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6301. Team Structure and Assembly (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
      July 01, 2023 - change • Hold teams accountable for team performance • Define the culture of the organization … Administration creates the climate and culture for a teamwork system to flourish by: • Establishing … • Defining the culture of the organization. 13 Administration should strive to create a learning … culture where there is trust and transparency to create a safe environment to report, analyze, and … This philosophy serves to define a culture of safety; however, as examples in aviation and other high‐risk

6302. Team Structure and Assembly - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
      July 01, 2023 - change Hold teams accountable for team performance Define the culture of the organization Your AIM … Administration creates the climate and culture for a teamwork system to flourish by: Establishing and … Defining the culture of the organization. … Administration should strive to create a learning culture where there is trust and transparency to create … This philosophy serves to define a culture of safety; however, as examples in aviation and other high-risk

6303. Failure to Report | PSNet
      psnet.ahrq.gov/web-mm/failure-report
      July 01, 2008 - environment is normally reliable, safe, and accurate, it is easy for people to become complacent—a belief … A nonpunitive culture and assurance of reporter confidentiality are two factors that have influenced … Leaders' ongoing reinforcement of the organization's "just culture" has contributed to an increase in … An ethical dilemma: medical errors and medical culture. BMJ. 2001;322:1236-1240. … Table Strategies to Improve Incident Reporting Promote and sustain a culture of learning

6304. Organizing Patient Safety: Failsafe Fantasies and Pragmatic Practices. | PSNet
      psnet.ahrq.gov/issue/organizing-patient-safety-failsafe-fantasies-and-pragmatic-practices
      August 01, 2018 - The author explores the unintended influences of blame-free methodologies , challenges the belief that … July 18, 2018 A Just Culture Guide.

6305. Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
      January 29, 2008 - Within-hospital sources include the health care culture, the institutional patient safety agenda, the … In the context of a patient safety culture looking for 12 success, this is a learning opportunity … However, for optimal patient safety improvement, the culture of health care needs to be modified so … The effective and achievement-focused technology of OBM enables the development of this type of culture … People-based patient safety: Enriching your culture to prevent medical error.

6306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40532/psn-pdf
      June 15, 2011 - psnet.ahrq.gov/issue/safety-anaesthesia This special issue explores safety in anesthesia, including safety culture

6307. Exhibit 6.6. Organizational Goals of Lean | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-6.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.6. Organizational Goals of Lean Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central H…

6308. Exhibit 1.6. Organizational Goals of Lean | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-6.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.6. Organizational Goals of Lean Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central H…

6309. Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-slides.html
      December 01, 2017 - Develop a culture where evidence-based practice is recognized and rewarded. … Slide 12 Tips for Success A non-punitive culture Visible and supportive leadership Identify

6310. Model of Patient Safety in Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/model-in-pc.html
      March 01, 2017 - isolation but is part of a broader, complex health care system and is subject to the tensile forces of culture … Attention to the health of communities is vital to developing a safe culture.

6311. National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet
      psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors
      January 05, 2012 - Study National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. Citation Text: Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…

6312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867850/psn-pdf
      February 26, 2025 - High reliability principles and safety culture are too often treated as things that can be accomplished … High reliability and safety culture are fragile, and they need to be re- accomplished. … When that leader left, the culture reverted completely back to a much more traditional approach where … One thing that came out of COVID was a pretty consistent finding that safety culture eroded. … The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in

6313. Team Structure and Assembly (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
      July 01, 2023 - expectations for staff related to teamwork • Support and encourage staff during implementation and culture … change • Hold teams accountable for team performance • Define the culture of the organization … Administration creates the climate and culture for a teamwork system to flourish by: • Establishing … • Defining the culture of the organization. 13                                                   … This philosophy serves to define a culture of safety; however, as examples in aviation and other high‐risk

6314. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
      March 01, 2017 - understand and practice successful teamwork and effective communication to improve the resident safety culture … Other barriers to effective communication may involve a lack of a resident safety culture in the facility … Facilities that promote a culture committed to resident safety encourage staff to speak up if they become … A culture of safety fosters trust that team members will respectfully listen and respond appropriately … Standards of communication are essential for developing teamwork and a culture of resident safety.

6315. AHRQ Report Identifies Strategies To Reduce Emergency Department Boarding | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/951.html
      March 01, 2025 - ET: Safety Culture in Healthcare: Measuring and Responding will feature experts who will discuss tools … and techniques to evaluate the culture of a healthcare organization’s workforce and tailor approaches … to optimize safety culture.

6316. Winners Chosen in Challenge Competition To Advance AHRQ’s CDS Connect | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/912.html
      May 01, 2024 - ET: Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey and Workplace Safety Item Set will … highlight how the Indiana Hospital Association used AHRQ’s Surveys on Patient Safety Culture® (SOPS® … )  Hospital Survey and  Workplace Safety Supplemental Item Set  to assess patient safety culture and

6317. Project Report - Lean Sigma
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.pptx
      January 01, 2006 - and responsibilities of team members 2 The Unit-Based CUSP Team Understands that patient safety culture … What can we do with our resources and culture? … information* 27 As seen in TeamSTEPPS® CUSP Tools Background Quality Improvement Team Information Form Culture

6318. Ahrqplenary6.05 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/AHRQPlenary6.05.pdf
      November 01, 2004 - The pilots in the OR JCAHO gets real But will probably run out of gas –Awfully hard to regulate culture … How to promote no blame culture for innocent slips or mistakes while holding persistent rule violators … IT and safety culture)  Watch out for squeezed balloons  Expect unexpected consequences – Workarounds

6319. Technical Specifications for Timely Fluid Bolus for Children With Severe Sepsis or Septic Shock (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-technical-specifications.pdf
      June 02, 2025 - Infection A suspected or proven (by positive culture, tissue stain, or polymerase chain reaction test … documented: • Orders for antibiotics OR • Antibiotics administered OR • Orders for urine, blood or spinal culture … OR • Urine, blood or spinal culture drawn OR • Chart notation of: • “Rule out infection” OR • “

6320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33620/psn-pdf
      September 01, 2005 - I fear that excluding those staff most affected by the actual incident implicitly perpetuates a culture … Encouraging participation by those who "made the mistake" strongly reinforces promotion of a culture