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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
July 09, 2013 - And as we know from our work with CUSP on the CAUTI project, every patient care unit has a different culture … This is an example from one of these states that we work with in terms of safety culture, using HSOPS … dimensions of safety culture. … It’s a hospital environment, and they don’t understand the system or culture. … Group education sessions may be well received, because often, patients share common beliefs, and it’s
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effectivehealthcare.ahrq.gov/sites/default/files/marketing_evidence_evans.ppt
September 13, 2006 - Evidence that targeted message strategies used in countermarketing influence specific attitudes and beliefs … Use graphics and other pictorial materials to clarify messages
Be sensitive to local norms, such as culture … Knowledge, Attitudes,
and Beliefs
•Belief in health promotion
value of fruits and
vegetables
• … Knowledge, Attitudes,
and Beliefs
•Belief in health promotion
value of fruits and
vegetables
• … Use graphics and other pictorial materials to clarify messages
Be sensitive to local norms, such as culture
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025131-jack-final-report-2022.pdf
January 01, 2022 - Three CFIR constructs designed to elucidate staff perception of
knowledge and beliefs about the implementation … Setting: Nine CFIR constructs and five novel codes to elucidate staff perception of
knowledge and beliefs … Other facilitators included a culture where staff who went above and beyond
their respective roles, … some sights stressing that not having incentives would potentially be a
barrier and others have a culture … Participants indicated that the Gabby implementation could be used to leverage additional
funding culture
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psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - EMS systems have advanced their patient safety focus by including concepts such as creating a Just Culture … Safety culture in EMS. JEMS. … September 8, 2015. https://www.jems.com/ems-insider/safety-culture-in-ems
Erich J. … Creating a culture of safety. EMS World. … July 28, 2021
Perspectives on Safety
Safety Culture
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
July 25, 2023 - and training for staff, and leadership – through the creation and maintenance of a safety and quality culture … CY Lost Days Total Cost
2021 3190 $2,402,736
2022 2,956 $1,496,822
AHRQ Surveys on Patient Safety Culture … ™
(SOPS®)
Validated surveys to assess patient safety culture in different healthcare settings
Supplemental … AHRQ Surveys on Patient Safety Culture™ (SOPS®)
Thank You!
Polling Question
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - Continually improve patient safety in women’s healthcare through multidisciplinary collaboration that drives culture … continually improve patient safety in women's healthcare through multidisciplinary collaboration that drives culture … Technical Elements
Clinical knowledge
Clinical expertise
Evidence-based best practices
Adaptive Elements
Culture … These areas of systems improvement are: establishing a culture of huddles and debriefs, multidisciplinary
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-informed-care-disposition-comments.pdf
January 14, 2025 - Further, in
today’s increasingly interconnected, global world, the arts can cross cultures
and should
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psnet.ahrq.gov/node/38347/psn-pdf
May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings
from the AHRQ Portfolio.
May 24, 2015
Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD:
Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF.
https://psnet.ahrq.gov/issue/usin…
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psnet.ahrq.gov/node/48087/psn-pdf
July 10, 2019 - The rise of human factors: optimising performance of
individuals and teams to improve patients' outcomes.
July 10, 2019
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to
improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20…
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psnet.ahrq.gov/node/34907/psn-pdf
August 03, 2009 - Physicians' views of interventions to reduce medical
errors: does evidence of effectiveness matter?
August 3, 2009
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors:
does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/848378/psn-pdf
May 04, 2023 - Ensuring competency and safety when onboarding newly
hired professional staff.
May 3, 2023
ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;23(9):1-3.
https://psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-
staff
Psychological sa…
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psnet.ahrq.gov/node/856631/psn-pdf
November 29, 2023 - Experiences and perceptions of healthcare stakeholders
in disclosing errors and adverse events to historically
marginalized patients.
November 29, 2023
Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing
errors and adverse events to historically marginalized patien…
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psnet.ahrq.gov/node/46362/psn-pdf
January 01, 2021 - Making patient safety event data actionable:
understanding patient safety analyst needs.
October 4, 2017
Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding
Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.1097/pts.0000000000000400.
https:/…
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psnet.ahrq.gov/node/43426/psn-pdf
July 03, 2016 - Discussing the undiscussable with the powerful: why and
how faculty must learn to counteract organizational
silence.
July 3, 2016
Dankoski ME, Bickel J, Gusic ME. Discussing the undiscussable with the powerful: why and how faculty
must learn to counteract organizational silence. Acad Med. 2014;89(12):1610-3.
doi:…
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psnet.ahrq.gov/node/853241/psn-pdf
September 06, 2023 - Hiding in plain sight: inconvenient facts for patient safety
in non-24/7 theatre on-site staffed obstetric units.
September 6, 2023
McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non?24/7 theatre on?site staffed
obstetric units. Aust N Z J Obstet Gynaecol. 2023;63(4):606-611. doi:10.111…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-agenda.pdf
September 26, 2023 - Webinar Agenda: Veterans Health Administration’s Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
National Action Alliance to Advance Patient Safety
Webinar
Tuesday, September 26, 2023
Veterans Health Administration’s Journey to High Reliability: Advancing Toward Z…
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psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-
955.
https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections can resul…
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psnet.ahrq.gov/node/73708/psn-pdf
September 15, 2021 - Patient safety and ethical implications of healthcare sick
leave policies in the pandemic era.
September 15, 2021
Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave
policies in the pandemic era. Jt Comm J Qual Patient Saf. 2021;47(10):673-676.
doi:10.1016/j.jc…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
February 01, 2017 - They have a good team-oriented culture and share their beliefs, strategies, and methods for providing
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digital.ahrq.gov/health-information-exchange-2
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…