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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
June 02, 2025 - Slide 1
SAY:
In this module, we will:
· Introduce Just Culture principles,
· Show how Just Culture … ASK:
· How would you describe Just Culture to someone? … of error is widespread within a Just Culture. … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … Slide 10
SAY:
There are key ways unit leaders can apply Just Culture principles to enhance culture
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
June 02, 2025 - 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 … · To participate in the AHRQ Hospital Survey on Patient Safety Culture Database, you must have administered
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
November 01, 2019 - Have I ordered appropriate cultures before starting antibiotics? … Have I ordered appropriate cultures before starting antibiotics? … Send urinalysis (UA) and urine cultures when patients have symptoms of UTI
Do not send urine cultures … Positive urine culture: ≥ 1000 CFU/mL of a urinary pathogen. … Ask colleagues why the urine culture was sent (was there a suspicion for UTI at some point?).
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
June 01, 2021 - Finally, you will be able to list common resident signs and symptoms that warrant collecting urine cultures … Cultures taken from the drainage bag or from the proximal port of the catheter do not necessarily reflect … Urine samples sent for culture should be collected from the new catheter. … Send another urine culture. … Urinalysis and urine cultures should only be sent if the resident is symptomatic, NOT if urine appears
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - Just Culture. … Improving culture within the health care setting requires the culture model to be based on the understanding … that all culture is local and that work to reform culture must be owned at the unit level. … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … D unit leaders can apply Just Culture principles to enhance culture, accountability, and safety on their
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digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - Push
• Standardize Work
• Visual Control
• Proven Technology
• Culture of stopping to fix problems
• … of Safety
• Shared Values and Beliefs about Safety within the
Organization
• Always Anticipating … Precarious Events
• Informed Employees and Medical Staff
• Culture of Reporting
• Learning Culture
• … “Just” Culture
• Blame-Free Environment Recognizing Human Infallibility
• Physician Team Work
• Culture … Lean Principles
Process Recommendations
Creating a Culture of Safety
2005: Baseline Research Guiding
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/overview.docx
March 01, 2017 - Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture … The first step in improving safety culture in your LTC facility is establishing a baseline. … Home Survey on Patient Safety Culture. … It solicits staff opinions about the culture of patient safety in their nursing home. … Identify the areas of patient safety culture that require improvement in your facility.
2.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chirpa-215-scd-ed-tables.pdf
January 01, 2002 - reticulocyte
fraction (IRF), reticulocyte
volume (MRV), RNA content),
direct measurement
Blood culture … 87040 Blood culture Isolation and identification of
microorganisms and
susceptibility testing, when … In a child with no obvious sources of
infection, a minimum evaluation should include
blood culture, … evaluated, if possible,
at a site where complete blood cell (CBC) and
reticulocyte counts, blood cultures … (plus cerebrospinal fluid
analysis and other cultures as indicated), and
prompt administration of
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
June 18, 2024 - and Governance Safety culture survey
Culture, Leadership and Governance and
Learning Systems
Safety … Culture
Surveys
No or some
units/departments
conduct patient safety
culture surveys. … All rights reserved. 39
Safety Culture Survey
Measurement
• First enterprise-wide safety culture survey … All rights reserved. 41
Quality and Safety Goals
October 2023
• Launched quality belief and new, aligned … All rights reserved. 43
OUR SHARED QUALITY BELIEF
Quality connects us.
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psnet.ahrq.gov/node/33880/psn-pdf
May 01, 2019 - Organizational safety culture refers to
the collective beliefs and perceptions of workers regarding … Variation in emergency
medical services workplace safety culture. … The association between EMS workplace safety
culture and safety outcomes. … Promoting a culture of safety as a
patient safety strategy: a systematic review. … Strategy for a National EMS Culture of Safety.
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - Study
Supporting a psychiatric hospital culture of safety. … Supporting a psychiatric hospital culture of safety. … Supporting a psychiatric hospital culture of safety. … and mixed methods for assessing safety culture in hospitals. … June 30, 2021
View More
Related Resources
Influencing a culture
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psnet.ahrq.gov/issue/electronic-medical-record-dermatology
October 19, 2022 - October 7, 2020
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 … March 4, 2011
Beliefs of ambulatory care physicians about accuracy of patient medication
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-hospital-survey-workplace-item-set-webcast-wilson-gerdt.pdf
January 01, 2022 - Webcast - Wilson-Gerdt Presentation
Indiana Hospital Association
AHRQ Surveys on Patient
Safety Culture … • Visible and consistent leadership supports cultures of safety.
17
Creating Culture
• Harm Prevention … – AHRQ Surveys on Patient Safety Culture
Harm Prevention
Safety Awareness Toolkit
Sepsis: See It. … 23
Results Over Time
AHRQ Hospital Survey on Patient Safety Culture 2.0
Hospital Name: Statewide … and Resource Examples
AHRQ Culture Survey Support
Engagement
SOPS Culture of Safety Surveys Administered
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psnet.ahrq.gov/node/49649/psn-pdf
March 01, 2012 - Many of the traditional beliefs had
been changed because of the effects of war, losses, and migration … , and being exposed to a new culture. … Feeling shameful and dishonored is very distressing in Vietnamese culture. … in the interpretation of language and
culture. … physicians, especially psychiatrists, who recognize
that depression presents variably in different cultures
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psnet.ahrq.gov/node/50799/psn-pdf
January 15, 2020 - The role of organizational and professional cultures in
medication safety: a scoping review of the literature … The role of organizational and professional cultures in medication safety:
a scoping review of the literature … https://psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping- … review-literature
This scoping review discussed how organizational and professional culture influences … /issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Komacsar BSN, RN
2
Learning Objectives
3
Describe the relationship between culture change … and CAUTI reduction
Understand the CUSP framework for initiating culture change
Apply culture change … change
Apply culture change theory to urinary catheter culture
Our goal is to assist healthcare … Organizational Culture
10
…the shared set of social values and beliefs, both explicit and implicit, that … values and beliefs, both explicit and implicit, that guides actions and decisions within the organization
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-spanish.pdf
June 02, 2025 - Spanish Medical Office Survey on Patient Safety Culture
1
Cuestionario sobre la seguridad
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/nurse_empower-slides/How-CUSP-Enables-Nurse-Empowerment-Nov-15-2011-508.ppt
January 01, 2011 - Heath System
Slide *
CUSP Components
Form a unit CUSP team with executive sponsorship
Measure unit culture … ICU: Statewide ICU collaborative (2003)
Multidisciplinary Keystone (CUSP) team met monthly
Annual culture … assessment with staff developing action plans to improve culture
Executive rounds
Learn from defects … Manager
The John Hopkins Hospital
Slide *
Implementing CUSP:
Assumptions & Prerequisites
Certain beliefs … concerns are affirmed
They develop a voice and can tell their story
They are supported by a unit culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - and when and when not to treat positive urine cultures. … Combination
Efforts at CAUTI prevention often entail:
Improving urine culturing practices:
Only send cultures … Send the cultures the right way
Eliminating treatment of asymptomatic bacteruria. … Send U/A & urine culture
Document indication for sending urine culture
Start empiric therapy
(see … down to oral quinolone if susceptible
* Empiric choices should take into account recent previous cultures
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www.ahrq.gov/sops/international/medical-office/translators.html
January 01, 2010 - Achieving a culture of safety requires an understanding of the values, beliefs, and norms about what … A definition of safety culture is provided below. … Safety Culture Definition
The safety culture of an organization is the product of individual and group … to confuse the word "culture" with ethnicity and race. … the word "culture" in the title.