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psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
June 19, 2024 - 24, 2009
Patient safety outcomes: the importance of understanding the organizational culture
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psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
October 08, 2013 - March 28, 2011
The culture of a trauma team in relation to human factors.
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psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
January 13, 2021 - Physicians
Organizational Behaviorists
Medicine
Communication between Providers
Culture
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psnet.ahrq.gov/issue/10-rights-framework-patient-care-quality-and-safety
July 23, 2010 - Facility and Group Administrators
Quality and Safety Professionals
Quality Improvement Strategies
Culture
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Hospital Workplace Safety: 2022 Updated Results, Appendix C … 2022 Updated Results for the AHRQ
Surveys on Patient Safety Culture® (SOPS®)
Workplace Safety Supplemental … Surveys on Patient Safety Culture® and SOPS® are registered trademarks of the U.S. … , Ji S, Kirchner J, Yount ND, Sorra J. 2022 Updated Results for the
AHRQ Surveys on Patient Safety Culture … Appendix C is a supplement to the 2022
Updated Results for the AHRQ Surveys on Patient Safety Culture
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www.ahrq.gov/sites/default/files/2024-07/mitchell-report.pdf
January 01, 2024 - Final Progress Report: Shared Decision Making in Vulnerable Populations
Final Progress Report
Shared Decision Making in Vulnerable Populations:
Suzanne Mitchell, MD, MS
Principal Investigator: Suzanne Mitchell, MD, MS
Team Members: Brian Jack, MD (Primary mentor); Nancy Kressin, PhD (BMC);
Paul Schroy, MD, MS (…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - to
change, based upon the frequency of error, degree of harm associated
with the error, practice culture … Assuring a culture of safety at the individual practice level
Our process of designing interventions … encouraged a culture of safety within
participating practices. … had to live with
them, and fostered teamwork, explicit communication, and further development
of a culture … to Develop Interventions
117
efforts were remarkable, as was their dedication to assuring that a culture
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-sepsis-antibiotics-technical-specs.pdf
August 01, 2014 - 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
• “
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www.ahrq.gov/patient-safety/settings/hospital/index.html
February 01, 2025 - staff-administered survey that helps hospitals assess how their staff perceive various aspects of safety culture … also provides guidance on developing and improving your antibiotic stewardship program, creating a culture
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - Describing a macho and unforgiving culture, one in which the notion of a systems approach to errors was … Rather, it would lead to a hard look at the program's culture and structure.( 4 ) Within a strong safety … culture and structure, trainees (and others) should understand that calling for help when one is in … Over the past 20 years, these personal strengths have been augmented by meaningful system and culture … The best evidence for how our culture has changed in surgery has been that whenever we now put forth
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www.ahrq.gov/topics/s.html
July 09, 2025 - Health Spanish-Language Resources State Data Substance Abuse Surgery Surveys on Patient Safety Culture
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - There are published reports of the culture-changing benefits of multidisciplinary patient incident investigations … .( 4 , 5 ) While RCA is just one piece of the culture changing puzzle, it has been an important tool … Executives and Administrators
Organizational Behaviorists
Latent Errors
Root Cause Analysis
Culture
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - psychological-impact-and-coping-strategies-frontline-medical-staff-hunan-between-january-and
Establishing a culture … care
delivery stress can make this is a particularly challenging time to establish or improve safety culture … Therefore, although more difficult to achieve during a pandemic, promoting a culture in which care
team
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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…
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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…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
January 01, 2022 - Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … ™ (SOPS®) Diagnostic Safety Supplemental Items
assess the extent to which the organizational culture … Results
Chart 1 shows the average percent positive response for each of the three patient safety culture … The items
are grouped by the patient safety culture composite measure they are intended to measure. … Composite Measure Percent Positive Response
The three patient safety culture composite measures are
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www.ahrq.gov/patient-safety/settings/esrd/resource/infectionpx.html
November 01, 2014 - .
ESRD Toolkit Modules
The four modules are:
Creating a Culture of Safety
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-6b-table-6.pdf
June 02, 2025 - Section 6B, Table 6
Table 6: Timely Blood Culture for Children with Sepsis Syndrome
Site Numerator
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-sops-deidentified-data-release-agreement.pdf
January 01, 2024 - use of
data from the Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety
Culture … the source of the data is the SOPS
Database, using the following:
“The Surveys on Patient Safety Culture … Agreements should be signed and emailed to
SOPSResearchData@westat.com
Surveys on Patient Safety Culture
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psnet.ahrq.gov/node/35519/psn-pdf
July 24, 2008 - bringing-surgeons-down-earth
This article reports on several pilot initiatives designed to improve safety culture