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psnet.ahrq.gov/issue/patient-safety-and-technology
June 24, 2009 - June 24, 2009
Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative
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psnet.ahrq.gov/issue/how-avoid-seven-deadly-sins-surgery
June 17, 2014 - September 30, 2010
Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative
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psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
March 11, 2009 - October 19, 2022
Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative
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psnet.ahrq.gov/issue/nurses-practice-environments-error-interception-practices-and-inpatient-medication-errors
December 15, 2011 - July 13, 2010
Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative
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psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
July 13, 2010 - December 19, 2018
Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative
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psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
December 31, 2014 - November 16, 2022
Association of diagnostic stewardship for blood cultures in critically … ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative
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www.ahrq.gov/sops/news.html
March 01, 2025 - Announcements
2025 Announcements Date Announcements February 2025 AHRQ's Surveys on Patient Safety Culture … Nursing Home Survey: 2025 User Database Report Results from AHRQ’s 2025 Surveys on Patient Safety Culture … following surveys: Ambulatory Surgery Center Survey on Patient Safety Culture : June 2 – 20 . … Medical Office Survey on Patient Safety Culture : Sept. 2 – 19 . … and patient safety culture, job satisfaction, and intent to leave.
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-20-pilot-test-results.pdf
January 01, 2025 - 2025 AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey Version 2.0 Pilot Test Results … 2025 AHRQ Surveys on Patient Safety Culture®
(SOPS®) Nursing Home Survey Version 2.0 Pilot
Test … Surveys on Patient Safety Culture® and SOPS® are registered trademarks of the U.S. … refers to the beliefs, values, and norms shared by staff throughout their
organization that influence … Patient safety culture is the extent to
which these beliefs, values, and norms support and promote patient
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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 … 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)
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - healthcare, (6) Confirming comprehension using the teach-back or
show-me method, (7) Being sensitive to the culture … , customs, and beliefs of patients and (8)
Providing qualified interpreters and clinical staff certified
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - Patient Safety Primer: Culture of Safety. AHRQ Patient Safety Network. Updated August 2018. … Institution of just culture physician peer review in an academic medical center. … Understanding middle managers' influence in implementing patient safety culture. … Promising practices for improving hospital patient safety culture. … that they were a dot-com and we were a dot-org and that explained many of the different practices and beliefs
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psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
July 25, 2018 - Newspaper/Magazine Article
Students have a key role in a culture of safety: analysis … Citation Text:
Students have a key role in a culture of safety: analysis of student-associated medication … This data analysis highlights how organizational culture affects student-related errors and summarizes … Cite
Citation
Citation Text:
Students have a key role in a culture … March 7, 2018
Smart pump custom concentrations without hard "low concentration" alerts
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. … Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. … This is one of the best starting points for a just culture. … The simultaneous belief in individual strength and brittleness is pervasive in health care: Safety lies … October 11, 2017
A just culture after Mid Staffordshire.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
June 01, 2022 - She has
managed the suite of safety culture databases since 2006. Ms. … So, what is patient safety culture? … Gray, Slide 13
Patient safety culture can be defined as the beliefs, values, and norms shared by healthcare … It's
important to note that culture exists at multiple levels. … And those assess how organizational culture
influences health IT and patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Creating cultures of safety: risk management. Nurse Manage
2010;41(12):27-33.
11. … Chasing zero events of harm: an urgent call to expand safety culture work and
customer engagement.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Creating cultures of safety: risk management. Nurs Manage
2010;41(12):27-33.
9. … Chasing zero events of harm: an urgent call to expand safety culture work and
customer engagement.
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - After a urine culture was obtained in the ED, the patient was started on vancomycin and admitted to the … The admitting nurse noticed that the urine culture results from his prior hospital admission indicated … Had the patient's discharging care team alerted his primary care physician about the pending urine cultures … our institution, we found that almost 82% of our TPADs were microbiology data (e.g., blood or sputum cultures … physician—either the discharging team or the patient's primary care physician—followed up on the pending urine cultures
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psnet.ahrq.gov/issue/mgh-halts-pediatric-program-heart-surgeries-hold-after-errors
August 24, 2016 - December 12, 2018
Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mrsa-screening-2010_disposition-comments.pdf
January 01, 2010 - with MRSA colonization or infection identified by active surveillance
to those identified by clinical culture … wards was
statistically less likely in patients that were screened using rapid methods
compared to culture … controlled trial (RCT) or quasi-
experimental study (QEX) comparing either: 1)
screening (by either culture … In facilities found to have a high prevalence on
initial sampling, a facility-wide culture survey is … In facilities found to have a high prevalence on
initial sampling, a facility-wide culture survey is