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1001. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
      January 01, 2024 - If the RRS was just shifting the occurrence of some cardiac arrests from the floor to the ICU, the … effect of the RRS during multiple years, which could identify reduced mortality and/or morbidity related just … provides insight into ways the RRS can, over time, change the interaction among staff and the hospital culture … A survey of nurses' beliefs about the medical emergency team system in a canadian tertiary hospital.

1002. Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
      January 01, 2025 - participants associated with the NICU and Parent Advisory Council (PAC) to examine perceptions, attitudes, beliefs … These initial insights were just the beginning of many stories with issues that surfaced and influenced … Use of parent-centered safety culture tool (PCSCT) assessment. … Just as new parents were being identified, the COVID-19 epidemic put a stop to all activities. … The unit culture improved as well to include verbal report of UPEs in different forums.

1003. Project Context | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/envscan/context.html
      June 01, 2017 - These may include, for example, provider culture and supply, payer mix, regulation, and competitiveness … Collecting data from all payers includes all patients, and care is captured not just in the inpatient

1004. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
      March 03, 2008 - We chose just a few initial organization-wide adoption targets for our program to keep the organization … physicians were given the full financial reward ($500, $1,250, or $2,500 depending upon their wRVU tier) just … communications, (3) integrity r on 27 ut appropriate attention to our soil” (our organizational culture … Other components of that strategic planning included safety culture surveys, quality and safety leadership

1005. Final Progress Report: SAFER: Standardizing Admissions for Elderly residents (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/coburn-report.pdf
      January 01, 2024 - inquiry method •Provide technical assistance to nursing facilities regarding AHRQ Patient Safety Culture … (%) readmissions •nfection rate •Error rate •Score on handoffs/ transitions on AHRQ Patient Safety Culture … to nursing facilities to pilot their first trial of the AHRQ Nursing Home Survey on Patient Safety Culture … a forum for sharing implementation strategies; a venue for sharing tools and forms; and pertinent, just-in-time … Many acknowledged challenges in finding the common ground among unique workplace cultures and practices

1006. 3. Defining Categorization Needs for Race and Ethnicity Data | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3.html
      May 01, 2018 - Coverage and Quality in Cancer Registries The American Indian or Alaska Native population makes up just … aggregation of data on cancer incidence, an especially important task because unique circumstances of culture … Categorizing Diverse Populations A wide range of cultures, languages, and health-related behaviors

1007. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
      January 01, 2025 - The units were started at staggered times, and the pilot is just now ending, with the final few reports … survey addressing healthcare workers’ attitudes toward 1) medical errors in general, 2) the medical culture … Results Key Findings: Surveys are just beginning to be analyzed.

1008. Module-6-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
      June 02, 2025 - Care coordination requires an effective system and team—not just hiring a capable person. 4) Why … • Inclusive of all CR-eligible patients in your catchment area—not just … Others think of CR as just an exercise they can do on their own. … Or you can just select one or several of the listed areas where you know improvements are needed and

1009. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf
      March 13, 2013 - This means telling patients’ stories, not just sharing statistics, when discussing successes and failures … clinicians and staff.(12) By sharing quality and safety data about the organization, leaders help create a culture … and support clinicians and hospital staff in patient and family engagement initiatives Creating a culture

1010. Improving Customer Service and Access in a Surgical Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
      October 01, 2011 - • Gave Holiday bonuses to all specialty practice staff, not just those affiliated with the department … to query the medical center operations systems and seek out the data; the practice did not have a culture … The culture of the specialty practice and of the hospital as it relates to outpatient practices did … Managed Care 101 for general staff Front office staff who just passed the assessment examination; … and higher than the FPG average of 92. 45 STEP 6: MONITOR IMPROVEMENTS FOR SUSTAINABILITY Just

1011. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
      January 01, 2025 - implement and test at each institution were significantly limited by departmental and organizational cultures … All administrators articulated a belief in the value of Lean methods for achieving quality and safety … pay for performance should be introduced for the entire testing pathway (cross disciplinary) and not just … Transforming to a quality culture: The Henry Ford Production System. … Custom quality measures in healthcare: beyond Lean. 2007 World Conference on Quality and Improvement

1012. Chapter-3 - Sepsis Recognition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
      March 01, 2020 - staff about sepsis pathophysiology helps them to better understand and interpret screening parameters, just … Who Needs a Blood Culture? A prospectively derived and validated prediction rule. … 27%, resulting in approximately 1,053 fewer cultures per year. … Consecutive septic patients with positive blood culture; 526 patients. … The tradeoff for lower mortality was 10% more blood cultures obtained, and 5% more days on

1013. Optimizing Health and Function as We Age: Roundtable Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
      September 08, 2022 - healthcare delivery human networks • Approaches from complexity science • Rapid-cycle evaluation • Just-in-time … systems are attempting, one Roundtable member emphasized the following: The time that I spend is just … discussed barriers to scale and spread, including funding and payment mechanisms; metrics; necessity for culture … for each program, where fidelity to those elements is essential, and what can be adapted to local cultures … I’m saying, why can’t what I just went through, why can’t that be like when I’m taking care of my older

1014. Low Tidal Volume Ventilation 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/ltvv-mvpguide.pdf
      January 01, 2017 - .............................................. 19 Execute: How Will We Implement LTVV Given Local Culture … therapists, and local hospital administrators is vital throughout the TRIP model continuum to create a culture … • Execute: How will we implement LTVV given local culture and resources? … them that improving the care of mechanically ventilated patients and including the use of LTVV is not just … Safety Program for Mechanically Ventilated Patients Execute: How Will We Implement LTVV Given Local Culture

1015. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - technology support, time pressures, inadequately trained personnel, financial constraints, organizational culture … revealed multiple modes of failure on the part of both the physician and patient in sharing information, beliefs … Enhancing interdisciplinary team collaboration45 to improve primary/ambulatory care46 and promote a culture … Much that is written about huddles does not distinguish the rapid huddle, just described, from a pre-procedure … Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire - ambulatory

1016. Case Example #2: The Health Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-2.html
      July 01, 2019 - threshold: 13% 151–200% of poverty threshold: 6% Unknown/not reported poverty threshold: 65% Cultural … backgrounds range from Scottish, Irish, and French backgrounds to Native Americans residing in Vermont … identify gaps in preventive care (e.g., immunization needs) for all THC patients systematically, not just … Building and Training “Everyone who works here contributes something that [is important]…you're not just … Information on medical treatments and results of new research are shared with all staff, not just the

1017. The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
      March 01, 2004 - Subsequently, the vision of the SDCPS expanded from just research and education to become a central … engages academics, involves students, and in other ways contributes to the development of a safety culture … to be a need to disseminate basic concepts and provide practical advice to enhance the community’s culture … opportunity to enhance collaboration, network with front- line clinicians, and promote a community culture

1018. Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
      April 10, 2025 - In this case the measures would document what elements of PCCP are operational, and either just describe … Working with the Person’s Beliefs and Values 2. Sharing decision making 3. … So, with PROMs, if they use PROMs [in] that initial visit, they would just re-administer the PROM and … So as an example, let's just say hypothetically, if you were collecting data on a care plan, you could … And so that's just from the technical standpoint I think of the systems themselves.

1019. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
      June 21, 2021 - Health IT-supported feedback systems championed by strong leadership promotes a culture that expects … consistent and reliable feedback system will generate learning and may itself be useful in changing the culture … vations to seek feedback.13 If feedback becomes the norm across healthcare settings, that is, ‘this is just … judgement and interpersonal conflict by setting shared goals and expectations for a constructive feedback culture

1020. Communication: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
      July 01, 2023 - laboratory testing; and care decisions), Leadership (i.e., organizational planning, organizational culture … She lost 1,000 mL in the delivery room and another 250 mL just now. … She lost 1,000 mL in the delivery room and another 250 mL just now. … Just keep me updated about how you are feeling. … Silliness for this activity is encouraged, even if that’s not your typical unit culture.