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  1. 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
  2. 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
  3. www.ahrq.gov/patient-safety/reports/liability/waever.html
    August 01, 2017 - unanticipated issues. 4,6 However, limited empirical work examines linkages between organizational cultures … The Intersection of Liability and Patient Safety Culture Patient safety culture and liability intersect … not fully reflected in existing culture measurement tools include aspects of “just culture,” such as … Recommendation 4: Examine sub-cultures and clearly define the perspective your metric is asking respondents … physicians, nurses, and administrators on several dimensions. 15 , 37,38 Despite documentation of sub-cultures
  4. 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
  5. psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
    November 16, 2022 - Studies have shown that trained phlebotomists or blood culture teams have fewer contaminated blood cultures … only one of several blood culture sets will be positive. … contamination rates in the range of 3% per blood culture drawn. … or blood culture teams to obtain blood for culture rather than using random nursing personnel, nondegree … cultures at some institutions.
  6. www.ahrq.gov/news/newsroom/case-studies/cquips0606.html
    October 01, 2014 - of the nation's largest health care providers, implemented AHRQ's Hospital Survey on Patient Safety Culture … that to better meet its needs, the survey was modified by dropping two question items, and adding one custom … With the belief that managers are responsible for setting the expectations and promoting the culture … These training sessions will delineate ways to promote a culture of patient safety and the importance … "This is a tool we plan to incorporate into the total culture of our organization."
  7. www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/blood-culture.html
    October 01, 2024 - Implementation of MRSA Prevention Fundamental Best Practices Up to half of all positive blood cultures … Discuss strategies to promote blood culture stewardship and reduce blood culture contamination. … Documents: Blood Culture Practices and Stewardship – Slides (PPTX, 11.2 MB) Blood Culture Practices … a decision-making algorithm for optimal use of blood cultures, with appropriate clinical indications … for initial and follow-up blood cultures in non-neutropenic populations.
  8. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cms-patient-safety-measure-hospitals-webcast.pdf
    July 08, 2025 - Patient Safety Culture The beliefs, values, norms, shared by health care staff Determines behaviors … ” pulse survey using a custom selection of composite measures and single items that are of most interest … item) Hospital Management Support Handoffs and Information Exchange Option 2: Example of a Custom … item) ✓ Hospital Management Support X Handoffs and Information Exchange Option 2: Example of a Custom … Survey Option 1: Full HSOPS 2.0 Survey to Selected Units or Selected Staff Option 2: Example of a Custom
  9. www.ahrq.gov/news/newsroom/case-studies/cquips0703.html
    October 01, 2014 - Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture Search All Impact Case Studies … The Department of Defense Patient Safety Program chose AHRQ's Hospital Survey on Patient Safety Culture … as an anonymous, Web-based initiative to assess staff attitudes and beliefs about patient safety, medical … To understand the status of patient safety culture in MHS facilities. … Twelve general areas of patient safety culture were assessed in the survey.
  10. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/worksheet.html
    May 01, 2017 - National Content Series Discussion Guide - The Culture of Culturing: The Importance of Knowing When To … Order Urine Cultures AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Discussion
  11. www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/culture.html
    April 01, 2022 - Culture A strong patient safety culture supports a learning environment and invites diverse input … Use these tools to help your team make lowering infections part of your culture.​ … Examples of common barriers that inhibit developing this culture are ineffective action from leaders,
  12. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
    June 01, 2021 - Have we collected appropriate cultures and diagnostic tests before starting antibiotics? … The prescriber also considered part of Moment 2; she ordered appropriate cultures before prescribing … They are not using appropriate diagnostic criteria before ordering urine cultures. … This leads to unnecessary antibiotics prescribed for residents with positive urine cultures. … Adaptive Problems SAY: Adaptive problems are problems for which solutions require a change in attitudes, beliefs
  13. psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved-patient-safety
    December 09, 2020 - Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture … Patient safety dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture … A cross-sectional survey of patient perceptions and beliefs. … May 31, 2017 Are measurements of patient safety culture and adverse events valid and … February 15, 2011 Assessing and improving safety culture throughout an academic medical
  14. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.html
    March 01, 2017 - T.E.A.M.S. infographic AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Culture … consists of values, attitudes, and beliefs that can have an impact on resident safety, care outcomes … Culture influences how change can occur. … Re-evaluate your culture annually. Are the intended changes happening? … M Meet Monthly Evaluating culture is an ongoing process.
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - Culture of safety James Reason20 defines “culture” as “shared values (what is important) and beliefs … Safety culture goals 1. Shared values and beliefs about safety within the organization 2. … Culture of reporting 5. Learning culture 6. “Just” culture 7. … A common belief system is essential to develop a safe culture. … Safety culture strategies and the development of a common belief system— along with an anonymous and
  16. psnet.ahrq.gov/issue/culture-resistance
    September 19, 2016 - Newspaper/Magazine Article Culture of resistance. … Citation Text: Culture of resistance. Berens MJ; Armstrong K. … Linkedin Copy URL Cite Citation Citation Text: Culture
  17. psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
    August 04, 2021 - Study The association between organizational culture and the ability to benefit from … "just culture" training. … The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training … culture may be a barrier to successful culture change. … The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training
  18. www.ahrq.gov/sites/default/files/2024-07/etchegaray2-report.pdf
    January 01, 2024 - Final Progress Report: Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool … Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool Project Team: Jason … Key Words: NICU parents, safety culture, infant safety, parental roles 1. … Aim 2: To develop and psychometrically test a survey to measure parent perceptions of safety culture … Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool Structured Abstract
  19. psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
    April 20, 2014 - Commentary Studying organisational cultures and their effects on safety. … Studying organisational cultures and their effects on safety. … Studying organisational cultures and their effects on safety. … January 2, 2017 Measuring safety culture in healthcare: a case for accurate diagnosis … November 24, 2010 The safety culture in a children's hospital.
  20. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
    November 01, 2019 - Program for Improving Antibiotic Use – Acute Care 4 Adaptive Problems Require a change in attitudes, beliefs … and beliefs Identifies system opportunities to prevent harm from occurring again 6 Identifying Targets … Have I ordered appropriate cultures before starting antibiotics? … Sputum cultures grow a pan-susceptible E. coli. Not necessary to continue broad-spectrum therapy. … A sputum culture is pending. In this case, the diagnosis is highly likely to be heart failure.