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8561. Common formats for patient safety data collection and event reporting. | PSNet
      psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-0
      December 24, 2008 - More Related Resources Ambulatory Surgery Center Survey on Patient Safety Culture

8562. Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization and Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
      September 01, 2015 - .................................................................. 16 Organizational or Corporate Culture … Practice managers can provide insight into practice culture and offer ideas on improvement priorities … Organizational culture is the foundation for all practice activities. … Every practice has its own unique culture, and this culture will be an important factor in any work … Because of this, you will want to observe and be aware of the corporate culture in each practice and

8563. Early Mobility 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/early-mobility-mvpguide.pdf
      January 01, 2017 - ..................................... 16 Execute: How Will We Implement Early Mobility Given Local Culture … As a result, they have limited exposure to physical rehabilitation.9,11,12 In addition to this culture … The model prompts your team to consider staff engagement, local culture, and contextual factors in a … Execute: How will we implement early mobility given local culture and resources? 4. … Transforming ICU culture to facilitate early mobility. Crit Care Clin. 2007 Jan;23(1):81-96.

8564. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdf
      January 01, 2025 - Catherine Lucey, MD Pre-Conference Sessions • Research Summit (invitation only) • Patient Summit: Culture … Diagnostic Error in Medicine Annual Conference 5 Day 1 Sessions • Keynote: The Role of Medical Culture … in Diagnostic Error • Keynote Panel: Discussion of the Role of Medical Culture in Diagnostic Error • … Arts o Ambulatory Morbidity and Mortality Conferences: Teaching Diagnostic Reasoning and Fostering a Culture

8565. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
      March 01, 2017 - except for fever or new-onset hypotension due to a noninfectious cause; and (4) the resident has a urine culture … A urine specimen for culture should be obtained prior to initiating antimicrobial therapy for presumed … The urine culture should be obtained from the freshly placed catheter prior to the initiation of antimicrobial … If use of the catheter can be discontinued, a culture of a voided midstream urine specimen should be

8566. Appendix F. CAUTI Prevention in Long-Term Care: Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
      March 01, 2017 - except for fever or new-onset hypotension due to a noninfectious cause; and (4) the resident has a urine culture … A urine specimen for culture should be obtained prior to initiating antimicrobial therapy for presumed … The urine culture should be obtained from the freshly placed catheter prior to the initiation of antimicrobial … If use of the catheter can be discontinued, a culture of a voided midstream urine specimen should be

8567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36553/psn-pdf
      January 12, 2011 - Barriers to nurses' reporting of medication administration errors in Taiwan. January 12, 2011 Chiang H-Y, Pepper GA. Barriers to Nurses' Reporting of Medication Administration Errors in Taiwan. Journal of Nursing Scholarship. 2006;38(4). doi:10.1111/j.1547-5069.2006.00133.x. https://psnet.ahrq.gov/issue/barriers-n…

8568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48031/psn-pdf
      May 22, 2019 - In harm's way. May 22, 2019 Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037. https://psnet.ahrq.gov/issue/harms-way This commentary recommends that health care structure the work environment to address conditions that allow for failure. The authors discuss how increased…

8569. Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/index.html
      July 01, 2015 - Recognition    Motivation and Readiness to Transform Vary Across Practices    Changes in Practice Culture

8570. Just in Time Training: CHG Cloth and Mupirocin (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-mupirocin.docx
      March 01, 2022 - methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening test, or clinical culture

8571. Section 7. Sharing Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/section7.html
      July 01, 2018 - Widely reporting the results of multiunit or multi-department initiatives helps create a culture of transparency

8572. Senior-Leader-Checklist (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/senior-leader-checklist.docx
      March 01, 2017 - team to determine what project success will look like, plan for hardwiring the process into facility culture

8573. Practice-based Research Networks | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/communities/pbrn/index.html
      July 01, 2025 - all Americans by engaging clinicians in quality improvement activities and building an evidence-based culture

8574. MRSA Prevention Toolkit: ICUs & Non-ICUs | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/welcome.html
      October 01, 2024 - (CLABSI) Prevention of Hospital-Acquired Pneumonia: VAP & NV-HAP Antibiotic Stewardship Blood Culture

8575. Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/index.html
      February 01, 2017 - Recognition    Motivation and Readiness to Transform Vary Across Practices    Changes in Practice Culture

8576. Assessing Progress on CLABSI and CAUTI Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/clabsi-cauti-icu/assess/index.html
      April 01, 2022 - Since human behavior inherently has inconsistencies and culture is always evolving, regular check-ins

8577. Tools & Resources for Decolonization: First Steps, Readiness, and Pre-Launch | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonization-first-steps.html
      October 01, 2024 - (CLABSI) Prevention of Hospital-Acquired Pneumonia: VAP & NV-HAP Antibiotic Stewardship Blood Culture

8578. Program Implementation of MRSA Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/program-implementation.html
      December 01, 2024 - (CLABSI) Prevention of Hospital-Acquired Pneumonia: VAP & NV-HAP Antibiotic Stewardship Blood Culture

8579. What Exactly Is Patient Safety? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - Culture and Professionalism Clinicians, governing boards, executive leaders, and middle managers of … This required a culture change to one that refrained from assigning “sharp-end” blame for mistakes; … It depends on a culture of openness to all relevant perspectives in which those involved in adverse … reporting of adverse events or near misses, dissemination of lessons learned, and the establishment of cultures … Known from its early days as the field that seeks to move “beyond blame” to a culture trusted by all

8580. SOPS® Workplace Safety Supplemental Items for the SOPS Hospital Survey (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-for-Hospitals-Spanish-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