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321. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
     August 01, 2024 - A well-known example is ordering urine cultures in patients without urinary tract symptoms, which can … For blood cultures, several strategies have been shown to reduce contamination rates: education of clinical … and associated antibiotic use with these practices.14,62-65 Diagnostic stewardship of rapid blood cultures … Quality Improvement Collaborative, which supported implementation of diagnostic stewardship for blood cultures … Association of diagnostic stewardship for blood cultures in critically ill children with culture rates

322. Preventing-Cauti-Icu-Setting-Module 1-Speaker-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
     September 01, 2015 - SLIDE 11 SAY: In some instances, resistance to changing catheter use practices comes from the belief … Behavior-based beliefs are a challenge. … SLIDE 15 SAY: Many ICUs obtain cultures from multiple sites when a patient has a temperature spike … the temperature increase should warrant a critical evaluation of the patient rather than an automatic culture

323. Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Bakdash (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-riverside-handoffs-webcast-bakdash.pdf
     January 01, 2022 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Bakdash … AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Program Jonathan Bakdash, Ph.D. … • Develops resources to improve safety culture in facilities 10 What is Patient Safety Culture … Patient Safety Culture The beliefs, values, norms, shared by health care staff Determines behaviors … Areas of strength for most hospitals 12 AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Program

324. HealthSouth Rehabilitation Facilities Use AHRQ Survey to Identify Top Performers | Agency for Healthcare Research and Quality
     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."

325. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
     September 01, 2009 - Achieving a culture of safety requires an understanding of the values, beliefs, and norms about what … Safety Culture Definition The safety culture of an organization is the product of individual and … the word “culture” in the title. … The Hospital Survey on Patient Safety Culture examines patient safety culture from a hospital staff … be a good informant on the culture.

326. Creating a Curriculum for Training Health Profession Faculty Leaders (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
     March 31, 2004 - Such inclusive RCAs shape and are shaped by cultures that value open communication about errors and … Such cultures recognize that there is much to be gained by negotiating rather than discounting differences … The cultural level for system change refers to the underlying beliefs, norms, and behavior that support … emphasize the processes of cross-cultural communication used in defining and delineating the professional cultures … of safety with a culture of interprofessional collaboration.

327. Just Culture Webcast Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
     May 01, 2007 - Just Culture Webcast Presentation University of North Carolina Health System 13 Celeste Mayer, PhD … October 48% 41% (2012) 2013 December 51% 42% (2014) 2015 October 53% 43% (2016) North Carolina Just Culture … change the Corrective Action Policy Policy into Practice • Clear expectation for use of the Just Culture … new managers – 1 hour concepts – Application practice using a case • Frontline staff experience Just Culture … Principles into the Corrective Action policy • Incorporating Just Culture Principles into Counseling

328. Just Culture Webcast Closing (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-3-closing.pdf
     June 01, 2017 - Just Culture Webcast Closing Updating the Hospital Survey and Nonpunitive Response to Error • HSOPS … to be released in early 2018 – Revising the Nonpunitive Response to Error composite to reflect Just Culture … Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture

329. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
     August 01, 2023 - What is “patient safety culture”? … Patient safety culture is the extent to which an organization’s culture supports and promotes patient … Patient safety culture refers to the beliefs, values, and norms shared by healthcare practitioners and … the word “culture” in the title. … with patient safety culture at this level.

330. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
     February 24, 2008 - and generated reports to share with hospitals as a basis for interventions to improve their safety cultures … this environment, hospital senior management and administrators must be cognizant of the opinions and beliefs … midpoint of the 3-year AHRQ grant, we resurveyed participating hospitals to determine if attitudes and beliefs … The AHRQ Hospital Survey on Patient Safety Culture consists of 12 dimensions of safety culture. … and administrators must be cognizant of the opinions and beliefs of the frontline staff regarding the

331. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
     April 01, 2018 - Culture Type Map to Procedure Types Appendix F. Algorithms Appendix G. … , whether the culture matched, the administration of an antibiotic (inpatient or outpatient), readmission … the first three postoperative days when determining the administration of antibiotics and sending of cultures … While all of the cultures were mapped, not all were considered to be postoperative. … Only postoperative cultures were included for consideration in the algorithm.

332. Final Progress report: Creating High Reliability Organizations (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
     January 01, 2024 - Press, 1993) – leadership, culture of safety, redundancy designed into systems, and organizational … surveys; (3) health policy, ethical, and legal matters; and (4) systems and culture research and … Other lectures developed specific themes related to cultures of safety (reporting and learning systems … National Clinical Congress Chicago, Illinois 2004 The “new look” in patient safety: systems, cultures … Simulation Approaches and Integration into an Organizational Safety Program The Roles of Leadership, Cultures

333. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/implguide-refs.html
     October 01, 2015 - Improving the Culture of Culturing: Avoiding Unnecessary Urine Cultures in Catheterized Patients.

334. Final Progress Report: Cultural Competency and African Women’s Health Services (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
     January 01, 2024 - We assessed Somali women’s experiences and beliefs about health promotion, prenatal care, and preventive … The Somali Bantu have distinct historical and cultural background and traditions as well as linguistic … We have been unable to find research that systematically explores traditional belief systems of African … The few studies focusing on African refugees and immigrants’ beliefs about both access and quality of … The Somali Bantu: Their History and Culture.

335. Patient and Family-Centered Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
     December 01, 2017 - Slide 5 Culture Change Model Comparison Table Objective Kotter: Leading Change Kouzes … executive to spread to other units in the organization Sustainability Anchor news approaches in culture … Comprehensive Unit-based Safety Program An intervention to learn from mistakes and improve safety culture … Patient and family make-up, knowledge, values, beliefs, religious and cultural backgrounds are incorporated … families to share their voice CUSP is a structured approach to learn from mistakes and improve safety culture

336. URINARY CATHETERIZATION – Sample Policy (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-b.docx
     April 24, 2015 - Generally, urine cultures should be obtained prior to starting antibiotics for patients with suspected

337. 050-Dec-Implementation-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
     October 01, 2024 - bloodstream infection (BSI) rate: Number of all-cause BSI events per 1,000 patient-days · MRSA clinical cultures … : Percentage of patients on the unit with any positive MRSA clinical culture over the past year Knowing … The mupirocin protocol resulted in 18.4 percent fewer S. aureus clinical cultures and 14.1 percent fewer … MRSA cultures than iodophor. … In the Cardio ICU, the reduction in MRSA cultures and bloodstream infections is particularly dramatic

338. Military Hospitals Employ AHRQ Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     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.

339. Prologue -- Where the Rubber Meets the Road (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Leape.pdf
     June 02, 2025 - have noted, and several papers in this volume specifically address, what is at stake is changing a culture—more … accurately, changing thousands of cultures. … Culture is most simply defined as “how we do things here,” and every organization has its own way of … without being struck with the immense diversity of issues that must be confronted in building a safe culture … At the heart of that transition is creating the culture change we need to make patient care safe.

340. Prescribers-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
     June 01, 2021 - Let’s get a UA and urine culture. … communication is to state: “I’m calling because our policy states I must inform a provider about all positive cultures … I'm calling because our policy states that I must inform the on-call physician about all positive cultures … Start an antibiotic based on the urine culture results. … The nurse faxes the urine culture results to the provider’s office.