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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
March 25, 2008 - error.13, 14, 15 Reporting itself depends on the ease of use of a reporting system, the organizational
culture … multiple patient care
demands might not realistically have time to report, independent of her/his belief … rates of event occurrence, are a potential reflection of an organization’s patient safety
4
culture … In turn, shifting any culture of blame to one
more consistent with high-reliability organizations has
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - in cases of potential malpractice suits, the physician
peer review process may be suffering.1
A culture … These regular teleconferences, as an aspect of an educational culture for quality
improvement and patient … overcome some of the traditional problems of peer review, primarily replacing the “blame
and shame” culture
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/016-contact-precautions-webinar-slides.pptx
October 01, 2024 - contact precautions for patients identified as carriers of MRSA, hand hygiene, and an institutional culture … How can we do it with our resources and culture?
Analyze the data.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - Sept 2010)
Cultivated a culture of clinical excellence
Developed a clear vision
Successfully conveyed … Hospital staff provide ongoing support and expertise (r/t CAUTI prevention, catheter use and safety culture
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
January 12, 2022 - reinforces high‐reliability concepts and leverages the unique importance of
teamwork to enhance safety culture … four competency areas that lead to improved team performance, safer practices, and high‐
reliability culture … The most useful reflection involves the conscious consideration and analysis of beliefs and
actions
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
October 01, 2024 - CUSP team champions can assist with assessments of unit culture, determining future education needs, … interventions are applicable to most ventilated patients, the emphasis on early mobility becomes part of the culture … This protocol requires purchasing a custom oral care kit that makes it easy for staff to have what they
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
October 01, 2024 - bloodstream infection (BSI) rate:
Number of all-cause BSI events per 1,000 patient-days
MRSA clinical cultures … :
Percentage of patients with any positive MRSA clinical cultures over the past year
Decide between … They gather baseline data on MRSA cultures and bloodstream infection rates for each unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
June 04, 2013 - capacity to both detect and investigate significant system shifts
Quickly identified GI involvement in culture
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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
January 01, 2014 - Tools Quantitative: Structured surveys / tools: Instruments assessing context (e.g., organizational culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptx
January 01, 2007 - Unit teams using CUSP
Staff of patient care units where culture scores indicate a poor score in teamwork
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/101-how-integrate-cusp-approach.pptx
June 26, 2024 - Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - To accomplish this coordination, high-quality prevention requires an organizational culture and operational
-
www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
January 01, 2024 - regarding medical error and liability,
possible legislative initiatives, changing the blame and shame culture
-
www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - , and technicians and administrators to create what the Society of Critical Care Medicine calls, "a culture
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
April 01, 2022 - 15
Time
Perception patient must have a urinary catheter for accurate intake and output
Unit culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief.pptx
June 01, 2015 - starting the procedure
Consistent use of each component on the checklist will help improve the safety culture
-
www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3.html
February 01, 2023 - In the process, learners see issues connected to communication and culture around catheter use.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/hand-hygiene-slides.html
March 01, 2017 - How can I help support a culture of safety around improving hand hygiene in our facility?
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www.ahrq.gov/funding/policies/nofoguidance/index.html
January 01, 2025 - Establishment of strategies to sustain patient safety improvements such as just culture, incident/event
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - To accomplish this coordination, high-quality prevention requires an organizational culture and operational