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1761. Disposition of Comments for Screening of Methicillin-Resistant Staphylococcus Aureus (MRSA) (pdf file)
      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

1762. Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. | PSNet
      psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses-perceptions-and
      July 19, 2019 - A cross-sectional survey of patient perceptions and beliefs. … Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture … May 31, 2017 Are measurements of patient safety culture and adverse events valid and

1763. Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian model. | PSNet
      psnet.ahrq.gov/issue/training-operating-room-teams-damage-control-surgery-trauma-followup-study-norwegian-model
      December 29, 2014 - May 31, 2017 Are measurements of patient safety culture and adverse events valid and … A cross-sectional survey of patient perceptions and beliefs. … human factors affecting surgical patient safety using innovative technology: creating a safer operating culture

1764. Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-parti.pdf
      January 01, 2019 - Nursing Home Survey on Patient Safety Culture: 2019 User Database Report, Part I. … Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … Introduction Organizational culture refers to the beliefs, values, and norms shared by staff throughout … Patient safety culture is the extent to which these beliefs, values, and norms support and promote patient … Patient Safety Culture Composite Measures and Definitions Patient Safety Culture Composite Measure

1765. Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdf
      January 01, 2019 - Nursing Home Survey on Patient Safety Culture: 2019 User Database Report, Part I. … Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … Introduction Organizational culture refers to the beliefs, values, and norms shared by staff throughout … Patient safety culture is the extent to which these beliefs, values, and norms support and promote patient … Patient Safety Culture Composite Measures and Definitions Patient Safety Culture Composite Measure

1766. A Conceptual Model for Disclosure of Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
      January 01, 2004 - openly about potentially vulnerable topics.27 Focus groups are good at uncovering the attitudes and beliefs … Our guide included open- ended questions designed to establish beliefs, behaviors, and perceived barriers … were immersed: “There obviously is a physician culture and nursing culture and a management culture … …the culture is important.” … Providers suggested changes in institutional culture: “There needs to be a culture where individuals

1767. Medication/Drug Errors | PSNet
      psnet.ahrq.gov/curated-library/medicationdrug-errors
      March 12, 2021 - Review The role of organizational and professional cultures in medication safety … This scoping review discussed how organizational and professional culture influences medication safety … evaluation, staffing of critical care physicians on intensive care units, and use of tools to measure safety culture … empowering patients to ensure safe care, and emphasizing patient involvement as a means of improving the culture

1768. SOPS Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/about/faq/index.html
      June 01, 2022 - a safety culture survey. … There are other organizational culture and safety culture surveys; why should an organization use one … The Surveys on Patient Safety Culture survey items are grouped into areas of patient safety culture that … order of items or response options, (3) deleting one or more items, and (4) adding supplemental or custom … Facilities may use the supplemental items developed under the SOPS Program, items from other surveys, or custom

1769. Tough Call: Addressing Errors From Previous Providers | PSNet
      psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
      July 17, 2024 - This was her fourth admission, each time with negative cultures. … Anything less runs the risk of devolving into the old shame-and-blame culture or a belief that the rules … apply to some but not others, threatening the trust that is fundamental to a culture of safety. … A balanced approach helps promote professionalism and a robust safety culture. … Balancing systems and individual accountability in a safety culture.

1770. Engage the Senior Executive Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
      December 01, 2012 - Adaptive work addresses issues that require a shift in attitudes, beliefs, and behaviors, including sharing … Effective senior executive leaders help people successfully adapt to change by reinforcing attitudes, beliefs … likelihood of executive participation and engagement in the initiative and will, in turn, improve work culture … on this checklist also help guide the board in developing the means to assess, review, and improve culture … approach issues very differently, and using this tool helps provide a better insight into colleague work culture

1771. Nebraska Critical Access Hospitals Improve Safety With AHRQ TeamSTEPPS® | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips52.html
      October 01, 2014 - To assess the impact of TeamSTEPPS on the safety culture of the participating hospitals, UNMC compared … the hospitals' pre- and post-training scores on AHRQ's Hospital Survey on Patient Safety Culture . … Study Identifier: KT-CQuIPS-52 AHRQ Product(s): Hospital Survey on Patient Safety Culture … , TeamSTEPPS®, Surveys on Patient Safety Culture Topic(s): Patient Safety

1772. The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm | PSNet
      psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
      February 26, 2025 - National Quality Program (NQP) based on a commitment to leadership, performance improvement, and culture … Culture of Safety: Leadership sets the expectation that quality and safety are the responsibility of … Sustaining This Innovation Emphasize a culture of shared responsibility. … National quality program achieves improvements in safety culture and reduction in preventable harms in … National quality program achieves improvements in safety culture and reduction in preventable harms in

1773. North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips32.html
      October 01, 2014 - collaboration with AHRQ, is an evidence-based system aimed at optimizing patient outcomes and promoting a culture … In addition, Innovis Health administered AHRQ's Hospital Survey on Patient Safety Culture before and … Study Identifier: KT-CQuIPS-32 AHRQ Product(s): Hospital Survey on Patient Safety Culture … , TeamSTEPPS®, Surveys on Patient Safety Culture Topic(s): Patient Safety

1774. In Conversation With… Susan Haas, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
      March 01, 2019 - that they were a dot-com and we were a dot-org and that explained many of the different practices and beliefs … SH : My opinion is that every hospital develops its own culture and its own operating system. … 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.

1775. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
      psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
      August 14, 2024 - External factors include the culture of safety —described as the positive and negative ways safety is … addressed within the NH 6,7 – including the controversial use of bedrails, cluttered hallways, unfounded beliefs … There are a number of components that are essential to establishing a culture of safety. … Ecological Model recognizes the interactions of individual factors, such as age, gender, attitudes/beliefs … March 3, 2019 Safety culture of nursing homes: opinions of top managers.

1776. Spreadnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
      June 02, 2025 - The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture … · Organizational culture: Does the organizational culture embrace change? … · Adoptable: The process is compatible with organization and unit values, attitudes, beliefs, and facilities … The patient population, the process, and the social system and culture of a unit can affect the ease … Expecting early, marked improvement in outcomes without paying attention to process reliability The belief

1777. Figure 1-3. Overview of Purposes and Uses of Race, Ethnicity, and Language Data to Guide Subcommittee's Investigation of Issues of Categorization and Collection (Text Description) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1fig13txt.html
      April 01, 2018 - equity Patient-Provider Level To improve communication by identifying and understanding the cultural beliefs

1778. Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/keydrivers/nuture-leadership.html
      November 01, 2018 - Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice … small practices, even solo practitioners need to nurture themselves and their employees to create a culture … Change Strategies Create a culture in which all practice members feel comfortable identifying opportunities … To create a cohesive culture, leaders will need to engage in active listening and gain an understanding … Review measures of implementation and impact of evidence-based practices regularly To create a culture

1779. Applying CUSP To Promote Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
      December 01, 2017 - Adaptive work changes the attitudes, values, beliefs, and behaviors of the people who deliver care. … How Does CUSP Change Local Culture? … Your team can reassess perioperative safety culture on an annual basis. … We measure safety culture across the hospital every year. … CUSP Is Local How Does CUSP Change Local Culture?

1780. Pf-Engagement-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-facnotes.docx
      May 01, 2017 - Patient and family makeup, knowledge, values, beliefs, and religious and cultural backgrounds are incorporated … For instance— · The ASC setting can present a very unfamiliar setting, system, or culture for patients … a culture assessment that includes both health care personnel and patients and families. … Slide 16 SAY: A work environment in which patient safety culture is a shared goal and expectation … ready they are to engage with patients and family members within their facility, according to their beliefs