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121. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
     June 18, 2024 - behavior training and application Safe tables PFAC committees Safety huddles Causal analysis Just … System Focus Just Culture - consistent understanding and application Financial Stability PSO All … , Equitable, Patient-centered NAP Assessment 2022 2024 Projection Patient and Family Engagement Just … All rights reserved. 41 Quality and Safety Goals October 2023 • Launched quality belief and new, aligned … All rights reserved. 43 OUR SHARED QUALITY BELIEF Quality connects us.

122. SOPS™ Best Practices for Web-based SOPS Surveys Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/bestpractices-web-sopssurveys-transcript.pdf
     June 12, 2019 - to measure patient safety culture in a variety of facilities. … We just expect that they'll just be increasing in their use. … Let's just see. I think, yes. … Let me just double check. Okay. There's another question that we just got in. … The AHRQ SOPS survey or the AHRQ Surveys on Patient Safety Culture is a safety culture survey.

123. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
     April 01, 2013 - must do based on the evidence to get the best outcome, and teamwork or the behaviors and attitudes and beliefs … that are part of the culture on our units. … There are a number of tools out there that are part of the Just Culture work, there are tools out there … We've developed a culture within our hospital -- and what Chris said or maybe she didn't, maybe I just … remember this from our training -- but culture is how you do things here, and we’ve changed our culture

124. Just in Time Training: Chlorhexidine Cloth Bathing or Showering Plus Mupirocin (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-mupirocin.pdf
     March 01, 2022 - Just in Time Training: Chlorhexidine Cloth Bathing or Showering Plus Mupirocin AHRQ Pub. … No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Section 11-1 – Just … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening test, or clinical culture

125. Learn About CUSP | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/learn/sl-cusp.html
     December 01, 2012 - Culture, and others to provide complete tools to support units in improving culture. … Apply CUSP Introduce Just Culture principles. … Learn how Just Culture principles can augment CUSP. Review key steps of the CUSP Toolkit . … A Just Culture system 6 Holds itself accountable. Holds staff members accountable. … Just Culture. Plano, TX: Outcome Engineering; 2011. Pronovost P, Goeschel C, Colantuoni E, et al.

126. 170-Cusp-Science-Safety-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
     October 01, 2024 - Slide 12 So… What Is a Safety Culture? SAY: So, what is a safety culture? … 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 … 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 you’ll need.

127. Just in Time Training: Chlorhexidine Basin Bathing or Showering Plus Mupirocin (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-liquid-mupirocin.pdf
     March 01, 2022 - Just in Time Training: Chlorhexidine Basin Bathing or Showering Plus Mupirocin AHRQ Pub. … No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Section 11-2 – Just-in-Time … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening tests, or clinical culture

128. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
     December 01, 2012 - Just Culture, which is described in more detail later in this presentation.. … Learn how Just Culture principles can augment CUSP. Review key steps of the CUSP Toolkit. … A Just Culture learning environment allows the review of both system design and the employee's choice … Shared responsibility is the norm in a Just Culture, and a commitment to eliminating the possibility … of error is widespread within a Just Culture

129. Learn Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
     April 01, 2013 - Culture, and others to provide complete tools to support units in improving culture   Slide … directions Change in team members Work load   Slide 27 Apply CUSP Introduce Just … Culture principles Learn how Just Culture principles can augment CUSP Review key steps of the CUSP … Toolkit A Just Culture system 6 Holds itself accountable Holds staff members accountable … Just Culture. Plano, TX: Outcome Engineering; 2011. Pronovost P, Goeschel C, Colantuoni E, et al.

130. Using the AHRQ Medical Office Survey on Patient Safety Culture (SOPS) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/using-medical-office-transcript.pdf
     April 29, 2011 - On the other side of the scale, comments were that staff were just really not responsive to filling … You're just getting the feelings of the person that day. … Some, about a quarter, were just going to provide written reports only. … As noted, these are just a preview of the results and the full results including breakouts by staff … just the hospital employees but all the offices.

131. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/international/hospital/translators.html
     October 01, 2014 - 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 group … the word "culture" in the title. … 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.

132. Cauti-Sustainability-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
     January 01, 2014 - Not using data is part of the culture of safety. … I talk about creating a culture of confidence. … of possibility, optimism, and self-belief drown out the voices of self-doubt. … This is 1 way to make sure the culture of confidence maintains that culture of optimism. … It was just part of their process.

133. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
     June 01, 2021 - use · Recognize that patient harm is largely preventable · Recognize that changes to the system, not just … Can you imagine giving an antihypertensive medication such as lisinopril “just in case” someone has high … For example, if a patient is at the end of life, clinicians may start antibiotics just to “do something … On Saturday, a nurse aide noted that a 76-year-old woman in the facility did not eat breakfast and just … been for someone from the antibiotic stewardship team to review the charts of residents on whom urine cultures

134. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
     March 01, 2017 - of Culturing: The Importance of Knowing When to Order Urine Cultures Facilitator Instructions This educational … situation-background-assessment-recommendation) to effectively communicate resident care and when to order urine cultures … Mullins, a resident of Sunny Terrace Long-Term Care, has just been transferred back from a stay in the … I think it’s just pulling on her leg. Dr. Killbug: You think she’s got leg pain? … Nurse Nohai: Catheters just aren’t good for our patients.

135. 012-Blood-Culture-Practices-Webinar (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
     October 01, 2024 - Unfortunately, up to half of these positive blood cultures may represent blood culture contaminants rather … acceptable, but a growing consensus argued that a more stringent standard was not just achievable but … For example, one study of ICUs in Europe reported a blood culture utilization rate of 60 blood cultures … by blood culture contamination or S. aureus cases, which require repeated blood cultures. … Slide 16 Blood Culture Collection Process SAY: When collecting blood cultures, the number of sets

136. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
     March 01, 2025 - and Its Relationship to Readmissions Culture is the learned, shared patterns of beliefs, values, attitudes … play, such as the culture of the provider, the culture of the patient, and the culture of the health … Hiring Bilingual, Bicultural Discharge Educators Staff who share the language and cultural background … Just like English-proficient patients, not all patients with LEP can read in their preferred language … backgrounds has often been debated.    

137. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
     March 01, 2025 - and Its Relationship to Readmissions Culture is the learned, shared patterns of beliefs, values, attitudes … play, such as the culture of the provider, the culture of the patient, and the culture of the health … Hiring Bilingual, Bicultural Discharge Educators Staff who share the language and cultural background … Just like English-proficient patients, not all patients with LEP can read in their preferred language … backgrounds has often been debated.    

138. Preventing-Cauti-Icu-Setting-Module 1-Speaker-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
     September 01, 2015 - We know that just because a patient is in the ICU, the patient may not require a urinary catheter. … SLIDE 11 SAY: In some instances, resistance to changing catheter use practices comes from the belief … Behavior-based beliefs are a challenge. … SLIDE 15 SAY: Many ICUs obtain cultures from multiple sites when a patient has a temperature spike … the temperature increase should warrant a critical evaluation of the patient rather than an automatic culture

139. Organizational Embrace of CUSP to Improve Patient Safety (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
     April 01, 2013 - interested in having areas that don’t have CUSP teams but that already do have strong, mature safety cultures … to one of a culture of safety. … Our two hospitals have very different cultures, so sometimes our delivery methods and communications … need to adapt to the different cultures. … Our organization is going through a very formalized approach to just culture and decisionmaking around

140. Module 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1.html
     February 01, 2023 - We know that just because a patient is in the ICU, the patient may not require a urinary catheter. … In this way, you can see trends and beliefs related to catheter use. … Challenges Narration: In some instances, resistance to changing catheter use practices comes from the belief … Behavior-based beliefs are a challenge. … Slide 16: Behavioral or Cultural Factors Narration: Many ICUs obtain cultures from multiple sites