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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians
15
Implementing … Safety Cultures in Medicine:
What We Learn by Watching Physicians
Timothy J. … mistake, not excusing one’s part in the incident but not
letting the event create untrue or exaggerated beliefs … Observing Safety Culture
17
Table 1. … The interpretation of cultures. New York:
Basic Books; 1973.
36. Strauss AL.
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psnet.ahrq.gov/issue/patient-safety-climate-92-us-hospitals-differences-work-area-and-discipline
September 02, 2009 - This survey found significant differences in perceived safety culture between clinical areas, with … A prior study using the same survey also found variations in safety culture by management level. … September 2, 2009
Identifying organizational cultures that promote patient safety. … April 24, 2013
Evaluation of organizational culture among different levels of healthcare … November 25, 2009
Identifying organizational cultures that promote patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
June 01, 2021 - Let’s take a minute to review our indications for collection of urine cultures. … False positive culture
· A “positive” urine culture obtained from an indwelling urinary catheter may … Slide 13
Case 3: Carol
SAY:
Let’s move on to discuss sample collection of respiratory cultures. … · Sputum cultures should only be sent on residents whom you are concerned have a lower respiratory … For example, we often see sputum cultures positive for yeast, or Candida albicans.
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psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing
July 19, 2023 - Study
Does health care role and experience influence perception of safety culture … Does health care role and experience influence perception of safety culture related to preventing infections … Does health care role and experience influence perception of safety culture related to preventing infections … February 29, 2012
Organisational culture: variation across hospitals and connection to … May 4, 2010
Identifying organizational cultures that promote patient safety.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Describe how the CANDOR process can sustain the desired culture change. … Kotter’s Step 8 is "Create a new culture." … Slide 4
Say:
Sustainability occurs when processes, outcomes, ideas, beliefs, principles, … Shared sense of the systems to be improved —The entire CANDOR process fosters a culture of improvement … In summary, sustainability can help organizations embed processes into their organizational culture,
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www.ahrq.gov/news/newsletters/e-newsletter/905.html
March 01, 2024 - Data Submissions Begin June 3 for Survey on Patient Safety Culture® Hospital Database . … Access the chartbook , which includes assessments of patient safety culture and the impacts of COVID … Articles featured this week include:
Creating a just culture in the perioperative setting . … submission for AHRQ’s Surveys On Patient Safety Culture® (SOPS®) Hospital Database is open June 3–21 … Patients' and physicians' beliefs and attitudes towards integrating personalized risk estimates into
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
June 01, 2021 - For residents with a catheter, urine culture specimens should be obtained from freshly placed catheters … Collection of Specimens
17
Summary
Bacterial cultures should only be collected from … Review the Collecting Bacterial Cultures and Urine Culture Collection posters and display them in common … Supporting Materials
Collection of Microbiological Cultures
Collecting Bacterial Cultures Poster
Urine … Culture Collection Poster
Four Moments of Antibiotic Decision Making Form
Monthly Data Collection Form
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psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural
April 24, 2018 - series of unit-based safety interventions and discovered notable relationships between improved safety culture … The authors advocate for interventions that promote a positive safety culture at the unit level . … April 24, 2018
Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative
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psnet.ahrq.gov/node/47911/psn-pdf
April 03, 2019 - Second victims need emotional support after adverse
events: even in a just safety culture. … Second victims need emotional support after adverse events:
even in a just safety culture. … /psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-
culture … The authors suggest that peer support programs
are also required in organizations with blame-free cultures … ://psnet.ahrq.gov/issue/second-victims-need-emotional-support-after-adverse-events-even-just-safety-culture
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psnet.ahrq.gov/issue/implementing-patient-safety-addressing-culture-conditions-and-values-help-people-work-safely
October 18, 2017 - Book/Report
Implementing Patient Safety: Addressing Culture, Conditions and Values … Citation Text:
Implementing Patient Safety: Addressing Culture, Conditions and Values to Help People … October 5, 2022
Institution of just culture physician peer review in an academic medical … October 13, 2021
Why accountability sharing in health care organizational cultures means … November 13, 2019
Just Culture: Restoring Trust and Accountability in Your Organization
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
June 01, 2020 - The work that you're hearing about today, the culture surveys, surveys for patient safety culture, is … What is
patient safety culture? … Gray, Slide 11
Patient safety culture can be defined as the beliefs, values, and norms that support … These beliefs, values and norms are shared by healthcare providers and staff in the
organization. … and Just Culture.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
June 01, 2020 - The work that you're hearing about today, the culture surveys, surveys for patient safety culture, is … What is
patient safety culture? … Gray, Slide 11
Patient safety culture can be defined as the beliefs, values, and norms that support … These beliefs, values and norms are shared by healthcare providers and staff in the
organization. … and Just Culture.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/slides.html
October 01, 2020 - Establish improvement culture and engaged staff.
Create cultural legacy. … Are values, beliefs, and practices incorporated into the mission of your organization and/or are they … Surgical site infection rate
Percentage of staff with a safety culture assessment score > 4 … percentage of staff with safety culture >4 example. … change, embedding into culture, etc.)
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psnet.ahrq.gov/issue/nurses-perceptions-error-communication-and-reporting-intensive-care-unit
February 20, 2008 - Developing and promoting incident reporting systems is essential to ensuring a culture of safety . … This study compared nurses' responses during focus groups to institutional safety culture measurements … November 16, 2022
Development of an instrument to measure seniors' patient safety health beliefs … June 1, 2011
The attitudes and beliefs of healthcare professionals on the causes and
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psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
October 14, 2009 - Past studies have suggested a potential link between safety culture and safety performance in the … June 16, 2011
Relationship of hospital organizational culture to patient safety climate … April 21, 2010
Identifying organizational cultures that promote patient safety. … December 22, 2010
Exploring relationships between hospital patient safety culture and … May 25, 2010
Relationship of hospital organizational culture to patient safety climate
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psnet.ahrq.gov/issue/recruitment-hospitals-safety-climate-study-facilitators-and-barriers
June 16, 2011 - A recent survey explored patient safety culture at 30 Veterans Administration (VA) hospitals and … found that most respondents reported a positive safety culture overall. … October 13, 2010
Identifying organizational cultures that promote patient safety. … November 2, 2022
Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries … July 15, 2020
Perceived patient safety culture in nursing homes associated with "Nursing
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - (SIR) and standardized utilization ratio (SUR)
ICU Assessment
Additional data:
Unit patient safety culture … skill audits
CAUTI
Monthly adherence to skill audits
Multidisciplinary catheter rounds
Adaptive
Unit culture … staff; daily ICU goal sheet not used—it is old and needs revision to be actionable
All cases had blood cultures … documentation did not support
All 6 cases had fever; 2 cases had symptoms of UTI other than fever; all cultures … Institute for Healthcare Improvement’s Plan-Do-Study-Act (PDSA) Worksheet
Video – Addressing Attitudes and Beliefs
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psnet.ahrq.gov/issue/relationship-safety-climate-and-safety-performance-hospitals
February 04, 2009 - Hospitals with superior overall patient safety culture measurements also had lower rates of potential … February 4, 2009
Identifying organizational cultures that promote patient safety. … April 26, 2017
Workforce perceptions of hospital safety culture: development and validation … September 9, 2013
Relationship of hospital organizational culture to patient safety climate … February 23, 2011
Exploring relationships between hospital patient safety culture and
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - Explain how Just Culture can enhance support for the CANDOR process implementation. … culture. … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … How does it support accountability in a Just Culture? … How does the behavior of staff support a culture of safety?
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psnet.ahrq.gov/issue/improving-patient-care-through-leadership-engagement-frontline-staff-department-veterans
October 14, 2009 - in addressing safety issues at the unit level paradoxically resulted in worse perceptions of safety culture … June 16, 2011
Relationship of hospital organizational culture to patient safety climate … December 19, 2014
Identifying organizational cultures that promote patient safety. … January 31, 2011
Improving safety culture on adult medical units through multidisciplinary … August 18, 2010
Relationship of hospital organizational culture to patient safety climate