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psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error
December 02, 2020 - , 2017
Morbidity and mortality conference in emergency medicine residencies and the culture
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psnet.ahrq.gov/issue/rapid-response-systems-antibiotic-stewardship-and-medication-reconciliation-scoping-review
March 18, 2020 - May 31, 2017
Are measurements of patient safety culture and adverse events valid and
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psnet.ahrq.gov/issue/managing-competing-demands-through-task-switching-and-multitasking-multi-setting
December 19, 2018 - May 28, 2014
Is culture associated with patient safety in the emergency department?
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psnet.ahrq.gov/issue/inadequate-hand-communication
April 02, 2015 - handoff training to clinicians, engaging leadership in prioritizing handoffs as an essential part of a culture
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-269-respectful-maternity-care-summary.pdf
January 01, 2024 - Number 269
Respectful Maternity Care
Dissemination and Implementation of Perinatal Safety Culture … the literature to include standard
elements of respectful care for informing perinatal safety and culture … Respectful Maternity Care: Dissemination and Implementation of
Perinatal Safety Culture To Improve Equitable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-precautions.pptx
March 01, 2017 - How can you help support a culture of safety around PPE use? … How can you help to support a culture of safety around proper personal protective equipment use? … what elements of a culture of safety can support good habits for PPE use
i.e., communication, feedback
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - daughter
says that last time this
happened her mother was diagnosed with a UTI, and she requests a urine culture … adult.”
9
Discussing Concerns With Family
9
Explain Your Reasoning, Continued
“Getting a urine culture … “It’s really hard to get a clean urine sample so the culture often comes back looking positive, but it
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psnet.ahrq.gov/primer/radiation-safety
September 15, 2024 - require considerable leadership support, The Joint Commission also emphasized the role of an overall culture … Improving the safety of radiation therapy relies in part on similar principles, including enhancing safety culture … Sections
Background
Current Context
Related Patient Safety Primers
Culture
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - While this was driven by the belief that patients in the ICU were too sick to safely participate in physical … Regardless of the strategy to mobilize ICU patients, multidisciplinary teamwork and a culture that expects … A culture that expects this level of activity—in contrast to a tradition that encourages bedrest and … Early patient mobility in the ICU requires a culture shift that embraces mobilization and collaboration
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/mhsa.html
June 01, 2018 - Evidence-based psychological therapies can help patients overcome interpersonal difficulties, health beliefs … Psychological therapies can help modify health beliefs, treat comorbid anxiety and other disorders, and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
March 01, 2016 - and families in a
discussion of those options in the context of the patient’s
individual values, beliefs
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Crib of Horrors: one hospital's approach to promoting a culture of safety.
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - In addition to improving patient outcomes, RRTs may have other salutary effects on the hospital culture … Again, this is a bit of a data-free zone, and I believe that local culture will determine the "goodness … What's the culture? … DB: We have a set of values that we try to use here that guide the operational culture of the organization
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psnet.ahrq.gov/node/49456/psn-pdf
July 12, 2004 - In this culture, it is
not surprising that a busy intern with limited or inadequate knowledge of a 71 … vigilance and performance has been
ineffective.(5) Instead, efforts should focus on modifying the culture … In this case, patient unfamiliarity,
inadequate signout, time limitations, and the institutional culture
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
April 01, 2022 - Anne: I think the biggest thing to address here is the culture of a hierarchy in medicine. … really simple thing that people can do to start the process of breaking down
hierarchy in the unit culture … to relearn some of the habits that we've all
been doing for, in some cases, a long time, but this culture
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
January 01, 2013 - on coaching calls to highlight strategies and tactics to improve these important aspects of safety culture … State leads felt unprepared to instruct their teams on how to use the HSOPS results to improve safety culture … It demonstrates how CUSP works with existing patient safety frameworks such as TeamSTEPPS®, Just Culture
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psnet.ahrq.gov/issue/evolving-factors-hospital-safety-systematic-review-and-meta-analysis-hospital-adverse-events
February 02, 2022 - November 24, 2021
Impact of teamwork and communication training interventions on safety culture
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psnet.ahrq.gov/issue/outcomes-associated-nationwide-introduction-rapid-response-systems-netherlands
January 18, 2013 - Barriers to rapid response team implementation include personnel costs as well as existing culture
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psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital-multi-method
May 11, 2022 - Community discharge among post-acute nursing home residents: an association with patient safety culture
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psnet.ahrq.gov/issue/registered-nurses-and-medical-doctors-experiences-patient-safety-health-information-exchange
July 22, 2020 - July 22, 2020
Impact of teamwork and communication training interventions on safety culture