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psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid
August 03, 2022 - of nursing leaders, they perceived that rapid response teams improve patient outcomes and safety culture
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psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
November 01, 2016 - June 15, 2016
Development and validation of a brief culture-of-safety survey.
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psnet.ahrq.gov/issue/now-time-routinely-ask-patients-about-safety
March 08, 2023 - burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pneumonia-antibiotic-treatment_disposition-comments.pdf
November 24, 2014 - Peer Reviewer
#1
Discussion/
Conclusion
Serial endotracheal aspirates (ETA) Gram stain and
cultures … evaluated by semiquantitative methods (SQ-ETA
>+++ growth) or quantitative (Q-ETA >105 cfu/ml)
cultures … Recommending using serial quantitative BAL cultures for
following the clinical progress of patients … microbiological outcomes such as
eradication of bacteria, microbiologic relapse, decrease in
colony counts of culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
January 01, 2011 - Project
Continued feedback of infection data that the team perceived as valid
Improvements in safety culture … that occurred as part of the overall Keystone ICU project
Unremitting belief in the preventability
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - So you learn to look at the underlying cultural assumptions because the culture is like the groove that … DdB : I have increasingly come to see that a core source of dysfunction is the shared belief, and I can … only call it a mythological belief, in the God-like perfection of well-trained clinicians. … DdB : Well, I'll go one level beyond that because one week to change culture is not much. … And if our culture slams the door on that possibility, turns its back on that, then we have just forcibly
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
March 01, 2017 - infection: _______ Signs and symptoms of infection: ___________________________
Date of positive urine culture … : ______________ Organism(s):_________________________________________
Date of positive blood culture
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psnet.ahrq.gov/perspective/conversation-withsorrel-king
March 01, 2007 - I did not know that there was this dysfunctional culture between patients and doctors, or families and … A key determinant of patients' and family members' ability to advocate for safety is the culture of the … This reluctance is not specific to patientswhen the safety culture is poor, even doctors, nurses, pharmacists
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - Knowledge, Culture, and Communication
An additional, and equally important, consideration in this case … might have been avoided if the nurse
had improved decision support for order evaluation or if the culture
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - efforts to improve patient safety, the rapid and successful implementation of telehealth
requires a culture … KH: So let’s talk about attitude and culture. … What kind of culture do you need to have in place for telehealth
to be successful? … I think part of it is also a startup culture and looking
for innovation to extract more value from the … Telehealth requires a “culture of change” – 5 insights on perfecting telehealth strategy.
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www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - C. difficile due to unnecessary antibiotics23,24
Reminder for urine culture; review to confirm/refute … performed at index ED visit22
Diagnostic safety UTI Process Urine culture does not confirm infection … is pending, send a
message to the SNF NP Pool and the
Culture RN pool indicating pending culture … Notification to SNF NP
of urine culture results
– Culture RNs send results
to SNF NP through EHR
inbox … SNF NP following up
with rad culture RN
SNF NP SNF NPs will follow up with culture RNs
regarding the
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www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
April 01, 2013 - And so, if you can focus on safety culture using your HSOPS results and try and improve some of those … They also felt that there was never any failure in the belief that blood stream infections were preventable … Or “They have a different culture than we do.” … And may I ask, are you talking about the patient safety culture survey?
Chari Busby: Yes. … essentially people’s perceptions of the culture.
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digital.ahrq.gov/ahrq-funded-projects/new-mexico-health-information-collaborative-nmhic/annual-summary/2008
January 01, 2008 - community partnership among providers, patients, payers, employers, and the public sector to change the culture … institutional accountability, where health care becomes everyone’s responsibility, and a true community culture
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/153-cusp-tip-sheet-engaging-staff.docx
October 01, 2024 - lab technicians and environmental services personnel, is essential for cultivating a supportive unit culture … Emphasize leadership support, alignment with unit culture, and long-term plans for sustainability to
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/assembling-cusp-team.pdf
April 01, 2022 - bloodstream
infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) and improve safety culture … A culture of
teamwork and learning from mistakes helps to improve patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-tai-seale.pdf
April 01, 2015 - seen by organizational leadership and staff as consistent with
the organization’s patient-centered culture … identified as
important for the successful
implementation of PCMH transformation:
an organizational culture
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
September 01, 2024 - · For the survey items grouped according to the safety culture composite measures they are intended … participate in the Agency for Healthcare Research and Quality (AHRQ) Nursing Home Survey on Patient Safety Culture … Surveys on Patient Safety Culture® and SOPS® are registered trademarks of the U.S.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-12-15-22.docx
December 01, 2022 - SOPS® Hospital Survey Version 2.0 to help hospitals assess the extent to which their organization’s culture … Measures: A composite measure is a grouping of two or more survey items that assess the same area of culture … Development, Pilot Study, and Psychometric Analysis of the AHRQ Surveys on Patient Safety Culture™ (SOPS
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www.ahrq.gov/news/newsletters/e-newsletter/931.html
October 01, 2024 - Register for Oct. 30 Webinar on Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture … Register for Oct. 30 Webinar on Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture … highlight how Riverside Walter Reed Hospital in Gloucester, VA, used AHRQ’s Surveys on Patient Safety Culture
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psnet.ahrq.gov/node/33565/psn-pdf
September 01, 2024 - CUSP combines improvement in safety culture, teamwork, and communications, together with
a checklist … The combination of improvement in organizational culture and use of the
checklist has powered the reductions … summary-data
https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings
https://psnet.ahrq.gov/issue/culture-change-infection-control-applying-psychological-principles-improve-hand-hygiene