected behavior/performance (not in any particular order):
Nurse introduces self to the patient … Expected behavior/performance:
Nurse reassures patient and husband. … Expected behavior/performance (not in any particular order):
Nurse calls for additional help, provider … Expected behavior/performance (not in any particular order):
Provider or nurse informs everyone of
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www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
January 01, 2024 - Description of Team Behavior
(one of many shown for each)
Example of an
Observed Behavior
Preoccupation … for the SOS to
facilitate concordance analysis of perceived versus observed behaviors. … Research in Organizational Behavior. Greenwich, CT: JAI Press, Inc; 1999:81-123.
5. Weick KE SK. … Research in Organizational Behavior. 1999(21):81-123.
18. Vogus TJ, Sutcliffe KM. … Improving actual handover
behavior with a simulation-based training intervention.
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-d.html
June 01, 2020 - Personal Behaviors and Preferences
Patient understanding of consent
There is a lack … Personal Behaviors and Preferences
Biometrics on patient engagement
There is an increased … Equity and disparities
Cost and Utilization
Impact of cost on personal behaviors
There … done on the impact of increased costs through cost sharing and higher insurance premiums on patient behaviors … various trends in the health care system, including the impact of incentives on patient and provider behavior
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www.ahrq.gov/sites/default/files/2024-05/sarcevic-report.pdf
January 01, 2024 - Results: Four contexts affected checking and note-taking behaviors on the digital checklist: (1)
team … behaviors. … was not checked and corresponding task was not performed) were considered
measures of a compliant behavior … The noncompliant behaviors included (Table 2): false
checks (item was checked but the corresponding … In addition, new checklist designs should also
support retrospective checking behaviors.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - Influence leadership behaviors to promote patient safety
2. … RCT
5
https://www.wpchange.org/
Research on Workforce Well-being
6
7
Why are leadership behaviors … • What outcomes can be impacted by applying
leadership behaviors focused on worker well-being? … models a healthy culture
and holds everyone accountable;
demonstrating the required high
reliability behaviors … Leadership behaviors impact team member
wellbeing (Shanafeldt, 2015)
In a financially fraught time,
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/spot-coaching.pdf
April 01, 2022 - Making It Work Tip Sheet: Spot Coaching To Support Behavior Change
AHRQ Safety Program for Intensive … Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Spot Coaching To Support Behavior … colleagues, staff, patients, and others in a way that inspires insight and shifts habits toward effective
behaviors … requires a partnering mindset in which the solution rests with those who are seeking to change
their own behaviors … understanding, asking questions to build insight and identify actions, and building on strengths
and behaviors
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
June 01, 2023 - Mutual support, which is commonly referred to as "backup behavior" in the teamwork literature, is critical … Patient/family
Repeat expressions of concern to other team members about unusual behaviors of a patient … Exerted through assertive and advocacy behaviors when patient safety is threatened. … Enhanced by leaders who encourage and model mutually supportive behaviors.