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psnet.ahrq.gov/issue/culture-safety-ems-systems-0
February 18, 2011 - Organizational Policy/Guidelines
A culture of safety in EMS systems. … Citation Text:
A culture of safety in EMS systems. … September 27, 2023
A Culture of Safety in EMS Systems. … July 27, 2022
Shame and guilt in EMS: a qualitative analysis of culture and attitudes … August 26, 2020
A Culture of Safety in EMS Systems.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-1-slides.pptx
September 01, 2015 - Technical Issues
Evidence-based guidelines
Socio-adaptive (cultural issues)
Staff behavior and unit culture … Reducing CAUTI in Hospitals
Adaptive or Cultural Changes
Require a change of values, attitudes, or beliefs … for Reducing CAUTI in Hospitals
15
Behavioral or Cultural Factors
Pan culturing
ICUs may obtain cultures … from multiple sites when a patient has a temperature spike
Not an automatic culture
Belief that all
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/obtain-behavioral-health-expertise-and-build-culture-integration
September 01, 2025 - All members of the care team share a culture of integration, supporting and encouraging collaboration … and the cultures of their patients. … To guide the development of this culture, think about integration startup activities, the challenges … The culture of primary care tends to be fast paced, while the mental health culture tends to be more … Foster Positive Working Relationships and a Culture of Collaboration
Relationship-building is
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psnet.ahrq.gov/node/837674/psn-pdf
July 13, 2022 - persuasion and legitimating were the most frequently used and certain factors – such as
organizational culture … , safety beliefs, and leadership style – can impact how safety professionals influence
managers making … leadership-role-improving-safety
https://psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture
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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
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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
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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
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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?
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psnet.ahrq.gov/issue/behaviors-undermine-culture-safety
April 24, 2024 - Sentinel Event Alerts
Behaviors that undermine a culture of safety. … Citation Text:
Behaviors that undermine a culture of safety. … Cite
Citation
Citation Text:
Behaviors that undermine a culture … The prevalence of incivility in hospitals and the effects of incivility on patient safety culture … , Licensure, and Discipline
Communication between Providers
Provider-Patient Communication
Culture
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
January 01, 2023 - Efforts to improve
patient safety culture are likely to positively impact patient experience. … patient safety, and provider well-being may serve as a vital step for honing healthy
organizational cultures … reduced stress by clinicians, less likelihood of litigation, heightened learning,
stronger institutional cultures … bond between patients and healthcare providers—thereby
promotingstrengthening healthy organizational cultures … Our hypothesis was that hospitals with more positive patient
safety cultures would have patients with
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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
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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
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - It talks about the values, attitudes, and beliefs of frontline staff that guide our day-to-day decisions … These underlying values, attitudes, and beliefs really drive what happens in our unit every single day … Slide 7: Why Does Safety Culture Matter? … Slide 8: Why Does Safety Culture Matter? … We also know that safety culture can change through interventions.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Stone.pdf
January 01, 2004 - Organizational
culture refers more broadly to the norms, values, beliefs, and assumptions shared
by … that employees
have more job satisfaction and experience less stress and burnout when they work
in cultures … either typological or dimensional models.19 Typological
models seek to classify entire organizational cultures … , or
competitiveness and goal attainment.36 Shortell and his colleagues adopted this
model to the cultures … Cultures in organizations: three perspectives.
New York: Oxford; 1992.
17.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
January 01, 2016 - CULTURE
2016 User
Comparative
Database Report
Surveys on
Patient Safety
Culture™
The authors … Achieving a culture of patient safety requires an understanding of the
values, beliefs, and norms about … Patient Safety Culture Composites and Definitions
Patient Safety Culture Composite Definition: The extent … Patient Safety Culture Composites and Definitions (continued)
Patient Safety Culture Composite Definition … Keep in mind that it is important not to reassess culture too frequently because lasting culture
change
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - Hospital Survey on Patient Safety Culture Version 2.0
SOPS® Hospital Survey
Version: 2.0
Language … • For the survey items grouped according to the safety culture composite measures they
are intended … • To participate in the AHRQ Hospital Survey on Patient Safety Culture Database, you
must have
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
May 01, 2004 - Cultures of defensiveness or apathy, coupled with the
cost-prohibitive nature of technological advances … As a result, most organizations are
perpetuating cultures of mediocrity within which errors are commonplace … And culture lasts beyond the project or initiative
of today, so accentuating and explaining how culture … notion that the absence of
CPOE is not a limiting factor in the conquest of medication errors and cultures … It was the
CPQ staff’s belief that the “Indication” column would serve several purposes.
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psnet.ahrq.gov/issue/culture-associated-patient-safety-emergency-department-study-staff-perspectives
July 10, 2013 - Study
Is culture associated with patient safety in the emergency department? … Is culture associated with patient safety in the emergency department? … This survey revealed that physicians and nurses generally agreed about safety culture and practices … This study highlights the increasingly widespread use of safety culture surveys in clinical settings … Is culture associated with patient safety in the emergency department?
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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