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1021. 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

1022. 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

1023. New Models of Primary Care Workforce - Case Example #5: WellMed (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdf
      October 01, 2016 - WellMed is starting to focus on the culture of care between primary and specialty care with the goal … A WellMed nurse is onsite, available to all participants, not just WellMed patients. … Quality Improvement Efforts and Culture On the 4th Thursday of the month, the Medical Center clinic

1024. Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
      March 11, 2022 - Just as knowledge in many other areas of biomedical science continues to greatly expand, the expanding … Various aspects of educational culture and other forces have led to a greater emphasis on diagnosis in … substantial, role-appropriate curricular focus on diagnosis.11, 12, 31, 33 Increasing this focus will require culture … Just taking the time to reflect on the differential diagnosis may help avoid too quickly settling on … partnerships require a coordinated, integrated, and collaborative implementation of the unique knowledge, beliefs

1025. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - analyze a system so that systemwide problems can be uncovered and solutions implemented; this paper does just … precisely because they are antithetical to system analysis and design.23, 24 Although this medical culture … this might be the entire medication system, from physician order to documented administration, or just … the ordering system; it might be the nurse shift transition, or just the communication system between

1026. 2. Synthesis of Key Findings by Category | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
      October 01, 2015 - Beyond just reporting performance on the Child Core Set, States, MCOs, health systems, and practices … Organizational factors, such as a history and culture of data use, support from agency and other State … effective when they have the required technical skills and are integrated into the existing organizational culture … individuals with the credentials, demeanor, and communication style that best fit their needs and culture … implemented 40 elements used singly or in combination for service delivery transformation and sustained just

1027. Meeting Minutes (Draft), November 2023 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
      January 01, 2024 - improvement, such as a study of associations among quality improvement, patient experience measurement, culture … Ginsberg cited the use of supplemental items to address patient safety culture. Dr. Catherine H. … But just as important are more than 50 conditions, maybe not yet really diseases, where there is a lack

1028. Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
      June 02, 2025 - and Family Engagement in Primary Care- Advance Practice Guidelines- PFAC Case Study If your facility just … A strong patient safety culture is necessary to implement this project.

1029. Meeting Minutes, July 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2022-07-nac/nacmtg072122-minutes.html
      December 01, 2022 - He also remarked that President Biden’s priorities include not just transforming the healthcare system … Susan Edgman-Levitan, P.A., said that a survey should be conducted on patient safety culture in home

1030. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - Webber also stated his belief that an incentive system should reward not only the top-tier providers … southeastern Virginia and northeastern North Carolina, established and continues to promote a system-wide culture … Bradley said that he believes the problem is that different purchaser cultures do not value this alignment … We anticipate it will be launched just before or immediately after the Annual Meeting. … We anticipate it will be launched just before or immediately after the Annual Meeting.

1031. Part 1: Overviews of the Report and the Black Population | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part1.html
      December 01, 2018 - the largest minority group, making up more than 16% of the total population, and African Americans just

1032. Chapter 4: Defining Language Need and Categories for Collection, cont. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4b.html
      May 01, 2018 - Hmong, Arabic, Urdu, Tagalog, Persian, Portuguese, Mon-Khmer—are among the top languages spoken in just … by 62 percent since 1990, while the number speaking other Indo-European languages has increased by just … [ Figure 4-1 ]), yes (language other than English) and no (English only) are responses coded just 1 and

1033. Information to Help Hospitals Get Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.pdf
      October 28, 2009 - for patient- and family-centered care, and tools and resources for changing hospital and health care culture … consumers and health care providers to create health care systems that are safe, compassionate, and just

1034. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
      January 01, 2004 - where the data were collected; name of medication administered; the label on the pump related to the just-administered … the patient, Observing Medication Administration 355 number of bags attached to the patient just … concentrated on specific areas of the hospital to gain familiarity with the staff, processes, and cultures

1035. Strategy 4: IDEA Discharge Planning (Tool 4)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
      April 01, 2011 - to and honoring patient and family ideas and choices and using patient and family knowledge, values, beliefs … and cultural backgrounds to improve care planning and delivery. … and do not act annoyed Invite them to continue asking questions Remember nonverbal communication says just … Your job is to make it safe for them to be here, not just as patients, but as partners in their care.

1036. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
      March 07, 2008 - The features of such a clinic would also improve the culture of safety within the community, reduce … Creation of a health care culture of safety; and Item 18. … The difference between the two labs was statistically significant, even with just the four patients

1037. New Models of Primary Care Workforce and Financing - Case Example #2: The Health Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_2.pdf
      October 01, 2016 - 151–200% of poverty threshold: 6% • Unknown/not reported poverty threshold: 65% ▌pg. 2 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

1038. 043-Vap-Prevention-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
      October 01, 2024 - CUSP team champions can assist with assessments of unit culture, determining future education needs, … interventions are applicable to most ventilated patients, the emphasis on early mobility becomes part of the culture … The CUSP executive leader has just joined the team, as the previous leader retired, and this executive … This protocol requires purchasing a custom oral care kit that makes it easy for staff to have what they

1039. Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
      January 01, 2024 - iterative refinement of COVID-19 care guideline updates and supports physician engagement in safety culture … some individuals might have been hesitant to voice their true feelings regarding questions on safety culture … and tested a simulation-based process improvement strategy to increase emergency department safety culture … HRVEST automatically processed the biometric data from 413 electrocardiogram (ECG) recordings in just … Prophylactic simulation: Improving change culture with an innovative, iterative simulation model. 2024

1040. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
      January 01, 2025 - Error Through Improvement of Laboratory Test Utilization Day 1 Sessions • Keynote Presentation: It’s a Culture … • Overall, 229 of the 234 attendees were there for the main conference (19 attended for just 1 day … • Overall, 258 of the 284 DEM attendees were there for the full conference (26 attended for just 1