-
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
-
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.
-
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
-
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
-
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
-
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.
-
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
-
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,
-
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?
-
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
-
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.
-
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
-
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.
-
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.
-
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
-
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 cultures … Culture brokerage strategies in diabetes education.
-
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
-
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
-
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
-
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