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psnet.ahrq.gov/issue/understanding-middle-managers-influence-implementing-patient-safety-culture
March 24, 2012 - Commentary
Understanding middle managers' influence in implementing patient safety culture … Understanding middle managers' influence in implementing patient safety culture. … role of middle managers can help optimize the process, foster communication, and model the learning culture … Understanding middle managers' influence in implementing patient safety culture. … Hospitals
Facility and Group Administrators
Medicine
Epidemiology of Errors and Adverse Events
Culture
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psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
November 21, 2021 - Commentary
Changing our culture: adopting the military aviation safety system. … Changing our culture: adopting the military aviation safety system. … This commentary discusses 10 improvements in military aviation that led to culture change. … strategies—including checklists , crew resource management, and audits —should be applied to enhance safety culture … Changing our culture: adopting the military aviation safety system.
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psnet.ahrq.gov/issue/interventions-promote-safety-culture-cancer-care-systematic-review
August 09, 2023 - Review
Interventions to promote safety culture in cancer care: a systematic review … Interventions to promote safety culture in cancer care: a systematic review. … A culture of safety is a cornerstone of safe patient care. … This review summarizes findings from 18 articles on the topic of safety culture in radiation , medical … Interventions to promote safety culture in cancer care: a systematic review.
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psnet.ahrq.gov/issue/structural-empowerment-and-patient-safety-culture-among-registered-nurses-working-adult
January 23, 2008 - Study
Structural empowerment and patient safety culture among registered nurses working … Structural empowerment and patient safety culture among registered nurses working in adult critical care … of organizational support and fewer authority gradients also had a more positive opinion of safety culture … Structural empowerment and patient safety culture among registered nurses working in adult critical care … 2, 2020
Structural empowerment, Magnet hospital characteristics, and patient safety culture
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - Just Culture
a. … Just Culture Decision Support Tool
https://www.patientsafety.va.gov/docs/Just-Culture-Decision-Support-Tool … a Just Culture toolkit that
introduces the main concepts of Just Culture, ways to implement, and case … 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, a case
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/index.html
March 01, 2025 - To Deliver the Re-Engineered Discharge to Diverse Populations Purpose of This Tool Role of Culture … , Language, and Health Literacy in Readmissions Culture and Its Relationship to Readmissions … Needs Using Nonverbal Communication Styles While Teaching the RED Understanding Health Beliefs
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html
March 01, 2025 - To Deliver the Re-Engineered Discharge to Diverse Populations Purpose of This Tool Role of Culture … , Language, and Health Literacy in Readmissions Culture and Its Relationship to Readmissions … Needs Using Nonverbal Communication Styles While Teaching the RED Understanding Health Beliefs
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
September 01, 2015 - In this way, you can see trends and beliefs related to catheter use. … Slide 12
Narration:
In some instances, resistance to changing catheter use practices comes from the belief … Behavior-based beliefs are a challenge. … Slide 16
Narration:
Many ICUs obtain cultures from multiple sites when a patient has a temperature spike … In the process, learners see issues connected to communication and culture around catheter use.
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psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - on the risks and benefits of the IUC and at that visit had a normal Papanicolaou test and negative cultures
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
September 01, 2012 - Later that day, the patient developed fever and chills.
10
11
Case: In Too Long (4)
Blood cultures
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psnet.ahrq.gov/node/49745/psn-pdf
October 01, 2015 - After surgical debridement, tissue cultures revealed Aspergillus fumigatus.
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psnet.ahrq.gov/node/49414/psn-pdf
September 01, 2003 - However, post-operatively, the patient
developed fevers, and blood cultures grew Actinomyces.
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psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - Clear communication has been linked to strong safety cultures and positive workplace relationships.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
March 01, 2022 - methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant
enterococcus (VRE) clinical cultures
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-g.pdf
July 31, 2017 - skills, the training can cover:
History-taking skills
Issues related to communicating across cultures
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psnet.ahrq.gov/node/46806/psn-pdf
January 01, 2020 - Units with increased employee engagement, stronger
safety culture, and better patient experience were … A PSNet perspective reinforced the value of a
strong safety culture and discussed techniques for bringing … about culture change. … issue/developing-and-evaluating-automated-all-cause-harm-trigger-system
https://psnet.ahrq.gov/primer/culture-safety … safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals
https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
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psnet.ahrq.gov/node/46731/psn-pdf
July 25, 2018 - spotlights the importance of
effective communication, uninterrupted supervision of new nurses, and a culture … issue/when-bullying-affects-patient-safety
https://psnet.ahrq.gov/issue/mean-girls-er-alarming-nurse-culture-bullying-and-hazing … https://psnet.ahrq.gov/issue/creating-nurse-led-culture-minimize-horizontal-violence-acute-care-setting-multi … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
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psnet.ahrq.gov/node/44551/psn-pdf
September 30, 2015 - Safety culture includes "good catches."
September 30, 2015
Traynor K. … Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. … https://psnet.ahrq.gov/issue/safety-culture-includes-good-catches
Near misses can provide opportunities … https://psnet.ahrq.gov/issue/safety-culture-includes-good-catches
https://psnet.ahrq.gov/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability
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psnet.ahrq.gov/node/847735/psn-pdf
May 30, 2023 - Ambulatory surgery centers (ASC) experience a variety of error types that can be exacerbated by poor
safety culture … This webcast provided information on AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Ambulatory Surgery … leading-causes-anesthesia-related-liability-claims-ambulatory-surgery-centers
https://psnet.ahrq.gov/primer/culture-safety … https://psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/using-medical-office-transcript.pdf
April 29, 2011 - Using the AHRQ Medical Office Survey on Patient Safety Culture (SOPS)
Using the AHRQ Medical Office … Survey on Patient
Safety Culture
Webinar Transcript
April 29, 2011
A conference call conducted … Speakers
Joann Sorra, Westat Project Director for the AHRQ Surveys on Patient Safety Culture (SOPS). … The goals of this survey are typical for safety culture surveys. … and safety culture surveys, and we'd be happy to answer them.