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1041. Final Progress Report: Measuring Mistrust in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/laveist-report.pdf
      January 01, 2024 - Trust is the belief that one will not exploit the vulnerability of another (Sable 1993). … But on what basis does one come to this belief? … Control refers to the belief that those who are entrusted with their care will assume responsibility … Just below 75% of respondents had at least a high school education, and 22.1% were college graduates

1042. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - risk model that represents the complex 4 relationships between system elements, organizational culture … This PADE was also applicable to any medication, not just the high-alert drugs under study. … The team also estimated the probability of capturing a dose/strength error at just 20% with a duplicate … For example, the modeling team estimated that a pharmacist would fail to capture the error in just one … Medication safety: patients’ experiences, beliefs, and behaviors. J Am Pharm Assoc.

1043. 005-Ss-Preop-Chlorhexidine-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/005-ss-preop-chlorhexidine-fg.docx
      April 01, 2025 - and morning of surgery, and then were randomized to receive 5 days of either mupirocin or iodophor just … The purulent drainage is sent for cultures, and he is given a prescription for oral antibiotics.

1044. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/corbett.html
      August 01, 2017 - Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery Patient Safety Culture … Measurement, Analysis, and Interpretation: A Commentary Error Disclosure Training and Organizational Culture … medication risk management efforts focus on preventing errors by improving systems and creating safety cultures … The patient brings in a reconciliation sheet, and it looks just like the discharge (prescription) sheet … Coalition is attempting to change the culture of full disclosure and offers resources for health care

1045. Using Patient Complaints to Promote Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
      March 22, 2008 - We hypothesized that patient/family concerns would just as likely point to recurring problems that increase … While we certainly agree that “reducing lawsuits requires preventing errors and improving safety, not just

1046. 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. … They noted that palliative care helps patients to live within the goals of care, not just die within … older physicians, pain management is problematic in the current climate, and there is a longstanding belief

1047. Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
      September 01, 2015 - as a means for having a staff member or clinician reflect on any ambivalence about the process, the culture … After a long day (and a drive home ahead), it can be tempting just to slip out the back door. … Taking the time to say goodbye (just like saying hello) can be an important step in building rapport … When working with patients or practice members from cultures, backgrounds, or experiences different … using a snowball approach, clear this with your practice champion and be sure that you respect the culture

1048. Guide: Purpose and Use of CLABSI Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/clabsi-tools/guide.html
      January 01, 2020 - interpersonal communication improved aviation safety, the same is not yet true in health care's hierarchical culture … CLABSI in clear, real terms and present the actual number of infections over a period of time, not just

1049. Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-facilitator-guide.pdf
      November 01, 2019 - Moment 2: Have I ordered appropriate cultures before starting antibiotics? … retested to confirm the patient indeed has CDI by testing specifically for the presence of toxin and not just

1050. Final Progress Report: Improving ED Quality and Safety by Enhancing Operations and Quality Management (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/khare-report.pdf
      January 01, 2024 - The applicant’s interest in this topic emanated from his belief that improved healthcare delivery systems … qualitative methods, such as Failure Modes Effects Analysis, clinician surveys about organizational culture … High-quality care requires more than just excellent medical decision making and physician buy-in to

1051. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
      January 01, 2004 - including: (1) using distinct drug names; (2) standardization; (3) encouraging the development of a culture … These “weighted value” scores are just the sum of the error reduction weights of parameters that are … Skill System Design Workload External Checks Weighted value Weight 0.7 0.1 0.1 0.8 0.9 Culture … The two most prioritized error-reduction practices, culture of safety and human factors (HF) principles

1052. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
      May 05, 2008 - industry, the integrity of this environment is the responsibility of all providers at the bedside, not just … hierarchy, mutual respect within and across disciplines and situational awareness—are key components of a culture … The impact of culture on technology.

1053. AHRQ EvidenceNOW: Building State Capacity: Interim Evaluation Report I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-1.pdf
      January 31, 2024 - TN attended a makeup session with just TN. … So, for me, that's just a learning curve on our side. … One participant explained: “We’re just learning some things about just some red tape that academia has … • Cooperative Culture [links to CFIR culture] Information related to the members of the Cooperatives … individuals Characteristics of the individuals involved in implementing the intervention − Knowledge and beliefs

1054. Pressure Injury Prevention Program Phases | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
      September 01, 2017 - The team should focus on just a few key interventions. … the interventions and improved outcomes normal, integrated, and mainstream—part of your hospital’s culture

1055. How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
      November 01, 2013 - quality improvement (QI), they should: Develop an overall program design that suits the needs and culture … holding practices and health systems more accountable for all of the patients in their practice, not just

1056. Developing an Effective Care Coordination System Implementation Guide
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-slides.pptx
      January 01, 2018 - If you are just beginning to plan your QI initiative, you may want to start by reviewing the slide deck … patients’ enrollment and participation. 26 Common Barriers to CR Individual Concerns Cultural values/beliefs

1057. Patient-Centered Outcomes Research Trust Fund Strategic Framework (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
      June 01, 2023 - organizational factors; community-level factors; and individual factors) that can advance fair and just … CDS isn’t just an afterthought that can simply be added on as a mechanism or tool for a project with … personal characteristics, including but not limited to: age, gender, sexual preference, race, ethnicity, culture

1058. America's Health Literacy: Why We Need Accessible Health Information (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/dhhs-2008-issue-brief.pdf
      January 01, 2008 - Just as there is universal access to buildings (e.g., ramps) and the telecommunications infrastructure

1059. Final Progress Report: Opioid Stewardship in Urology (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
      January 01, 2024 - behavior is particularly challenging, given that, culturally, our tendency is to save medications “just … urologic surgery, patients often have unrealistic expectations of postsurgical pain coupled with the belief … These beliefs easily lead to the belief that continuing to take opioids will bring about relief. … tell me [that] this is not the right time because of other issues or a weak support system, we can just … evidence also enhances implementation of policy and engages the community in a way that facilitates the culture

1060. Module-4-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
      September 01, 2021 - If you make it clear that no one will be blamed and that you just want to understand and then ask staff … Or you could just ask in a staff meeting: “How much time have you had to spend in the last month fixing … from staff or other stakeholders that data isn’t complete, accurate, or up to date you may want to just … Sometimes it’s just a number (how many patients enrolled in CR in the past 12 months). … You may not have even spoken to people that were just referred at the end of the month.