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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50769/psn-pdf
    February 15, 2017 - https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety Background   Culture can … be defined as the “personal identification, language, thoughts, communications, actions, customs, beliefs … competence in healthcare refers to the “ability of systems to provide care to patients with diverse values, beliefs … Cultural brokerage is the mediation between the traditional health beliefs and practices of a patient … communities, it is unrealistic for providers to have sufficient understanding of all of the different cultures
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
    April 01, 2022 - This module will identify the situations in which urine cultures are appropriate or inappropriate. … It is needed because urine cultures can be harmful if they’re ordered in the wrong situation. … This includes how a culture is collected, what container is used and how transport time can impact culture … There are inaccurate beliefs and rote behaviors. … Beliefs can be corrected with stewardship education.
  3. psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
    January 29, 2020 - Delayed Recognition of a Positive Blood Culture Citation Text: Doernberg S. … Delayed Recognition of a Positive Blood Culture. PSNet [internet]. … Delayed Recognition of a Positive Blood Culture. PSNet [internet]. … Contaminant blood cultures and resource utilization. … Don't perform urinalysis, urine culture, blood culture or C. difficile testing unless patients have
  4. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-2.html
    September 01, 2023 - Reporting and Discussing Diagnostic Error The Potential of Psychological Safety and Organizational Safety Culture … Learning From Diagnostic Errors The Potential of Psychological Safety and Organizational Safety Culture … She defined it as “a shared belief that the team is safe for interpersonal risk taking” and a culture … Organizational culture refers to the collective attitudes, beliefs, and values of an organization; a … safety culture fosters a shared commitment to identifying and mitigating risks, learning, and improving
  5. www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
    August 01, 2017 - Organizational culture refers to the shared beliefs from those working together about how work gets accomplished … . 9-11 Health services researchers have focused on understanding several types of cultures in health … and skills learned in training programs in the workplace, while units with neutral or negative safety cultures … Further, longitudinal studies linking more positive error disclosure cultures with better outcomes from … including safety, teamwork, and disclosure cultures, which could also have a positive impact on patient
  6. www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
    January 01, 2024 - Final Progress Report: Creating Learning Cultures Around Mistakes for Residents 1 Project Title: Creating … Learning Cultures Around Mistakes for Residents Timothy J. … mistake, not excusing one’s part in the incident but not letting the event create untrue or exaggerated beliefs … This need to integrate learning cultures into existing residency work cultures means mean that the development … Implementing safety cultures in medicine: What we learn by watching physicians.
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
    June 01, 2017 - Just Culture Webcast November 2016 Using Just Culture to Improve Hospital Survey on Patient Safety … It's the beliefs, the values, the norms shared by staff, and is what is rewarded, supported and expected … So, what is Just Culture? … Culture. … each month would be, for example, plan for communication, then the next month aligning organizational beliefs
  8. psnet.ahrq.gov/issue/culture-cure-assessments-patient-safety-culture-oecd-countries
    October 07, 2020 - Book/Report Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries … Citation Text: Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. de Bienassisi … The assessment of patient safety culture is critical for understanding the success of organizational … This report examines tools used in a variety of countries to assess culture and underscores the value … as a Cure: Assessments of Patient Safety Culture in OECD Countries. de Bienassisi K, Kristensenii S,
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/sorraslides.pdf
    January 01, 2014 - Using the AHRQ Pharmacy Survey on Patient Safety Culture 9 9 Development of the AHRQ Pharmacy … Westat 10 10 What is Patient Safety Culture? … things around here” Exists at multiple levels: System Organization Department Unit Beliefs … Dimensions 36 items assess 11 dimensions of patient safety culture 1. … What is Patient Safety Culture?
  10. psnet.ahrq.gov/perspective/safety-culture-ems
    May 26, 2021 - Safety Culture in EMS. PSNet [internet]. … Safety Culture in EMS. PSNet [internet]. … Just Culture: it’s more than policy. … KH: It sounds like you have experienced cultures where you’re coming from a defensive stance—you are … When you talk about Just Culture and we talk about culture as defining behavior, we've got to change
  11. www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
    January 01, 2014 - Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture Search All Impact Case Studies … " since 2009 to understand and improve the hospital's culture, identify areas ripe for quality improvement … and has been validated in many contexts and cultures," says James M. … AHRQ's tool helps hospitals assess their patient safety culture, track changes, and evaluate the impact … that is striving to implement a just culture throughout the entire institution.
  12. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Creating_an_Improvement_Culture_2011_10_01_Transcript.pdf
    January 01, 2011 - Creating an Improvement Culture Creating an Improvement Culture October 2011  Podcast Speaker … Having a positive organizational culture is important not just for patient experience but for all areas … https://www.cahps.ahrq.gov/News-and-Events/Podcasts.aspx Creating an Improvement Culture October … Creating an Improvement Culture October 2011  Podcast October 2011 www.cahps.ahrq.gov | 3 of … Creating an Improvement Culture October 2011  Podcast October 2011 www.cahps.ahrq.gov | 4 of
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
    April 01, 2022 - 1-5 Ordering urine cultures thoughtfully, so they inform (not misinform) the care of individual patients … the electronic medical record to include appropriate indications for urine cultures in catheterized … overuse/CDI More resistant organisms Correct diagnosis missed Implementing Culturing Stewardship28 Beliefs … However, a urinalysis was sent, and this hospital performs reflex cultures. … The influence of contaminated urine cultures in inpatient and emergency department settings.
  14. SOPS Program Brief (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-program-brief-2024.pdf
    January 01, 2024 - Organizational culture refers to the beliefs, values, and norms shared by staff throughout an organization … Patient safety culture is the extent to which these beliefs, values, and norms support and promote … culture. …  Assess the current status of patient safety culture. …  Examine trends in patient safety culture over time.
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-overview-webcast-bakdash.pdf
    June 02, 2025 - AHRQ’s Surveys on Patient Safety Culture® for New Users - Jonathan Bakdash AHRQ’s Surveys on Patient … Safety Culture® (SOPS®) Program Jonathan Bakdash, Ph.D. … SOPS databases • Conducts research to further the measurement and understanding of patient safety culture … • Develops resources to improve safety culture in facilities 8 What is Patient Safety Culture … Patient Safety Culture The beliefs, values, norms, shared by health care staff Determines behaviors
  16. psnet.ahrq.gov/perspective/conversation-cindy-brach
    December 27, 2019 - CB : A cultural broker is someone who understands two different cultures and mediates in cross-cultural … as the “personal identification, language, thoughts, communications, actions, customs, beliefs, values … Cultural brokerage is the mediation between the traditional health beliefs and practices of a patient … communities, it is unrealistic for providers to have sufficient understanding of all of the different culturesCulture brokerage strategies in diabetes education.
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/culture-checkup-tool.docx
    May 01, 2017 - Culture Checkup Tool Culture Checkup Tool Problem statement: Improving safety culture in a patient … What is culture? … Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. … Remember, attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture … Review the unit patient safety culture assessment (e.g., Hospital Survey on Patient Safety Culture) results
  18. psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
    April 03, 2005 - The action plan proposed by this project includes ensuring a just culture so staff feel empowered to … October 5, 2022 Leadership behaviors, attitudes and characteristics to support a culture … April 17, 2024 Nurse leader attitudes and beliefs regarding medical errors. … March 6, 2024 Rooting an error review process in just culture: lessons learned. … May 12, 2021 Why accountability sharing in health care organizational cultures means
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
    May 01, 2007 - Just Culture Webcast Presentation University of North Carolina Health System 13 Celeste Mayer, PhD … October 48% 41% (2012) 2013 December 51% 42% (2014) 2015 October 53% 43% (2016) North Carolina Just Culture … change the Corrective Action Policy Policy into Practice • Clear expectation for use of the Just Culture … new managers – 1 hour concepts – Application practice using a case • Frontline staff experience Just Culture … Principles into the Corrective Action policy • Incorporating Just Culture Principles into Counseling
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-3-closing.pdf
    June 01, 2017 - Just Culture Webcast Closing Updating the Hospital Survey and Nonpunitive Response to Error • HSOPS … to be released in early 2018 – Revising the Nonpunitive Response to Error composite to reflect Just Culture … Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture