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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T4-Antibiogram_Factsheet_Phase_1.pdf
May 01, 2014 - generated by the nursing home’s contracted clinical
laboratory, using the results from residents’ cultures
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digital.ahrq.gov/2020-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2020 - Blood cultures are the only way to diagnose sepsis, a life-threatening bloodstream infection that can … affect infants in the pediatric intensive care unit (PICU); however, overuse of blood cultures may result … implemented, and evaluated an EHR-embedded CDS tool to support naturalistic decision making in blood culture … research team examined individual and team cognition and decision making associated with obtaining a blood culture … used those insights to develop the electronic CDS tool iteratively and found that unnecessary blood culture
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psnet.ahrq.gov/issue/misunderstanding-safety-culture-and-its-relationship-safety-management
May 10, 2014 - Commentary
(Mis)understanding safety culture and its relationship to safety management … (Mis)understanding Safety Culture and Its Relationship to Safety Management. … (Mis)understanding Safety Culture and Its Relationship to Safety Management. … March 3, 2021
Safety culture across cultures. … June 3, 2016
The evolution of a safety culture.
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psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
June 05, 2018 - Newspaper/Magazine Article
Our long journey towards a safety-minded just culture. … Citation Text:
Our long journey towards a safety-minded just culture. Part II: where we're going. … May 7, 2018
Our long journey towards a safety-minded just culture. … March 29, 2023
Why accountability sharing in health care organizational cultures means … practice settings
December 18, 2019
Our long journey towards a safety-minded just culture
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psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
March 05, 2025 - Culture, hierarchy, and lack of opportunity can hinder reporting of concerns and mistakes. … May 25, 2016
Perspective: a culture of respect—part 1 and part 2. … February 25, 2015
Burnout in the NICU setting and its relation to safety culture. … October 23, 2013
Culture, language, and patient safety: making the link. … June 29, 2011
Telling cultures: 'cultural' issues for staff reporting concerns about
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psnet.ahrq.gov/node/43423/psn-pdf
August 12, 2014 - early-warnings-weak-signals-and-learning-healthcare-disasters
https://psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary
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psnet.ahrq.gov/node/49832/psn-pdf
June 01, 2018 - Blood cultures were drawn and broad-spectrum antibiotics were started for febrile
neutropenia. … Her blood cultures ultimately grew Escherichia coli, which may have
spread from her bowel to her bloodstream … management of patients with febrile neutropenia includes: (i) obtaining at least two sets of blood
cultures … is present, a set should be collected from each lumen and from a
peripheral site), (ii) obtaining culture … If that were the case, ensuring a culture of safety in which all care team
members felt comfortable
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
June 01, 2021 - Remember that residents who have positive urine cultures but have NO symptoms of infection do NOT have … The second column of the antibiogram shows the number of bacterial cultures in the last year that grew … Slide 12
Case 1: Urine Culture Results
SAY:
You receive Melba’s urine culture results. … Remember from our culture collection presentation that urine cultures should always be obtained from … You collect a urine cultures and start Billy on cephalexin for possible UTI based on your local antibiogram
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psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems
November 07, 2012 - They found several common characteristics in the organizational cultures, including collaboration, strong … April 24, 2018
Influencing organisational culture to improve hospital performance in … February 21, 2018
How guiding coalitions promote positive culture change in hospitals … March 27, 2018
Influencing organisational culture to improve hospital performance in … January 14, 2011
The safety culture in a children's hospital.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
March 01, 2020 - , and state that 3 months since the last culture is recommended for community,
general hospital, and … Zimmerman et al. (2013) obtained
follow-up cultures from 97 patients who had a positive culture during … Using Kaplan-Meier survivor analysis, the authors found a mean time to culture
negativity of 387 days … Seventy-eight percent of the patients had positive cultures at 3 months, 65
percent had positive cultures … at 6 months, and 39 percent had positive cultures at 1 year.
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psnet.ahrq.gov/issue/blame-what-does-it-look
February 02, 2022 - A just culture balances organizational context with appropriate accountability after an error. … March 1, 2023
Why accountability sharing in health care organizational cultures means … March 20, 2019
Using good catches to promote a just culture and perioperative patient … December 12, 2018
Improving patient safety by practicing in a just culture. … March 31, 2010
Balancing just culture with regulatory standards.
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psnet.ahrq.gov/issue/heartbroken
January 17, 2024 - February 20, 2019
Hospital Survey on Patient Safety Culture: 2018 User Database Report … April 6, 2016
Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report … January 30, 2019
Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal
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psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
January 20, 2021 - June 30, 2021
Mistakes, Errors and Failures across Cultures.
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www.ahrq.gov/practiceimprovement/delivery-initiative/leanprimarycarewebinar.html
December 01, 2017 - Inner Setting: networks and communications, culture. … Contents
Slide 14
Inner Setting
Matching implementation style to existing organizational cultures … :
Top-down style not as effective in clinics with " democratic, non-hierarchical" cultures . … Micro-cultures, largely fostered by local leadership, can powerfully affect implementation efforts. … Inner setting:
Organizational culture.
Local leadership.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/infographic.html
March 01, 2017 - Routine catheter changes, urinalysis, and cultures are not required.
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www.ahrq.gov/ncepcr/tools/self-mgmt/what.html
February 01, 2016 - Providing tailored education and skills training using materials appropriate for different cultures and
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
Background
Culture can … be defined as the “personal identification, language, thoughts, communications, actions,
customs, beliefs … competence in healthcare refers to the “ability of systems to provide care to patients with diverse
values, beliefs … Cultural
brokerage is the mediation between the traditional health beliefs and practices of a patient … communities, it is unrealistic for providers to have sufficient understanding
of all of the different cultures
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psnet.ahrq.gov/issue/organizational-culture-critical-success-factors-and-reduction-hospital-errors
December 12, 2014 - Study
Organizational culture, critical success factors, and the reduction of hospital … Organizational culture, critical success factors, and the reduction of hospital errors. … The authors surveyed 500 hospitals and identified characteristics of organizational culture that had … Organizational culture, critical success factors, and the reduction of hospital errors. … November 21, 2021
Association of diagnostic stewardship for blood cultures in critically
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psnet.ahrq.gov/issue/listening-learning-responding-concerns
June 12, 2024 - ability to raise patient safety concerns without fear of retribution is a core element of a safety culture … NHS Safety Culture and the Need for Transformation. … October 7, 2020
Why accountability sharing in health care organizational cultures means
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psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
February 02, 2022 - August 10, 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