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  1. psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
    June 19, 2024 - 24, 2009 Patient safety outcomes: the importance of understanding the organizational culture
  2. 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.
  3. psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
    January 13, 2021 - Physicians Organizational Behaviorists Medicine Communication between Providers Culture
  4. 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
  5. 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
  6. 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 (…
  7. 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
  8. 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 • “
  9. 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
  10. 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
  11. www.ahrq.gov/topics/s.html
    July 09, 2025 - Health Spanish-Language Resources State Data Substance Abuse Surgery Surveys on Patient Safety Culture
  12. 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
  13. Psn-Pdf (pdf file)

    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
  14. 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…
  15. 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…
  16. 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
  17. 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
  18. Section 6B, Table 6 (pdf file)

    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
  19. 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
  20. Psn-Pdf (pdf file)

    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