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psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems
November 07, 2012 - They found several common characteristics in the organizational cultures, including collaboration, strong … April 29, 2018
Safety culture and mortality after acute myocardial infarction: a study … of Medicare beneficiaries at 171 hospitals. … February 21, 2018
The effect of the fit between organizational culture and structure … January 14, 2011
The safety culture in a children's hospital.
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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/module2/tool-examples.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
Examples of Technical … Adaptive work is things like—
· Addressing problems that require a change in attitudes, beliefs, and … a safety culture survey to drive improvement. … Effective senior leaders help people successfully adapt to change by reinforcing attitudes, beliefs, … The facility safety teams were able to support changes in the culture and engage a group of skilled staff
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digital.ahrq.gov/sites/default/files/docs/cds-slides-10192021.pdf
October 19, 2021 - A usability and safety analysis of
electronic health records: a multi-center study. … A usability and safety analysis of
electronic health records: a multi-center study. … blood cultures resulting in
► Additional tests
► Unnecessary antibiotic use
► Prolonged hospitalization … Dissemination of the blood culture checklist
39
HFE Applications
• Integration of the blood culture … the blood culture checklist into
electronic health records (EHRs)
• Dissemination of the blood culture
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psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
July 14, 2018 - This study identified improvements in patient safety culture scores (particularly risk identification … January 22, 2025
Outcomes of Michigan Medicine's integrated patient safety and communication … October 23, 2024
A mixed methods study exploring patient safety culture at 4 VHA Hospitals … October 26, 2022
Role of the regulator in enabling a just culture: a qualitative study … August 10, 2022
Why accountability sharing in health care organizational cultures means
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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. … Though safety culture requires longer periods of time to change, pause to reflect on progress with data … Or what percentage of staff members completed safety culture surveys? … Use the safety culture improvements to validate the work efforts of your frontline staff. … In patient safety, the quality of the environment (the safety culture) greatly influences the safety
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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? … Though safety culture requires longer periods of time to change, pause to reflect on progress with data … Or what percentage of staff members completed safety culture surveys? … Use the safety culture improvements to validate the work efforts of your frontline staff. staff.
8 … In patient safety, the quality of the environment (the safety culture) greatly influences the safety
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
January 01, 2008 - initiatives to enhance the “culture of safety”:
14. … Methods
Culture of Safety Study
To assess the evolving culture of safety at the hospital, the project … The disparity between the lack of change in beliefs that surround reporting of adverse events
and near … the importance of good communication to
safety and a belief that communication systems have improved … However, it is reasonable to consider that staff attitudes toward
patient safety, and their beliefs
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psnet.ahrq.gov/node/60041/psn-pdf
March 11, 2020 - Supplement on Deepening our Understanding of Quality
in Australia (DUQuA). … This special issue outlies the results
of a 5-year examination of 32 hospitals across Australia and … The culture of organizations,
assessing that culture from the leadership, patient and clinician perspectives … and adopting a “Safety II”
approach can impact conditions that affect quality and safety. … https://psnet.ahrq.gov/issue/safety-culture-across-cultures
https://psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
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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 … Educate staff on science of safety
Identify defects using the staff safety assessment; prioritize defects … 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 … Safety.
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www.ahrq.gov/patient-safety/reports/engage/appb.html
March 01, 2017 - Search Terms
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety … the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified
Results … Discussion of Findings
Implications for the Guide
Next Steps
References
Appendix A. … Patient safety
Safety
Safety culture
Safety climate
Medical error
Disclosure … Adverse events
Just culture
Error reporting
Reporting culture
Communication
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psnet.ahrq.gov/node/855057/psn-pdf
October 31, 2023 - safety.11 Workforce
stress and burnout negatively impact patient safety culture, leading to consequent … Underreporting of workplace
violence incidents may be due to healthcare workers’ beliefs that violence … is an expected part of the job,
beliefs that no action will be taken against perpetrators of violence … of safety and quality throughout the hospital.6
Creating a culture of safety within organizations is … Perceived Relationship Between Horizontal Violence
and Patient Safety Culture Among Nurses.
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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 - of the Safety Program for Perinatal Care. … Foster a culture of teamwork and communication
2. Implement perinatal safety bundles
3. … Safety demonstrated that CUSP was successful in improving the safety culture. … Slide 11
SAY:
The term “Just Culture” refers to a safety-supportive system of shared accountability … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-hare.pdf
January 01, 2022 - Lead Research Associate
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat … provides
step-by-step guidance on how to develop an action plan to improve patient safety
culture, … Example of Composite Measure Results
Patient Safety Culture Composite Measures Average % Positive Response … areas of organizational
culture assessed by the composite measures included in the AHRQ Diagnostic … Culture (62)
[ ] Psychometric Analyses (60)
[ ] Review Patient Safety Culture Articles or
Surveys
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - coming out of AHRQ’s
patient safety portfolio of research. … on safer health care, Patient Safety Improvement Corps,
improving the culture of safety in hospitals … Culture of safety
AHRQ has developed a Hospital Survey on Patient Safety Toolkit to assess
the culture … of patient safety in hospital settings. … to
facilitate the process of culture improvement.
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www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - Understand the Science of Safety
Slide 20. … Introduction to Just Culture Principles
Say:
The term "Just Culture" refers to a safety-supportive … can apply Just Culture principles to enhance culture, accountability, and safety on their unit. … The team:
Understands patient safety culture is local. … Understand the Science of Safety
Say:
After completing the "Understand the Science of Safety" module
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psnet.ahrq.gov/node/50768/psn-pdf
December 27, 2019 - We spoke with her about
the role of cultural competence in patient safety.
Ms. … CB: All three elements of the Venn diagram affect patient safety. … That means that regardless of my knowledge of a particular person’s
culture, I have skills that enable … me to put them at ease, to ask them about their health beliefs, to access
resources, whether it be … CB: A cultural broker is someone who understands two different cultures and mediates in cross-cultural
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
November 01, 2014 - With respect to culture, Schein 6 defines organizational culture as "a set of basic tacit assumptions … It involves the norms, values, beliefs, and behaviors of an organization reflecting how things are done … The final outcomes include aspects of efficiency, quality, safety, and satisfaction. … Quality/patient safety. … In addition, some see Lean as a way of altering culture.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
May 01, 2017 - comprise the team are responsible for starting and sustaining the initiative, so their engagement and belief … Effective senior executives help people successfully adapt to change by reinforcing attitudes, beliefs … in the unit patient safety culture assessment. … With the tool, L&D unit teams review the patient safety culture results to identify potential barriers … administrations, and monitor the progress of culture change.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
January 01, 2021 - increasingly recognizes the importance of establishing a culture of patient safety. … Patient safety
culture refers to the beliefs, values, and norms shared by healthcare practitioners and … Patient Safety Culture
2019 Hospital Survey on Patient Safety Culture, Version 2.0 User’s Guide … SOPS Hospital Survey 2.0 Patient Safety Culture Composite Measures
Patient safety culture
composite … of the AHRQ Supplemental
Items for Hospital SOPS or other custom items, add these immediately before
-
psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - Our Maturing Understanding of Safety Culture: How to
Change It and How It Changes Safety
March 1, 2017 … Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. … On the
one hand, the importance of safety culture is widely recognized and acknowledged; on the other … The fact that 70% of change
https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety … Reducing hospital errors: interventions that build safety culture.