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281. Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet
     psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
     February 02, 2022 - Book/Report Just Culture, Medication Error Prevention, and Second Victim Support: … Citation Text: Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription … December 19, 2012 Integrating principles of safety culture and just culture into nursing … Practice November 20, 2023 Why accountability sharing in health care organizational cultures … September 23, 2020 Responding to unprofessional behavior by trainees - a "just culture

282. Reduce Unnecessary Urine Culturing and Overuse of Antibiotics | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
     March 01, 2017 - Reduce Unnecessary Urine Culturing and Overuse of Antibiotics Know When To Order Urine Cultures … Educational module and tools that summarize why more urine cultures lead to more catheter-associated … tract infection diagnoses, and provide tools to use to appropriately identify when to order a urine culture … Four Things You Should Know About Urine Cultures infographic   ( PDF , 228 KB) A tool to highlight

283. Nursing home administrators' opinions of the resident safety culture in nursing homes. | PSNet
     psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes
     April 06, 2011 - Study Nursing home administrators' opinions of the resident safety culture in nursing … Nursing home administrators' opinions of the resident safety culture in nursing homes. … The researchers surveyed nursing home administrators and found that safety cultures were less developed … Nursing home administrators' opinions of the resident safety culture in nursing homes. … June 29, 2011 Safety culture of nursing homes: opinions of top managers.

284. Introduction to the Case Studies | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
     November 01, 2014 - With respect to culture, Schein 6 defines organizational culture as "a set of basic tacit assumptions … It involves the norms, values, beliefs, and behaviors of an organization reflecting how things are done … current practice (e.g., Lean results in superior efficiency and/or quality); compatibility with values, beliefs … However, culture is relatively stable and changes slowly. … In addition, some see Lean as a way of altering culture.

285. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? | PSNet
     psnet.ahrq.gov/issue/how-does-patient-safety-culture-operating-room-and-post-anesthesia-care-unit-compare-rest
     October 14, 2009 - Study How does patient safety culture in the operating room and post-anesthesia care … How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … A well-documented phenomenon in patient safety is that perceptions of safety culture can differ widely … How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest … December 15, 2011 Identifying organizational cultures that promote patient safety.

286. 095-Mrsa-Surveillance (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/095-mrsa-surveillance.docx
     April 01, 2025 - Surveillance Category Active Surveillance Passive Surveillance Definition Collection of nasal cultures … indicated samples such as reports of laboratory-identified (LabID) MRSA bacteremia or past clinical cultures … additional resources, including increased supplies and staff time to collect and process the surveillance cultures … · Misses cases of asymptomatic MRSA colonization not identified through review of existing culture … · Targeted decolonization requires review of available historical culture and risk-factor data.

287. Students have a key role in a culture of safety: analysis of student-associated medication incidents. | PSNet
     psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
     July 25, 2018 - Newspaper/Magazine Article Students have a key role in a culture of safety: analysis … Citation Text: Students have a key role in a culture of safety: analysis of student-associated medication … This data analysis highlights how organizational culture affects student-related errors and summarizes … Cite Citation Citation Text: Students have a key role in a culture … March 7, 2018 Smart pump custom concentrations without hard "low concentration" alerts

288. Organizational culture as a source of high reliability. | PSNet
     psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
     December 03, 2018 - Commentary Classic Organizational culture as a source of … Organizational Culture as a Source of High Reliability. … Organizational Culture as a Source of High Reliability. … Download Citation Related Resources From the Same Author(s) Hospitals as cultures … December 9, 2020 View More Related Resources Creating a stronger culture

289. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
     January 01, 2020 - Theresa Famolaro, MPS, MS, MBA Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture … improvement 25 ASC Database Infographic Surveys on Patient Safety Culture Findings from the 2020 … assesses provider and staff perceptions of their organization's patient safety culture. … Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events. … Is Patient Safety Culture Related to Nursing Home Quality?

290. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
     July 25, 2018 - that patient safety culture can be defined as the beliefs, values, and norms that support and promote … These beliefs, values, and norms are shared by health care providers and staff in that organization. … IT as it relates to culture and now we're gonna hear from Dr. … Does punishment and blame have a role as it relates to Health IT culture? … And how do you think about Just Culture as it relates to Health IT use and Health IT culture?

291. The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. | PSNet
     psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
     November 18, 2015 - Classic The Challenger Launch Decision: Risky Technology, Culture … Citation Text: The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. … analysis on a system-wide scale, Vaughan’s analysis of the Challenger crash looks beyond the widely held belief … individuals or groups to the possibility of serious error are cast as consistent with a prevailing belief … Cite Citation Citation Text: The Challenger Launch Decision: Risky Technology, Culture

292. The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments. | PSNet
     psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-implementation-organizational-patient-safety
     April 23, 2014 - Study The relationship between patient safety culture and the implementation of organizational … The relationship between patient safety culture and the implementation of organizational patient safety … Safety culture surveys focus on respondents' perception of safety in specific contexts, and measurement … of safety culture is recommended in order to identify problem areas and targets for improvement. … However, this Dutch study, conducted in 33 emergency departments, found that positive safety culture

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44249/psn-pdf
     February 12, 2019 - Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. … The database is meant to allow for comparison and benchmarking of safety cultures across pharmacies. … Bryan Sexton explored the relationship between culture and patient safety. … /issue/surveys-patient-safety-culture https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov … /primer/culture-safety https://psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma

294. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - Safety culture is highly dependent on the dual foundations of the science of safety and psychological … Slide 12 So … What Is a Safety Culture? SAY: So, what is a safety culture? … which an organization's culture supports and promotes patient safety. … It refers to the values, beliefs, and norms shared by healthcare practitioners and other personnel throughout … Patient safety culture can be measured by determining the values, beliefs, norms, and behaviors related

295. Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
     March 01, 2017 - Culture consists of the team’s values, attitudes, and beliefs, which all have an impact on the team’ … Other critical factors for reducing CAUTIs include appropriate use of urine cultures and non-treatment … By measuring how often urine cultures are collected for all residents with or without an indwelling … of urinary tract infections is a key element of antibiotic stewardship; measuring the rate of urine cultures … Decreasing inappropriate use of urine testing (urine cultures) is one strategy that can be used to decrease

296. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
     psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
     March 01, 2017 - How Culture Changes Colleagues and I explain culture change as an evolutionary cycle, involving enabling … , enact, and elaborate culture. … Third, enacting culture refers to performing work in ways that embody the desired culture, rather than … working on culture itself. … There are evolutionary reasons why it's difficult to change cultures, because they're there to keep coherence

297. Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. | PSNet
     psnet.ahrq.gov/issue/safety-competency-exploring-impact-environmental-and-personal-factors-nurses-ability-deliver
     September 14, 2022 - October 27, 2021 The relationship between patient safety culture and the intentions of … July 27, 2022 Exploring nurses' attitudes, skills, and beliefs of medication safety practices … View More Related Resources Exploring nurses' attitudes, skills, and beliefs … July 16, 2014 Creating a culture of safety by coaching clinicians to competence. … An educational intervention to enhance nurse leaders' perceptions of patient safety culture

298. AHRQ’s Medical Office Survey Helps Colorado Hospital Provide Better Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201525.html
     September 01, 2015 - results from an AHRQ-developed patient safety survey, the Medical Office Survey on Patient Safety Culture … The Medical Office Survey on Patient Safety Culture is one of five AHRQ safety culture surveys. … user-friendliness and the ability to interact with AHRQ's [Medical Office Survey on Patient Safety Culture … AHRQ Product(s): Medical Office Survey on Patient Safety, Surveys on Patient Safety Culture … , Surveys on Patient Safety Culture Topic(s): Patient Safety, Quality of

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60179/psn-pdf
     April 01, 2020 - Two cultures in modern science and technology: for safety and validity does medicine have to update? … This commentary explores two scientific cultures in modern medicine. … A ‘traditional culture’ leaves error control up to individuals and groups of healthcare practitioners … ; the author describes how this culture leads to an overconfidence among practitioners about personal … In contrast, a ‘modern scientific culture’ considers errors as inevitable and pervasive throughout medicine

300. SOPS Announcements | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/news.html
     March 01, 2025 - Announcements 2025 Announcements Date Announcements February 2025 AHRQ's Surveys on Patient Safety Culture … Nursing Home Survey: 2025 User Database Report Results from AHRQ’s 2025 Surveys on Patient Safety Culture … following surveys:  Ambulatory Surgery Center Survey on Patient Safety Culture : June 2 – 20 . … Medical Office Survey on Patient Safety Culture : Sept. 2 – 19 .  … and patient safety culture, job satisfaction, and intent to leave.