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www.ahrq.gov/news/events/ahrq-research-summit-learning-health-system-summary.html
October 01, 2020 - Health care delivery organizations striving to become LHSs also develop a culture and leadership committed … Welcome and Goals of the Meeting
Gopal Khanna, M.B.A., Director of AHRQ, expressed a strong belief … Health care organizations must provide leadership and culture that support utilizing data and evidence … Pronovost cited structure and culture as keys to success. … The successful LHS features a culture of respect and a hunger to learn.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
July 01, 2023 - Based on the understanding that all culture is local, and that work to improve culture must be owned … Anchor new approaches in culture. … Slide 12: Introduction to Just Culture Principles
Introduction to Just Culture Principle
Slide … 13: Understand Just Culture
Image: Opening shot of Just Culture video with the words "Click to play … Blame-free culture: no accountability.
Just culture: optimally supports a system of safety.
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psnet.ahrq.gov/node/45052/psn-pdf
June 08, 2016 - Mean girls of the ER: the alarming nurse culture of
bullying and hazing.
June 8, 2016
Robbins A. … https://psnet.ahrq.gov/issue/mean-girls-er-alarming-nurse-culture-bullying-and-hazing
Disruptive behaviors … https://psnet.ahrq.gov/issue/mean-girls-er-alarming-nurse-culture-bullying-and-hazing
https://psnet.ahrq.gov … /primer/disruptive-and-unprofessional-behavior
https://psnet.ahrq.gov/issue/perspective-culture-respect-part
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psnet.ahrq.gov/node/44885/psn-pdf
April 22, 2016 - Changing the "working while sick" culture.
April 22, 2016
Tanksley AL, Wolfson RK, Arora V. … Changing the "Working While Sick" Culture: Promoting Fitness for Duty
in Health Care. … https://psnet.ahrq.gov/issue/changing-working-while-sick-culture
Clinicians often feel pressured to … https://psnet.ahrq.gov/issue/changing-working-while-sick-culture
https://psnet.ahrq.gov/issue/reasons-why-physicians-and-advanced-practice-clinicians-work-while-sick-mixed-methods
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hcup-us.ahrq.gov/datainnovations/clinicaldata/Appendix15BDformatCopyofSummarySheet.jsp
May 15, 2011 - BLOOD ECMO CIRCUIT
CXBLD
CULTURE, BLOOD
C BLD
Blood Culture
CXBLD
4024704 … Blood Culture
652349
C Blood
600-7
Bacteria identified:Prid:Pt:Bld:Nom:Culture … BCBROV
CULTURE BLOOD TUNNELED CATH
… 600-7
Bacteria identified:Prid:Pt:Bld:Nom:Culture
BCMEDI
CULTURE BLOOD IMPLANTED PORT
… BLOOD FUNGUS
CXFNB
4024717
Culture Fungus, Blood
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psnet.ahrq.gov/node/44521/psn-pdf
July 03, 2016 - Crib of horrors: one hospital's approach to promoting a
culture of safety. … Crib of Horrors: One Hospital's Approach to Promoting a Culture of
Safety. … https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
Games illustrating … what could go wrong can reveal insights into culture and teamwork in a health care
organization. … https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/42424/psn-pdf
July 17, 2013 - Does health care role and experience influence
perception of safety culture related to preventing
infections … Does health care role and experience influence perception of
safety culture related to preventing infections … https://psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture … https://psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing … https://psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … UNC Hospitals Scores Compared to the AHRQ SOPS
Database Teaching Hospitals Scores
Patient Safety Culture … of Safety
Workgroup:
Develop operations and
structure for supporting
culture of safety
Event … Just Culture and Safety Culture
education
• Implement process throughout the Medical Center within … Culture of Safety Improvement Project UNC Medical Center
Where were we? 2017
Where were we?
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www.ahrq.gov/sops/events/webinars/just-culture.html
December 01, 2018 - Webcast: Using Just Culture To Improve Hospital SOPS Results
November 9, 2016
Summary
Speakers … November 9, 2016, the Agency for Healthcare Research and Quality (AHRQ) hosted a webcast featuring Just Culture … initiatives that helped improve scores on the Hospital Survey on Patient Safety Culture , particularly … Topics discussed during the webcast included strategies used to implement Just Culture in a health care … )
Video:
YouTube embedded video: https://www.youtube-nocookie.com/embed/a-fotF-hBWQ
Using Just Culture
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psnet.ahrq.gov/node/44146/psn-pdf
June 03, 2015 - Transforming communication and safety culture in
intrapartum care: a multi-organization blueprint. … Transforming communication and safety culture in intrapartum
care: a multi-organization blueprint. … https://psnet.ahrq.gov/issue/transforming-communication-and-safety-culture-intrapartum-care-multi-
organization-blueprint … https://psnet.ahrq.gov/issue/transforming-communication-and-safety-culture-intrapartum-care-multi-organization-blueprint … https://psnet.ahrq.gov/issue/transforming-communication-and-safety-culture-intrapartum-care-multi-organization-blueprint
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psnet.ahrq.gov/node/866243/psn-pdf
July 10, 2024 - Building a resilient patient safety culture: a large
healthcare organization's approach to systematically … Building a resilient patient safety culture: a large healthcare
organization's approach to systematically … https://psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations … https://psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach … https://psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex2.html
July 01, 2018 - the target audiences
What are patients' and families' perspectives (knowledge, attitudes, and beliefs … What are providers' perspectives (knowledge, attitudes, and beliefs) on patient and family engagement … Organizational context within hospitals
How does organizational culture and infrastructure influence
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psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
May 24, 2012 - Study
Safety culture in cardiac surgical teams: data from five programs and national … Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. … Hospital Survey on Patient Safety Culture) than other surgical teams. … , in this study surgeons reported more optimal safety culture compared to nurses and perfusionists. … This gap in perceived safety culture requires further study.
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psnet.ahrq.gov/issue/how-does-workplace-violence-reporting-culture-affect-workplace-violence-nurse-burnout-and
February 08, 2023 - Study
How does workplace violence-reporting culture affect workplace violence, nurse … How does workplace violence-reporting culture affect Workplace violence, nurse burnout, and patient safety … This study evaluated the effect of one of those recommendations, a WPV-reporting culture, on nurses’ … As anticipated, WPV increased nurse burnout, but unexpectedly, a strong WPV- reporting culture also … June 24, 2020
Influencing a culture of quality and safety through huddles.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
March 01, 2017 - Say:
Empowerment is the belief that you have the control and competence needed to make decisions. … This includes providing the resources and culture that support decision making. … Slide 24: Just Culture 8,9
Say:
The term "Just Culture" refers to a system of shared accountability … A Just Culture environment helps provide a foundation for staff empowerment. … Slide 25: A Just Culture
Say:
A system of Just Culture recognizes that people make mistakes.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - Just Culture
a. … provides links to ways to engage in and teach about a Just Culture, execute
a Just Culture, and evaluate … a Just Culture. … Nursing 2015 Just Culture Toolkit
https://nursing2015.wordpress.com/blue-team/blue-team-documents/just-culture … -
tool-kit-building/
This website provides a definition of Just Culture, presentations on Just Culture
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psnet.ahrq.gov/issue/impact-comprehensive-unit-based-safety-program-cusp-safety-culture-surgical-inpatient-unit
January 03, 2017 - Study
Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture … Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient … Efforts to improve safety culture within an institution may be limited by the fact that hospital units … The CUSP resulted in a significant and sustained improvement in 6 of 7 safety culture domains. … December 22, 2010
A check-up for safety culture in "my patient care area."
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psnet.ahrq.gov/issue/patient-safety-culture-space-social-struggle-understanding-infection-prevention-practice-and
November 30, 2022 - Study
Patient safety culture as a space of social struggle: understanding infection … prevention practice and patient safety culture within hospital isolation settings - a qualitative study … Patient safety culture as a space of social struggle: understanding infection prevention practice and … patient safety culture within hospital isolation settings - a qualitative study. … patient safety culture within hospital isolation settings - a qualitative study.
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psnet.ahrq.gov/issue/development-pilot-study-and-psychometric-analysis-ahrq-surveys-patient-safety-culture-sops
December 09, 2020 - Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture … Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS … safety supplement ,” intended to be used in conjunction with the SOPS to assess how organizational culture … Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS … November 2, 2022
Safety culture and the positive association of being a primary care
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psnet.ahrq.gov/issue/collective-leadership-safety-culture-co-lead-team-intervention-promote-teamwork-and-patient
March 18, 2020 - Study
The Collective Leadership for Safety Culture (Co-Lead) team intervention to … The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient … Leadership has an important role in promoting a culture of safety and enabling necessary changes … February 22, 2023
Safety culture and the positive association of being a primary care … June 29, 2022
What has been the impact of Covid-19 on safety culture?