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421. Predicting patient complaints in hospital settings. | PSNet
     psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings
     February 27, 2008 - Patient complaints were not correlated with unit safety culture measurements, but were somewhat associated … Author(s) Determinants of adverse events in hospitals—the potential role of patient safety culture … February 27, 2008 Association of diagnostic stewardship for blood cultures in critically … December 21, 2014 Exploring relationships between patient safety culture and patients … Hospitals Quality and Safety Professionals General Internal Medicine Hospital Medicine Culture

422. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. | PSNet
     psnet.ahrq.gov/issue/comprehensive-patient-safety-program-can-significantly-reduce-preventable-harm-associated
     October 27, 2010 - , implementation of a broad-based organizational safety improvement program that emphasized safety culture … October 27, 2010 Improved safety culture and teamwork climate are associated with decreases … December 2, 2014 A safety culture transformation: its effects at a children's hospital … February 16, 2011 Organisational culture: variation across hospitals and connection to … January 28, 2010 Identifying organizational cultures that promote patient safety.

423. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - Improving culture requires an understanding that culture is different from facility to facility. … Another key element to create a culture of safety is explained in the principles of Just Culture. … Slide 17: Understanding Just Culture 1 Say: The term "Just Culture" refers to a system of shared … PLAY VIDEO:  Understand Just Culture Ask: How would you describe Just Culture to someone? … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either

424. Preventing adverse drug events. | PSNet
     psnet.ahrq.gov/issue/preventing-adverse-drug-events
     June 15, 2011 - March 29, 2007 Safety Culture: Building and Sustaining a Cultural Change in Aviation … View More Related Resources Exploring nurses' attitudes, skills, and beliefs … July 16, 2014 Creating a culture of safety by coaching clinicians to competence. … An educational intervention to enhance nurse leaders' perceptions of patient safety culture

425. Our long journey towards a safety-minded just culture. Part II: where we're going. | PSNet
     psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
     June 05, 2018 - Newspaper/Magazine Article Our long journey towards a safety-minded just culture. … Citation Text: Our long journey towards a safety-minded just culture. Part II: where we're going. … May 7, 2018 Our long journey towards a safety-minded just culture. … March 29, 2023 Why accountability sharing in health care organizational cultures means … practice settings December 18, 2019 Our long journey towards a safety-minded just culture

426. How CUSP Enables Nurse Empowerment (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/nurse-empower/slides.html
     October 01, 2014 - CUSP Components Form a unit CUSP team with executive sponsorship Measure unit culture Educate … 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 … Implementing CUSP: Assumptions & Prerequisites Certain beliefs predispose for success: Direct … concerns are affirmed They develop a voice and can tell their story They are supported by a unit culture

427. Designing a Scorecard for Sustainability: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-fac-notes.html
     December 01, 2017 - Say: The last item covers safety culture. … What is your response rate on safety culture assessments?  … Ask: For local safety culture, what is the unit response rate? … Or what percentage of staff members completed safety culture surveys? … your most current safety culture responses and trends.

428. Accessible Facilitator Guide: Designing a Scorecard (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard_facnotes.docx
     December 01, 2017 - SAY: The last item covers safety culture. … What is your response rate on safety culture assessments? … ASK: For local safety culture, what is the unit response rate? … Or what percentage of staff members completed safety culture surveys? … your most current safety culture responses and trends.

429. The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet
     psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
     May 21, 2019 - May 21, 2019 Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal … February 14, 2017 Association between hospital safety culture and surgical outcomes in … June 12, 2019 Promoting a culture of safety as a patient safety strategy: a systematic … March 16, 2011 Assessing and improving safety culture throughout an academic medical … December 22, 2010 Improving safety culture on adult medical units through multidisciplinary

430. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
     March 01, 2017 - of Culturing: The Importance of Knowing When to Order Urine Cultures Facilitator Instructions This educational … situation-background-assessment-recommendation) to effectively communicate resident care and when to order urine cultures … Nurse Nohai: Okay, I’ll go collect that urine culture. … I’m going to put her on Bactrim, once you get that culture. … · Inappropriate Recommendations: · Ordering a urine culture.

431. High reliability: truly achieving healthcare quality and safety. | PSNet
     psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
     March 18, 2019 - This commentary discusses how high reliability concepts, such as developing a culture of safety and … May 1, 2013 Staff attitudes about event reporting and patient safety culture in hospital … April 3, 2017 Executive/senior leader checklist to improve culture and reduce central … January 22, 2017 Hospital board checklist to improve culture and reduce central line–associated … January 3, 2017 Perspective: a culture of respect—part 1 and part 2.

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60949/psn-pdf
     September 23, 2020 - Why accountability sharing in health care organizational cultures means patients are probably safer. … https://psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means- patients-are-probably … This article discusses how implementation of just culture principles can assign accountability appropriately … https://psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably … https://psnet.ahrq.gov/issue/human-error-medicine https://psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854993/psn-pdf
     November 01, 2023 - Building cultures of high reliability: lessons from the high reliability organization paradigm. … Building cultures of high reliability: lessons from the high reliability organization paradigm. … https://psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm … history of the concept of high reliability organizations (HROs) and key features of high reliability culture … https://psnet.ahrq.gov/primer/high-reliability https://psnet.ahrq.gov/issue/safety-paradoxes-and-safety-culture

434. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
     March 01, 2017 - Sustainability is also related to successful culture change within an organization. … Maintaining the ideas, beliefs, principles, or values underlying an initiative and having the new ways … of working become the norm show that the change has positively influenced the culture. … · Are values, beliefs and practices incorporated into the mission of your organization and/or are they … Both are necessary for successful safety culture change throughout an organization.

435. Questions to Elicit Patients’ Beliefs and Social Context | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/patient-perspective.html
     November 01, 2018 - Questions to Elicit Patients’ Beliefs and Social Context Resource: Eliciting the Patient’s … introduces respectful questioning as a way to help clinicians understand their patients’ cultural health beliefs

436. Learn-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
     May 01, 2017 - 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 … Slide 23 SAY: There are key ways L&D unit leaders can apply Just Culture principles to enhance culture … Slide 26 SAY: Culture change is hard work.

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60041/psn-pdf
     March 11, 2020 - The culture of organizations, assessing that culture from the leadership, patient and clinician perspectives … evidence-based-organization-and-patient-safety-strategies-european-hospitals https://psnet.ahrq.gov/issue/safety-culture-across-cultures

438. Presentation: Designing a Scorecard for Sustainability
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard.pptx
     December 01, 2017 - Safety Culture How many safety climate responses are positive? … SAY: The last item covers safety culture. … What is your response rate on safety culture assessments? … recent Hospital Survey on Patient Safety Culture (HSOPS)? … ASK: For local safety culture, what is the unit response rate?

439. Facilitator-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/facilitator-notes.docx
     March 01, 2017 - Improving culture requires an understanding that culture is different from facility to facility. … Another key element to create a culture of safety is explained in the principles of Just Culture. … SLIDE 17 SAY: Just Culture helps us understand risk and human behavior. … · At-risk behavior is an active choice to engage in risky activity through a belief that the risk was … SLIDE 19 SAY: There are key ways leaders can apply Just Culture principles to enhance culture, accountability

440. Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
     December 01, 2012 - Introduction to Just Culture Principles Slide 4. Understand Just Culture Slide 5. … Introduction to Just Culture Principles   Say: The term "Just Culture" refers to a safety-supportive … Just Culture Say: A Just Culture environment allows the review of both system design and an employee's … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … can apply Just Culture principles to enhance culture, accountability, and safety on their unit.