Results

Total Results: 1,248 records

Showing results for "just culture".
Users also searched for: just culture

1121. How are CHIPRA Quality Demonstration States working to improve adolescent health care? | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
      August 01, 2013 - We’re changing that culture and identifying and flagging. … all kinds of things when you get the [questionnaire] back that you wouldn't have seen or heard about just

1122. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - This requires a culture where frontline providers feel comfortable speaking up and have confidence their … Safety Assessment (PSSA) Four-question survey Completed by ALL staff members in the clinical area, not just

1123. Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
      January 01, 2024 - Create a culture of safety by increasing vigilance and prevention of adverse events and outcomes through … Our center has just completed construction of a new dedicated virtual OR, such that we can continue

1124. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
      February 04, 2022 - They are exactly the same, just a different view. … Did your perspective change once you read that the two images are the same, just presented in a different … � Lab data (culture data, respiratory viral panel, COVID testing, beta natriuretic peptide, D-dimer, … and initiate empiric treatment while awaiting additional results (e.g., antibiotics while awaiting culture … accident, a patient receives a call that says to contact an orthopedic physician; a wrist fracture was just

1125. Documentation and Coding for Patient Safety Indicators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
      March 15, 2016 - Expert Coding Coders should be encouraged and empowered to focus on the quality of coding, not just … successfully used a variety of structures for their CDI program, depending on their specific needs and cultures … X PDI 10 Postoperative Sepsis X Negative or inconclusive blood cultures do not preclude a diagnosis … PSI 13 Postoperative Sepsis X Negative or inconclusive blood cultures do not preclude a diagnosis of

1126. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiic.html
      June 01, 2010 - health nonclinical topics include immunization assessment, telehealth utilization, and organizational culture … May 2000 States Currently Using: Unknown Psychometric Testing: Measures not fully developed, just

1127. Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
      July 01, 2024 - (e.g., pharmacists,101 social workers,102,103 informatics professionals104) on their attitudes and beliefs … Both groups shared a belief that delayed release might be beneficial to certain patients and in certain … But we just can’t manage that by workflow. … that their organizations implemented the Cures Act with little guidance for clinicians despite the “culture … you have different communities that have vastly different demographics… social constructs, different cultures

1128. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - If you have no team members meeting these descriptions, just fill in as not applicable (N/A). … Why can’t we just move on to something else rather than spend time on something we have already "fixed

1129. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - If you have no team members meeting these descriptions, just fill in as not applicable (N/A). … Why can’t we just move on to something else rather than spend time on something we have already "fixed

1130. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
      January 01, 2003 - Lab just called me… Mr. X’s Creatinine is 2.6, how much digoxin has he gotten?” … A program patch had been installed to eliminate unexpected side effects, just prior to the time the

1131. Primary Care Practice Facilitation Curriculum Module 27: Helping Practices Optimize EHRs for Patient-Centered Medical Home Transformation and Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-27-ehr-and-pcmh.pdf
      January 15, 2025 - Just as daily practice huddles are a good way to plan for patient care, huddling with others who support … Clinical decision support (CDS) Clinical decision support: More than just alerts. … The person at the front desk just types away, pushing things to me over the countertop. … Clinical decision support: More than just alerts. Tipsheet.

1132. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
      April 30, 2025 - [Grant] Preventing Medication Errors Due to Unsafe Electronic Prescription Transactions With Just-in-Time … culture in need of improvement, raise awareness of safety culture, evaluate the effectiveness of patient … educational and technical resources needed to understand and execute the practices that support reporting, just … , flexible, and learning cultures. … Participating in a learning network that required all participants to implement Nephrotoxic Injury Negated by Just

1133. Prenatal Care Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-170-fullreport.pdf
      April 01, 2016 - bacteriuria has been linked to a greater risk for pyelonephritis and for low birth weight (< 2500 g); urine culture … diabetes diagnosed both prior to and during pregnancy), was reported at a rate of 42.3 per 1,000 women, (just … Screening for Asymptomatic Bacteriuria Pregnant women should have a urine culture to screen for asymptomatic … their feedback, the test site indicated that maternal serum alpha-fetoprotein (MSAFP) screening, urine culture

1134. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - recognized center for research in diagnosis error by developing team, infrastructure, experience, and culture … recognized center for research in diagnosis error by developing the team, infrastructure, experience, and culture … the ED to defer the test (meaning a wait of perhaps several months in the clinic), or would a more “just-in-time

1135. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
      June 02, 2025 - – Usually occurs just superior to the internal stoma site on the anterior tracheal wall. … ■ Suprastomal collapse – Pressure on tracheal cartilage just superior to the stoma may cause chondritis … ■ Send swab for culture and treat with appropriate topical or systemic antibiotics. … ■ Obtain stool sample for culture. ■ Ask dietician to review feed and rate.

1136. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - errors in the dataset generated from the Web-based system had been placed in the “other” category, and just … within the medical center community and advanced the hospital’s movement toward patient safety-driven culture … Description and outcomes of a custom Web-based patient occurrence reporting system developed for Baylor … Going paperless with custom-built Web- based patient occurrence reporting.

1137. Final Progress Report: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
      January 01, 2025 - In today’s 8 environment, true “effectiveness” requires more than just accomplishing the procedure … continue to limit children’s access to pediatric emergency and subspecialty care.21,22 Race, ethnicity, culture … children experience disparities in their procedural sedation care based on their race, ethnicity, or culture … procedural sedation, or a regimen with a different level of efficacy/safety for the same procedure, just

1138. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
      January 01, 2024 - HRO case studies, including a few healthcare organizations,3 suggest that a robust safety culture enables … More tangibly, safety culture can be seen ‘coming to life’ in HROs through specific behavioral processes … Surgical Neonates Are Not Just Little Children. … Organizational error management culture and its impact on performance: a two-study replication. … The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in

1139. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
      January 01, 2024 - How would you characterize the organizational culture, the way people interact, what it feels like to … To assess our belief that these practices separate into two groups (role versus time changing), based … RE)  Invited and appreciated staff feedback (RE)  Created learning opportunities (ST)  Increased belief … ability of implementation leaders’ strategies/processes to serve as a challenge management strategy, not just … )  Data (e.g., performance data)  External environment (e.g., national attention) Belief about risk

1140. Final Progress Report: Medication Reconciliation: A Team Approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
      January 01, 2024 - The beliefs and attitudes of patients and their caregivers are influenced by their environments (i.e … institutional relationships (patients who receive their care from a particular clinic or hospital), just … and consolidating existing work, and recognizing the impact of team dynamics and organizational culture