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101. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-slides.pptx
     June 01, 2021 - You just removed a contaminated catheter. … Explain to the resident that you need phlegm from her lungs, not just spit from her mouth. … Collection of Specimens 17 Summary Bacterial cultures should only be collected from … Review the Collecting Bacterial Cultures and Urine Culture Collection posters and display them in common … Supporting Materials Collection of Microbiological Cultures Collecting Bacterial Cultures Poster Urine

102. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - unanticipated issues. 4,6 However, limited empirical work examines linkages between organizational cultures … not fully reflected in existing culture measurement tools include aspects of “just culture,” such as … Recommendation 4: Examine sub-cultures and clearly define the perspective your metric is asking respondents … physicians, nurses, and administrators on several dimensions. 15 , 37,38 Despite documentation of sub-cultures … Just culture: Balancing safety and accountability. London, United Kingdom: Ashgate; 2007. 32.

103. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
     March 01, 2016 - of Safety Understand Just Culture iv Using Change Concepts for Improvement Will It Work Here … Patient Safety and the “Just Culture” http://www.health.ny.gov/professionals/patients/patient_safety/ … culture, the safety task, the just culture model, and statewide initiatives in New York. … The Apply CUSP module of the CUSP toolkit presents the principles of a just culture, a nonpunitive … Included in the module is this video on understanding just culture.

104. Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/tools/keydrivers/nuture-leadership.html
     November 01, 2018 - Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice … small practices, even solo practitioners need to nurture themselves and their employees to create a culture … To create a cohesive culture, leaders will need to engage in active listening and gain an understanding … This means more than just paying for conference registrations. … Everyone in the practice, not just clinicians, may need time to create and adjust to shifts in what and

105. Appendix B. Search Terms | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appb.html
     March 01, 2017 - Patient satisfaction Customer service Patient Safety Patient safety Safety Safety culture … Safety climate Medical error Disclosure Adverse events Just culture Error reporting … Reporting culture Communication Error Harm Diagnostic error Defensive medicine

106. SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
     January 09, 2018 - It's the belief, values and norms shared by health care staff about what's important and what attitudes … Different systems will have different organizational cultures. … within those sites, the departments and the units will also have slightly different organizational cultures … We also saw a number of comments on just using less paper. … culture.

107. Mod01-Grand-Rounds-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - Culture. … Just Culture principles are a crucial accompaniment to the CANDOR process framework and will spark the … If a Just Culture is so important to an organization’s culture, why do we still focus on blame? … In a Just Culture, not only is shared responsibility the norm, but a commitment to eliminating harm … resulting from error is widespread within the culture.

108. Rafael Borja (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
     September 09, 2014 - Fletcher will be discussing the role of unis culture on prevention of claudi. … When we talk about avoiding unnecessary cultures, we talk about deciding on doing a urine culture when … This is especially true in the ICU, that there is a belief in the needs of close monitoring of Is and … It’s not just feeding back all of the data. … We’ve turned our efforts toward reducing unnecessary urine cultures.

109. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
     November 01, 2015 - Fletcher will be discussing the role of unis culture on prevention of claudi. … When we talk about avoiding unnecessary cultures, we talk about deciding on doing a urine culture when … This is especially true in the ICU, that there is a belief in the needs of close monitoring of Is and … It's not just feeding back all of the data. … We've turned our efforts toward reducing unnecessary urine cultures.

110. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - It refers to the values, beliefs, and norms shared by healthcare practitioners and other personnel throughout … Patient safety culture can be measured by determining the values, beliefs, norms, and behaviors related … However, personal responsibility is just one part of the system. … These are just some of the system factors at play. … A team of just physicians or just nurses won’t lead to the change efforts needed.

111. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
     September 01, 2009 - Achieving a culture of safety requires an understanding of the values, beliefs, and norms about what … Safety Culture Definition The safety culture of an organization is the product of individual and … The Hospital Survey on Patient Safety Culture examines patient safety culture from a hospital staff … term “unit” may be replaced by an equivalent term, such as “department,” if it suits the hospital (just … It is just by chance that more serious mistakes don't happen around here.

112. Health IT Patient Safety Supplemental Items for the SOPS Hospital Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/surveys/hospital/supplemental-items/health-it.html
     December 01, 2024 - Safety Supplemental Items for the SOPS Hospital Survey The AHRQ Surveys on Patient Safety Culture … with the core  SOPS Hospital Survey to help hospitals assess the extent to which their organization's culture … The 15 supplemental items may be added to the end of the Hospital Survey, just before the Background … Pilot study results are available for just over 9,000 hospital respondents who completed the supplemental

113. Previous SOPS Webcasts | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/webcasts/previous.html
     June 01, 2023 - (February 19, 2020) Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … (July 25, 2018) New AHRQ SOPS Value and Efficiency Supplemental Items (January 9, 2018) Using Just … Culture to Improve Hospital Survey on Patient Safety Culture Results (November 9, 2016) Introducing … the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture  (July 15, 2015) Success Stories … Safety Culture (April 29, 2011)

114. Engaging-Nurse-Physician-Patient-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
     June 02, 2025 - Second is the physician culture can also be a barrier. … Secondly to reframe values and beliefs, third was to segment the engagement plan. … The second element is about reframing values and beliefs. … Of course this requires a change in beliefs and attitudes. Next slide. … Have a belief in what you're doing.

115. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
     August 01, 2023 - What is “patient safety culture”? … Patient safety culture is the extent to which an organization’s culture supports and promotes patient … Patient safety culture refers to the beliefs, values, and norms shared by healthcare practitioners and … term “unit” may be replaced by an equivalent term, such as “department,” if it suits the hospital (just … In addition, we have provided the response options for each composite measure in parentheses just below

116. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
     December 01, 2017 - This ensures we address the local values, attitudes, and beliefs that drive our actions. … Just finding the time to meet can be difficult. … Notice that “right” is in quotation marks, because a just, or “right” culture sends the signal that safety … Alternatively, in cultures where the “right” thing to do is to get people in and out of beds as fast … Identifying organizational cultures that promote patient safety.

117. Module 1: Overview - Facilitator's Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
     February 01, 2023 - We know that just because a patient is in the ICU, the patient may not require a urinary catheter. … Challenges Say: In some instances, resistance to changing catheter use practices comes from the belief … Behavior-based beliefs are a challenge. … Behavioral or Cultural Factors Say: Many ICUs obtain cultures from multiple sites when a patient … the temperature increase should warrant a critical evaluation of the patient rather than an automatic culture

118. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - A Just Culture supports disclosure and learning from errors and encourages viewing every event as an … This element supports the creation of just culture. … Improved culture of safety as a result of open, fair, and just management of individual and system issues … More information on Just Culture can be found in the Apply CUSP module of the AHRQ CUSP Toolkit. 12 … to a systems approach to Event Investigation and Analysis supports a Just Culture.  

119. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
     December 01, 2017 - Second is the physician culture can also be a barrier. … Secondly to reframe values and beliefs, third was to segment the engagement plan. … The second element is about reframing values and beliefs. … Of course this requires a change in beliefs and attitudes. Next slide. … Have a belief in what you're doing.

120. Improve Safety Culture | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/improve.html
     March 01, 2017 - Improve Safety Culture Long-Term-Care Safety Toolkit Modules Comprises six modules (available … They support learning and implementation efforts to improve safety culture and practices in long term … AHRQ Nursing Home Survey on Patient Safety Culture A survey available for nursing homes that helps … facilities assess staff perceptions of resident safety culture and track changes over time. … designed to assist you in developing skills and strategies to improve all aspects of resident safety, not just