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psnet.ahrq.gov/node/47629/psn-pdf
July 11, 2019 - A PSNet
interview with senior author Mary Dixon-Woods expanded on the need to shape culture to foster
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psnet.ahrq.gov/node/35407/psn-pdf
September 11, 2009 - the tension
between current tort liability reform and the dependence on transparency and a no-blame culture
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
July 01, 2023 - High-reliability systems and a culture of learning from errors (or near misses) are needed to minimize
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - The cultures from her peritoneal fluid grew multiple bacterial species, raising concerns for bowel
perforation
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psnet.ahrq.gov/node/33664/psn-pdf
March 01, 2008 - lines if a line is in
place and there is a concern about a low-grade fever, or one out of four blood cultures
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www.ahrq.gov/teamstepps-program/curriculum/communication/teach/mini.html
May 01, 2023 - training, stress that tools are helpful but that organizations also need to commit to creating a safety culture
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
September 01, 2021 - Evaluate the impact of experiential learning, such as simulation, on teamwork culture and relationships
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
January 01, 2017 - Designed to improve safety culture and help users learn from mistakes
Values the wisdom of frontline … family members treated
We do not accept any preventable harm as an option
We don’t settle
Our safety culture … safety and quality
We believe in our power to speak up when we have safety concerns, and we share this belief
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MNPOAvideotranscript.pdf
September 24, 2010 - On the third hospital day, a progress note documents a positive
sputum culture and the initiation of … A progress note on the third hospital
day documents sepsis with two blood cultures drawn on the second
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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
June 01, 2017 - In one hospital I worked at, the microbiologist had to come in to deal with your blood culture. … So, you were encouraged not to do blood cultures on the weekend.
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability … https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
https://psnet.ahrq.gov/primer … including higher surgeon volume, intensive care unit (ICU) presence and specialist
staffing, strong safety culture … include reducing
the number of patients per nurse; increasing nursing surveillance; and improving safety culture
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca9.pdf
June 16, 2014 - refusal, clinical
presentation of symptoms, mistrust
• Communication barriers
Provider-Level
• Beliefs … Barriers to Collecting Data
• Legal concerns
• Privacy concerns
• Patients’ perceptions/culture
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report … Part II
Surveys on Patient Safety Culture® (SOPS®)
Ambulatory Surgery Center Survey:
2023 User Database … Surveys on Patient Safety Culture® and SOPS® are trademarks of the U.S. … Surveys on
Patient Safety Culture® (SOPS®) Ambulatory Surgery Center Survey: 2023 User Database
Report … Highlights were based on results for the eight patient safety culture composite
measures, and for the
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report … Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … Highlights were
based on results for the eight patient safety culture composite measures, a single question … measures are much higher
for ASCs participating in the 2020 database compared with patient safety culture … Comparing Your Results
You can compare your ASC’s percent positive scores on the patient safety culture
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report … Part II
Surveys on Patient Safety Culture™ (SOPS®)
Ambulatory Surgery Center Survey:
2021 User Database … Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … Surveys on Patient Safety
Culture™ (SOPS®) Ambulatory Surgery Center Survey: 2021 User Database Report … measures are much higher
for ASCs participating in the 2021 database compared with patient safety culture
-
psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review
March 04, 2020 - March 4, 2020
Status of patient safety culture in community pharmacy settings: a systematic
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psnet.ahrq.gov/issue/activation-medical-emergency-team-using-electronic-medical-recording-based-screening-system
September 06, 2017 - May 10, 2017
Status of patient safety culture in community pharmacy settings: a systematic
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - They are implemented within a culture that fosters teamwork and communication. … Defects
Say:
Key perinatal safety elements around learn from defects include—
Fostering a culture … This aspect of perinatal safety calls for L&D units to foster a culture of teamwork and communication
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.5. Chronology of Quality Improvement and Lean at LHC
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcar…
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - We’ve seen that it is a culture issue as well as their own individual practices. … KH : Has anybody looked at what the safety culture is within dental practices and how that correlates … KH : Do you think that this culture is a function of dental training that is instilled early on? … Culture, as you know, is very hard to tease out, but we are conducting qualitative interviews of dentists … May 6, 2020
Factors affecting patient safety culture among dental healthcare workers: