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6821. Bad stars or guiding lights? Learning from disasters to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety
      June 08, 2011 - November 27, 2009 The Challenger Launch Decision: Risky Technology, Culture, and Deviance

6822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38367/psn-pdf
      May 24, 2015 - This trio of modules provides ambulatory medical practices with tools to develop teamwork, assess culture

6823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37423/psn-pdf
      December 19, 2007 - by authors from Australia, Israel, France, Iran, and Belgium that explore ideas such as building a culture

6824. TeamSTEPPS | Agency for Healthcare Research and Quality
      www.ahrq.gov/topics/teamstepps.html
      care professionals to help them provide higher quality, safer patient care and to create and sustain a culture

6825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35601/psn-pdf
      June 21, 2010 - employee-discipline-solution-patient-safety The author provides suggestions on how to support a blame-free culture

6826. Implementing a Patient Safety Program at a Large National Health System | PSNet
      psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
      January 01, 2008 - Beginning in 2005, baseline measurement of organizational safety culture was obtained utilizing 2 culture … Our largest hospital chose to utilize the AHRQ culture survey tool.( 6 ) Dr. … Safe Practice #1, "Improving Patient Safety by Developing and Creating a Culture of Safety," constitutes … of such a culture are essential for the successful, sustainable implementation of the remainder of the … Patient Safety Culture Surveys. Agency for Healthcare Research and Quality Web site.

6827. Best Practices in the Diagnosis and Treatment of Bacteremia | Agency for Healthcare Research and Quality
      www.ahrq.gov/antibiotic-use/acute-care/diagnosis/bacteremia.html
      November 01, 2019 - presenting this presentation viewers will be able to— Review recommendations for appropriate blood culture

6828. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/pichert.html
      August 01, 2017 - Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery Patient Safety Culture … Measurement, Analysis, and Interpretation: A Commentary Error Disclosure Training and Organizational Culture … care for a large patient volume outside major metropolitan areas, and SHS sought ways to enhance its culture … of safety, and (5) promote behavioral and practice/system changes that enhance a culture of safety. … Balancing systems and individual accountability in a safety culture. In: Berman S, ed.

6829. Initiating Dialysis With a Catheter: Catheter Exit Site Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/esrd/resource/dialysis-catheter.html
      January 01, 2015 - ESRD Toolkit Modules The four modules are: Creating a Culture of Safety Clinical Care Using

6830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33712/psn-pdf
      June 01, 2011 - Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture … that is that organizations can start to deviate from established procedures and bend them if in their culture … The culture created at the top is more important than any number of experts that you have there. … Japan's culture made it harder to discuss the risk.

6831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35165/psn-pdf
      June 23, 2009 - reporting can improve patient safety when supported by information technology, legislation, and a culture

6832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35521/psn-pdf
      April 26, 2012 - patient-safety-papers This special issue highlights Canadian experiences in several safety-related areas: culture

6833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40280/psn-pdf
      June 10, 2018 - piece discusses the effects of personal behaviors and peer interactions on an organization’s safety culture

6834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37305/psn-pdf
      January 02, 2011 - medication-administration-anesthesia-time-paradigm-shift To reduce anesthesia administration errors, the authors propose changing the organizational culture

6835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37281/psn-pdf
      December 23, 2011 - 1 The author discusses the dynamic between blame and accountability within the context of the just culture

6836. Initiating Dialysis With Fistula or Graft: Accessing Medication Port To Administer Medication | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/esrd/resource/dialysis-fistula.html
      April 01, 2014 - ESRD Toolkit Modules The four modules are: Creating a Culture of Safety Clinical Care Using

6837. In Conversation With… Jeffrey Starke, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
      September 11, 2023 - The problem, however, is that the culture of the institutions is not changing. … But you also have to create the culture that it's okay to use it. … That's how you create that culture. … That's part of the culture.

6838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49838/psn-pdf
      August 01, 2018 - medical care that is inconsistent with patients' goals, we need to apply the principles of safety culture … the need to engage patients and families with frontline clinicians in a partnership to establish a culture … Engagement of patients and families and frontline clinicians is necessary to establish a culture of … Preventing harm in the ICU—building a culture of safety and engaging patients and families.

6839. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
      July 14, 2023 - o Collaboration with the Division of Healthcare Quality Promotion on a blood culture contamination … National Quality Forum (NQF) laboratory measure: The NQF blood culture contamination measure received … education them about the measure, standardize the clinical laboratory’s approach to handling blood culture … contamination, and optimize blood culture collection.

6840. Making Healthcare Safer IV Report Expanded With New Evidence Reviews | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/910.html
      April 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