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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
December 01, 2017 - report falls more accurately when administration uses a clear fall definition and develops a strong culture
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
January 01, 2008 - Barriers to Team
Effectiveness and Solutions
Barriers Tools and Strategies Outcomes
Hierarchical culture … committing to use and
practice the TeamSTEPPS tools and strategies, teams can achieve the goal of a culture … and
strategies introduced in each of the modules had been fully integrated into the
workflow and culture
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - Barriers to Team Effectiveness and Solutions
Barriers Tools and Strategies Outcomes
Hierarchical culture … committing to use and practice the TeamSTEPPS tools and strategies, teams can achieve the goal of a culture … tools and strategies introduced in each of the modules had been fully integrated into the workflow and culture
-
www.ahrq.gov/sites/default/files/2024-05/fraser-report.pdf
January 01, 2024 - Persistence of HuNoV on porous
and nonporous surfaces was determined using a very new culture system … The system is based on a novel human-intestinal organoid (mini-gut) cell culture
system. … 2, 10-3 and 10-4) was assayed in quadruplicate to determine the viral
infectivity using the tissue culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home
79
Seamless Care: Safe Patient Transitions
from Hospital to Home
Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios,
Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson
Abstract
Background: “Seamless care” is a smooth a…
-
www.ahrq.gov/sops/news/previous-announcements.html
March 01, 2025 - Surveys: A Primer for New Users” This webcast provided an overview of the Surveys on Patient Safety Culture … Updated AHRQ Surveys on Patient Safety Culture Action Planning Tool AHRQ Surveys on Patient Safety Culture … ® (SOPS®) Nursing Home Survey to assess and improve resident safety culture. … Why Choose the AHRQ Surveys on Patient Safety Culture? … Shifting to a “Just Culture” framework to assess Response to Error.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - Building a culture of safety.
Developing the FMP team.
1. … Culture of Safety
The term "culture of safety" is used to describe how the behavior of staff and management … Developing a culture of safety requires changes in staff attitudes, beliefs and behavior as well as changes … Effective, open communication is crucial to achieving a culture of safety. … Strong leadership is essential in establishing a culture of safety.
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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/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
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
January 01, 2021 - 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 … • Adding Supplemental or Custom Items
If your hospital wants to add items to the survey, such as any … of the AHRQ Supplemental
Items for Hospital SOPS or other custom items, add these immediately before
-
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?
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
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 … Culture Checkup Tool
The Culture Checkup Tool will help the L&D
unit team address problems identified … in the
unit patient safety culture assessment. … to improve the local culture.
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/module-6-slides.pptx
March 01, 2017 - institutionalization or integration of programs into ongoing organizational systems
Sustaining the ideas, beliefs … Prevent project fatigue
Control processes
Monitor progress
Engage senior leaders
Establish improvement culture … Are values, beliefs, and practices incorporated into the mission of your organization and/or are they … Modules
Sustainability | ‹#›
8
Sustainability
Embedding a successful improvement into the culture … Partners in Care: How the nation’s largest home health agency is transforming its culture.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - your institution clearly defined the need to initiate a teamwork-based patient safety initiative
for culture … Is building a stronger teamwork and safety culture an appropriate strategy to address your
institution … Is a culture change that emphasizes the importance of teamwork and safety feasible and
acceptable? … Your institution must be
willing to change its culture and processes to enhance teamwork and safety. … □ YES □ NO
Readiness for Change in Culture
3.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
August 14, 2015 - culture. … At-risk behavior is an active choice to engage in risky activity through a belief that the risk was either … How does it support accountability in a Just Culture? … How does the behavior of staff support a culture of safety? … Just Culture. https://www.justculture.org.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
March 01, 2017 - ............................................................................................. 4
A Culture … Supportive culture and infrastructure to support improvement
3. … A Culture of Safety
The root of improvement lies in the safety culture within a facility. … on Patient Safety Culture can help assess staff perceptions of resident safety
culture. … Consider reassessing safety culture on a regular basis, but not more frequently than every 6
months,
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
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 … 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.
-
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 … report
► Displays site results with Database
results
► Identifies strengths and areas for
safety culture … Action planning for improvement
The Action Planning Tool for the AHRQ Surveys on Patient Safety Culture … provides
step-by-step guidance on how to develop an action plan to improve patient safety
culture, … (62)
[ ] Psychometric Analyses (60)
[ ] Review Patient Safety Culture Articles or
Surveys (37)
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
August 01, 2018 - Urine culture was 10,000 CFU/ml E. coli . … engaging physicians in quality and safety, which are: Discover a Common Purpose, Reframe Values and Beliefs … Outcomes
Improved Efficiency
Excellent Reputation
Greater Cause
Slide 26
Reframe Values and Beliefs … What can we do with our resources and culture? … Slide 55
Learn From a Defect
Supporting a culture of safety
Easy to use:
Efficient