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digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision/citation/use
January 01, 2023 - a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture
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digital.ahrq.gov/ahrq-funded-projects/rural-health-information-technology-cooperative-promote-clinical-improvement
January 01, 2023 - facilitate the adoption of the health IT intervention; and (b) how the intervention influences hospital culture … intervention on physician, mid-level practitioner, and nurse knowledge, attitudes, behavior, and practice culture
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digital.ahrq.gov/ahrq-funded-projects/virtual-patient-improving-quality-care-primary-healthcare/annual-summary/2012
January 01, 2012 - The Virtual Patient for Improving Quality of Care in Primary Healthcare - 2012
Project Name
The Virtual Patient for Improving Quality of Care in Primary Healthcare
Principal Investigator
Mollica, Richard
Organization
Massachusetts General Hospital
Funding Mechanism
…
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digital.ahrq.gov/ahrq-funded-projects/success-stories/building-health-it-research-capacity-podcasts
January 01, 2023 - Building Health IT Research Capacity Podcasts
Web-Based Intervention for Alcohol Use in Women of Childbearing Potential
This podcast will briefly introduce Dr. Katia Delrahim Howlett ’s AHRQ Health IT Portfolio-funded R36 dissertation research project to test a web-based intervention for …
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digital.ahrq.gov/sites/default/files/docs/page/AHRQPlenary6.05.pdf
November 01, 2004 - The pilots in the OR
JCAHO gets real
But will probably run out of gas
–Awfully hard to regulate culture … How to promote no blame culture for innocent
slips or mistakes while holding persistent rule
violators … IT and safety culture)
Watch out for squeezed balloons
Expect unexpected consequences
– Workarounds
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digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision/citation/survey
January 01, 2023 - a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture
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digital.ahrq.gov/ahrq-funded-projects/virtual-patient-improving-quality-care-primary-healthcare
January 01, 2023 - The Virtual Patient for Improving Quality of Care in Primary Healthcare
Project Final Report ( PDF , 439.67 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent …
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digital.ahrq.gov/ahrq-funded-projects/virtual-patient-improving-quality-care-primary-healthcare/annual-summary/2011
January 01, 2011 - The Virtual Patient for Improving Quality of Care in Primary Healthcare - 2011
Project Name
The Virtual Patient for Improving Quality of Care in Primary Healthcare
Principal Investigator
Mollica, Richard
Organization
Massachusetts General Hospital
Funding Mechanism
…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022767-jean-jacques-final-report-2014.pdf
January 01, 2014 - , and quality improvement culture. … The team members’ perceptions of their health center’s practice environment, organizational
culture … , and quality improvement culture differed modestly by health center. … , and quality improvement
culture. … )
QUALITY IMPROVEMENT CULTURE SCORE 34.7 34.2 33
(RANGE 10--‐ 50)
11
Notes for Table 4: The
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digital.ahrq.gov/sites/default/files/docs/page/2006McColm_051111comp.pdf
June 16, 2021 - crosses continuum
• 100% use of CPOE
• No paper charts
HIT/Patient Safety Challenges
• Organization culture
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digital.ahrq.gov/sites/default/files/docs/page/2006Wang_051611comp.pdf
January 01, 2006 - University of Pittsburgh School of Medicine - Department of Emergency Medicine
The Barrier of Paramedic “Culture … Relationship between Paramedic ETI Experience and
Patient Outcomes
Characterization of Paramedic Workforce Culture … No. 20 (No title)
Per-Rescuer ETI Frequency
Slide No. 22 (No title)
The Barrier of Paramedic “Culture
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digital.ahrq.gov/sites/default/files/docs/page/ADAMS_3_I.ppt
January 01, 2013 - All rights reserved
Multiple Systemic Problems
Financial
Poor Quality
High Cost
Culture
Practice … Variations
Social Factors
Limited Access
Unit Prices
Administrative
Costs
Culture
Structure
Standards … No penalty for variance
Rewards for over-treating
Pressure to over-treat
Risk from under-treating
Culture … Medical custom varies a great deal even among communities that are demographically and geographically … All rights reserved
Structure – Too many masters results in no standards
Culture – Impacts standards
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digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
June 16, 2021 - in 4 practices have EHRs – but
adoption alone not adequate measure
Importance of organizational culture … Trust is key in developing a culture of quality.
Process
Demonstrating value at the user level … Key Insights
Culture—unequivocal leadership support and local
champions are essential for change … Patient-centered hospital design can support a culture
of safety.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017018-lehmann-final-report-2010.pdf
January 01, 2010 - the ambulatory setting, using a set of national consensus measures and identify the
organizational culture … , drug monitoring, drug toxicity, electronic
health records, process assessment, safety attitudes, culture … Further, we could not assess other events in
the clinics that may have affected safety culture (such … Provider‐related factors may include a lack of awareness that
medication monitoring is indicated or a lack of belief … This is
reflected both in the safety culture results and in the face-to-face discussions with staff
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
December 01, 2008 - Organizational Considerations
Culture
As with other health technologies, introducing BCMA and eMAR … impacts the culture of an
organization. … implementation of BCMA and eMAR
8
technologies necessitates a change in provider culture … promoting a cultural shift:
“The nursing teams have started a transition to focus more on a data culture … Implementation Considerations
Need to Repackage Medications
Training
Organizational Considerations
Culture
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digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti/annual-summary/2010
January 01, 2010 - Safety culture was assessed in these clinics and the staff reported that the results accurately represented … which indicated that interventions to improve care quality are associated with improvements in safety culture
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2012
January 01, 2012 - to help engage practices and create change: 1) securing leadership buy-in and support; 2) creating a culture
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digital.ahrq.gov/2018-year-review/research-summary/reducing-childhood-obesity-risk-using-interactive-digital-comic
January 01, 2018 - Reducing Childhood Obesity Risk using an Interactive Digital Comic Book
Key Finding and Impact:
Children who read the comic ate more vegetables and drank more water, as well as decreased their sugar intake, from the beginning of the study to the end of the study.
Childhood obesity is a serious public heal…
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digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
May 01, 2010 - Commonalities identified include shared understanding of problems, shared common intellectual
assets, shared belief … For example, there is a belief (although not shared by all) that certain solutions will be
close to … The rationale behind this belief is that
information technology will enable systems to fundamentally … The culture of health care also promotes local optimization. … Many hold fast to the belief that information technology will solve many of the problems
inherent in
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digital.ahrq.gov/ahrq-funded-projects/intervention-inc-interactive-family-centered-mhealth-tool-reduce-obesity-risk
January 01, 2023 - Intervention INC: An Interactive Family-Centered mHealth Tool to Reduce Obesity Risk in Urban Minority Preadolescents
Project Description
Events
A family-centered multi-component digital tool with an innovative communication approach may reduce childhood obesity risk, as …