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9901. In Conversation With… Kaveh Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
      February 26, 2025 - We should have a no-blame culture. We should ban certain abbreviations. … I do wonder, even though I shied away from this 10 years ago, if culture, communication, and teamwork

9902. Antiseizure Medication Disorder | PSNet
      psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
      April 01, 2006 - Perspective Count and Be Counted: Preparing Future Pharmacists to Promote a Culture … of Safety April 1, 2006 AHRQ's Hospital Survey on Patient Safety Culture: … January 19, 2012 Improving safety culture on adult medical units through multidisciplinary … Missing Drain April 1, 2018 WebM&M Cases Culture

9903. Risk Reduction and Systematic Error Management: Standardization of the Pediatric Chemotherapy Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-David_13.pdf
      March 19, 2008 - integration of pediatric chemotherapy process components using information technology to promote a culture … their staff is competent in the use of devices, equipment, and drug administration.19 , 20 , 21 MHS’s culture … templates, as well as future CPOE implementation, will integrate numerous safety processes into the culture … Reducing prescribing error: Competence, control and culture.

9904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45156/psn-pdf
      June 22, 2017 - Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. June 22, 2017 Cresswell K, Mozaffar H, Lee L, et al. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. BMJ Qual Saf. 2017;26(7):542-551. doi:10.1136/bmjqs-2015-005149. h…

9905. VHA National Patient Safety Improvement Handbook. | PSNet
      psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook
      April 12, 2019 - Organizational Policy/Guidelines VHA National Patient Safety Improvement Handbook. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 17, 2012 A handbook developed by the …

9906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39457/psn-pdf
      April 12, 2011 - Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors. April 12, 2011 Matlow AG, Moody L, Laxer R, et al. Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors. Arch Dis Child. 2009…

9907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39302/psn-pdf
      February 17, 2010 - Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. February 17, 2010 Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08-1732. https://psnet.ahrq.gov/i…

9908. CAHPS Child Hospital Survey: The CAHPS Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-bakdash.pdf
      June 02, 2025 - CAHPS Child Hospital Survey: The CAHPS Program AHRQ’S CAHPS® PROGRAM Jonathan Bakdash, Ph.D. Social Science Analyst, CAHPS® & SOPS® Programs Center for Quality Improvement & Patient Safety, AHRQ AHRQ’s Core Competencies • AHRQ is a research and development agency in the US Department of Health and Human Servi…

9909. Massage of Northern Ohio Practice Based Research Network | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/communities/pbrn/registry/massage-northern-ohio-practice-based-research-network.html
      March 12, 2015 - Massage of Northern Ohio Practice Based Research Network Status: Active Registered Date: March 12, 2015 PBRN Acronym: MNO-PBRN PBRN Type: Other PBRN Type Other: Non-traditional clinician - Massage Therapy Network Category: Affiliate City: Cleveland Sta…

9910. Appendix A. Teamwork and Communication Definitions and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/appa.html
      October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Appendix A. Teamwork and Communication Definitions and Tools Previous Page   Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Dev…

9911. Another Fall | PSNet
      psnet.ahrq.gov/web-mm/another-fall
      June 01, 2010 - Author(s) WebM&M Cases Fatal Error in Neonate: Does "Just Culture … October 19, 2022 'Just culture': improving safety by achieving substantive, procedural … October 11, 2017 A just culture after Mid Staffordshire.

9912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857061/psn-pdf
      November 27, 2023 - , are there embedded topics such as principles or values of safety with systems approaches, safety culture … directly into my next question, which is how the Essentials incorporate safety topics, like safety culture … Sarah Mossburg: We saw in a recent literature review exploring the role of education and developing a culture … But on the other side is someone who is https://psnet.ahrq.gov/issue/role-education-developing-culture-safety-through-perceptions-undergraduate-nursing-students

9913. Final Progress Report: AUA 2022 Quality Improvement Summit: Opportunities to Improve Care in Urology (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
      January 01, 2024 - early in the disease process, preferably at the time of diagnosis, engaging the patients’ values, beliefs … diversity of social determinants, such as environment, personal characteristics, family, spiritual beliefs … , culture, race, and language. … older physicians, pain management is problematic in the current climate, and there is a longstanding belief … in the culture of medicine that not being aggressive enough equates to professional failure.

9914. Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
      July 01, 2023 - 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 … . 3 Two Sides of Patient Care Technical Elements Adaptive Elements • Clinical knowledge • Culture … These areas of systems improvement are: establishing a culture of huddles and debriefs, multidisciplinary

9915. 107-Cusp-Psychological-Safety-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/107-cusp-psychological-safety-fg.docx
      April 01, 2025 - Psychological safety is defined as the belief that one will not be punished or humiliated for speaking … Psychological safety reflects the shared belief among team members that the space or work environment … Slide 7 Key Takeaways SAY: In summary, psychological safety is defined as the belief that one will … A psychologically safe environment is part of a culture that is nonjudgmental and nonpunitive.

9916. Slide 1
      effectivehealthcare.ahrq.gov/sites/default/files/community-based-participatory-research-slides.pptx
      January 01, 2013 - Typology From Mistrust to Ideal Trust Outcomes: Partnership Synergy (5) Come together and work well Culture … Informatics NorthShore University HealthSystem MShalowitz@northshore.org The Health System’s Perspective Culture … System Patients Health Outcome 20 CHILD PARENT RELATIONSHIP FAMILY COMMUNITY CULTURE

9917. Building a Team and Process to Reduce CAUTI Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
      December 01, 2017 - Two Goals for the CAUTI Collaborative: Improve the culture of safety on your unit through the Comprehensive … Slide 19 Summary: To Be Successful… To achieve BOTH project goals of improving your unit safety culture … Examples of inappropriate uses for indwelling catheters include means of obtaining urine for culture

9918. The Forgotten Line | PSNet
      psnet.ahrq.gov/web-mm/forgotten-line
      March 11, 2011 - stay in), missing ad hoc cognitive tools (the missing daily goal sheet or discharge checklist), or a culture … Developing policies, training, and a safety culture that reduce the risk of injury by making it easier … Executive/Senior Leader Checklist to improve culture and reduce central line–associated bloodstream infections

9919. Spotlight (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
      January 01, 2019 - patient Saf. 2016;42:316-320. https://www.ncbi.nlm.nih.gov/pubmed/27301835 * Improving Safety Culture … in Psychiatry Patient safety culture in psychiatry may not be as advanced as other fields Morbidity … Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use

9920. Exhibit 2. Number of procedures stratified by hospital and types between 2008 and 2009 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiexh2.html
      April 01, 2018 - Culture Type Map to Procedure Types Appendix F. Algorithms Appendix G.