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61. Why accountability sharing in health care organizational cultures means patients are probably safer. | PSNet
    psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably
    May 27, 2020 - Commentary Why accountability sharing in health care organizational cultures means … Citation Text: Why accountability sharing in health care organizational cultures means patients are … This article discusses how implementation of just culture principles can assign accountability appropriately … Citation Citation Text: Why accountability sharing in health care organizational cultures … October 26, 2022 Rooting an error review process in just culture: lessons learned.

62. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
    June 01, 2021 - and Measuring 8 Antibiotic Starts 9 Tracking and Measuring 9 C. difficile Lab Events and Urine Cultures … C.difficile LabID events [enter # C.Difficile LabID events for the reporting month] Number of urine cultures … collected [enter # urine cultures collected in the reporting month] Record C. difficile LabID events … easily accessible Data is concordant with current NHSN* requirements Record monthly number of urine cultures … collected Record all urine cultures collected, not only positive urine cultures Obtain information from

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36837/psn-pdf
    December 03, 2018 - Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. … Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. … https://psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary Despite … This analysis explores the deficiencies in safety culture that allowed such poor outcomes to go unaddressed … learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984 https://psnet.ahrq.gov/primer/culture-safety

64. Nurse leader attitudes and beliefs regarding medical errors. | PSNet
    psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical-errors
    March 12, 2025 - Study Nurse leader attitudes and beliefs regarding medical errors. … Nurse leader attitudes and beliefs regarding medical errors. … regarding medical error reporting and underscores the importance of nurse leaders in fostering a just culture … Nurse leader attitudes and beliefs regarding medical errors. … April 24, 2018 Association of diagnostic stewardship for blood cultures in critically

65. Patient Self-Management | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/patient-self-management.html
    setting, and providing tailored education and skills training using materials appropriate for different cultures

66. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
    March 01, 2025 - and Its Relationship to Readmissions Culture is the learned, shared patterns of beliefs, values, attitudes … In cross-cultural clinical encounters, multiple cultural influences and health belief systems come into … play, such as the culture of the provider, the culture of the patient, and the culture of the health … Hiring Bilingual, Bicultural Discharge Educators Staff who share the language and cultural background … backgrounds has often been debated.    

67. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
    March 01, 2025 - and Its Relationship to Readmissions Culture is the learned, shared patterns of beliefs, values, attitudes … In cross-cultural clinical encounters, multiple cultural influences and health belief systems come into … play, such as the culture of the provider, the culture of the patient, and the culture of the health … Hiring Bilingual, Bicultural Discharge Educators Staff who share the language and cultural background … backgrounds has often been debated.    

68. Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. | PSNet
    psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary
    May 21, 2019 - Commentary Classic Hospitals as cultures of entrapment: … Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. … This analysis explores the deficiencies in safety culture that allowed such poor outcomes to go unaddressed … Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. … June 9, 2011 Errors and the burden of errors: attitudes, perceptions, and the culture

69. Building cultures of high reliability: lessons from the high reliability organization paradigm. | PSNet
    psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
    September 05, 2018 - Review Building cultures of high reliability: lessons from the high reliability organization … Building cultures of high reliability: lessons from the high reliability organization paradigm. … history of the concept of high reliability organizations (HROs) and key features of high reliability culture … Building cultures of high reliability: lessons from the high reliability organization paradigm. … Topic Operating Room Anesthesiology Anesthesia Nursing Intraoperative Complications Culture

70. Importance of Mupirocin Administration (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/mupirocin-administration.docx
    March 01, 2022 - methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening tests, or clinical cultures … reduces MRSA clinical cultures and prevents infection · Therefore, we use mupirocin ointment to prevent … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening tests, or clinical cultures … reduces MRSA clinical cultures and prevents infection · Therefore, we use mupirocin ointment to prevent

71. Best Practices in the Diagnosis and Treatment of Bacteremia
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/bacteremia-slides.pptx
    November 01, 2019 - for Improving Antibiotic Use – Acute Care 1 Objectives Review recommendations for appropriate blood culture … Have I ordered appropriate cultures before starting antibiotics? … infectious process not meeting above criteria BC are not indicated since low yield If known source, culture … possible source (e.g., oral, gastrointestinal, endocarditis), signs of infection, & > 1 positive blood culture … of bacteremia6 77% had at least one followup blood culture Only eight cultures grew Gram-negative rods

72. Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities. | PSNet
    psnet.ahrq.gov/issue/cultures-caring-healthcare-scandals-inquiries-and-remaking-accountabilities
    September 07, 2022 - Commentary Cultures of caring: healthcare 'scandals', inquiries, and the remaking … Cultures of caring: Healthcare 'scandals', inquiries, and the remaking of accountabilities. … This commentary examines the Morecambe Bay inquiry to understand accountability through the lens of culture … Cultures of caring: Healthcare 'scandals', inquiries, and the remaking of accountabilities.

73. Staff Huddle Reminder: Importance of Mupirocin Administration (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/mupirocin-administration.pdf
    March 01, 2022 - methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening tests, or clinical cultures … reduces MRSA clinical cultures and prevents infection  Therefore, we use mupirocin ointment to … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening tests, or clinical cultures … reduces MRSA clinical cultures and prevents infection  Therefore, we use mupirocin ointment to

74. Estimated Cost Implications of Reducing Bloodstream Infections in Patients With Medical Devices (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/cost-implications.pdf
    March 01, 2022 - Second, identify all annual MRSA and VRE clinical cultures in non-ICU patients with central lines, midline … A 37 percent reduction in MRSA and VRE clinical cultures is expected if decolonization is implemented … patients with selected devices AA [AA * (1-0.32)] Annual non-ICU positive MRSA and VRE clinical cultures … The cost savings from prevented MRSA and VRE clinical cultures are not estimated here since the costs … averted bloodstream infections (C) [AA * (0.32)] * $32,0002 = C $ Saved from MRSA/VRE clinical cultures

75. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
    June 01, 2021 - For residents with a catheter, urine culture specimens should be obtained from freshly placed catheters … Collection of Specimens 17 Summary Bacterial cultures should only be collected from … Review the Collecting Bacterial Cultures and Urine Culture Collection posters and display them in common … Supporting Materials Collection of Microbiological Cultures Collecting Bacterial Cultures Poster Urine … Culture Collection Poster Four Moments of Antibiotic Decision Making Form Monthly Data Collection Form

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47407/psn-pdf
    January 01, 2020 - https://psnet.ahrq.gov/issue/resource-based-view-safety-cultures-influence-hospital-performance- moderating-role-electronic … , but they did not find a link between readmissions and safety culture. … https://psnet.ahrq.gov/issue/resource-based-view-safety-cultures-influence-hospital-performance-moderating-role-electronic … https://psnet.ahrq.gov/issue/resource-based-view-safety-cultures-influence-hospital-performance-moderating-role-electronic … https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture

77. Completion Guide_Team Antibiotic Review Form (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/team-antibiotic-review-form-completion-guide.pdf
    November 01, 2019 - should have been collected before antibiotics were started and all of those cultures were collected … • If the patient was suspected to have an infection for which cultures should have been collected … before antibiotics were started and all of those cultures were not collected, “No” should be marked … with suspected urosepsis who had blood cultures but not urine cultures collected would be marked “ … • If the patient was suspected to have an infection for which cultures were not indicated, “N/A”

78. 095-Mrsa-Surveillance (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/095-mrsa-surveillance.docx
    April 01, 2025 - Surveillance Category Active Surveillance Passive Surveillance Definition Collection of nasal cultures … indicated samples such as reports of laboratory-identified (LabID) MRSA bacteremia or past clinical cultures … additional resources, including increased supplies and staff time to collect and process the surveillance cultures … · Misses cases of asymptomatic MRSA colonization not identified through review of existing culture … · Targeted decolonization requires review of available historical culture and risk-factor data.

79. Association between organisational and workplace cultures, and patient outcomes: systematic review. | PSNet
    psnet.ahrq.gov/issue/association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic
    February 03, 2011 - Review Association between organisational and workplace cultures, and patient outcomes … Association between organisational and workplace cultures, and patient outcomes: systematic review. … The authors conclude that efforts to enhance safety culture are likely to improve patient outcomes. … Association between organisational and workplace cultures, and patient outcomes: systematic review. … safety culture.

80. But See the Patient First | PSNet
    psnet.ahrq.gov/web-mm/see-patient-first
    September 27, 2023 - Despite the fact that physicians and nurses reported an increased perception of a culture of safety as … Yet, there is still hope that creating a better culture of safety will hopefully encourage more teamwork … uncommon on the wards to see a written or oral handoff, which are known to influence behavior, like “culture … Health systems may need to redesign the continuum of care for hospitalized patients to promote a culture … Contaminant blood cultures and resource utilization.