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7381. Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013). | PSNet
      psnet.ahrq.gov/issue/undergraduate-baccalaureate-nursing-students-self-reported-confidence-learning-about-patient
      February 04, 2015 - October 13, 2021 'Not another safety culture survey': using the Canadian patient safety

7382. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. | PSNet
      psnet.ahrq.gov/issue/turning-medical-gaze-upon-itself-root-cause-analysis-and-investigation-clinical-error
      June 14, 2011 - June 19, 2013 Investigating patient safety culture across a health system: multilevel

7383. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. | PSNet
      psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global-trigger-tool-systematic
      December 13, 2023 - May 8, 2017 Issues and complexities in safety culture assessment in healthcare.

7384. | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/tools/index.html?page=4
      October 01, 2024 - Unit-based Safety Program to prevent surgical site infections and other complications and improve safety culture

7385. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. | PSNet
      psnet.ahrq.gov/issue/he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices
      June 14, 2017 - October 26, 2011 Assessing and improving safety culture throughout an academic medical

7386. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. | PSNet
      psnet.ahrq.gov/issue/communication-practices-4-harvard-surgical-services-surgical-safety-collaborative
      September 29, 2017 - determine if these findings represent pure communication failures, challenges in trainee oversight, or a culture

7387. Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators. | PSNet
      psnet.ahrq.gov/issue/patient-safety-monitoring-acute-care-decentralized-national-health-care-system-conceptual
      July 27, 2022 - December 9, 2020 Hospital cultural competency and attributes of patient safety culture

7388. The relationship between organizational leadership for safety and learning from patient safety events. | PSNet
      psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events
      November 27, 2009 - February 14, 2015 'Not another safety culture survey': using the Canadian patient safety

7389. Module 1: Script and Slides (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview-facnotes.docx
      May 01, 2017 - two main program goals were to reduce surgical infection and complication rates and to improve safety culture … That particular center saw a 10 percentage-point increase in their patient safety culture survey, which

7390. Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
      January 01, 2017 - In addition, hospital units can improve their culture of safety and communication. … Execute: How will we implement early mobility given local culture and resources? 4. … Account for Local Culture and Resources Don’t force a square peg into a round hole. … Adapt your intervention to the local culture and context. … Intervention success is dependent on organizational culture.

7391. Mortality as a measure of quality: implications for palliative and end-of-life care. | PSNet
      psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
      June 30, 2011 - March 2, 2011 An anesthesiology department leads culture change at a hospital system

7392. Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. | PSNet
      psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
      September 04, 2013 - Using patient safety morbidity and mortality conferences to promote transparency and a culture

7393. Critical incident monitoring in anaesthesia. | PSNet
      psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
      September 04, 2024 - Related Resources From the Same Author(s) Relationship between patient safety culture

7394. Evaluation of an electronic dosing calculator to reduce pediatric medication errors. | PSNet
      psnet.ahrq.gov/issue/evaluation-electronic-dosing-calculator-reduce-pediatric-medication-errors
      April 24, 2018 - August 20, 2018 Transparency, public reporting, and a culture of change to quality and

7395. Tacit Handover, Overt Mishap | PSNet
      psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
      August 01, 2006 - Yet in a culture in which safety is truly the highest priority, the handoff ritual will never be skipped … elements of a good handoff have been described in the literature ( 11 ), but the process and underlying culture … standardized processes are advocated, they will likely work best when the informal elements, and the culture … With strong practices and culture, the risks of handoffs can be minimized and benefits optimized.

7396. High-Performance Work Practices in CLABSI Prevention Interventions (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
      May 01, 2015 - the development of new knowledge and skills designed to support broader safety goals, such as a “culture …  Belief that “zero” is attainable  Frontline accountability  Strong leadership at all levels …  Infrastructure and resources to support improvement  Supportive organizational culture  Use … The success factors emphasized by the higher performing sites included (1) a belief that a rate of … Project, Pronovost and colleagues (2010) suggested that feedback about infection data, an “unremitting belief

7397. Medication Monitoring for Vulnerable Populations via Information Technology (MMITI) - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti/annual-summary/2010
      January 01, 2010 - Safety culture was assessed in these clinics and the staff reported that the results accurately represented … which indicated that interventions to improve care quality are associated with improvements in safety culture

7398. In Conversation With… Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lucian-leape-md
      June 12, 2019 - LL : In a sense it's a mix—I think they fell prey to the belief that checklists are a simple thing. … Like you can bypass the hard work of creating teams, changing culture, dampening down hierarchies if … need to focus less on specifics of safety practices and much more on changing the workplace and the culture … If we'd have been a little smarter about thinking about what the culture changes would be and what would … Finally, I think the culture change we seek will happen faster than we expect.

7399. Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. | PSNet
      psnet.ahrq.gov/issue/changes-intensive-care-unit-nurse-task-activity-after-installation-third-generation-intensive
      October 14, 2015 - , 2012 Association of implementation and social network factors with patient safety culture

7400. Leading change: why transformation efforts fail. | PSNet
      psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
      March 03, 2021 - creating short-term wins, declaring victory too soon, and not anchoring changes in the corporation’s culture