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121. Previous SOPS Webcasts | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/webcasts/previous.html
     June 01, 2023 - (February 19, 2020) Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … (July 25, 2018) New AHRQ SOPS Value and Efficiency Supplemental Items (January 9, 2018) Using Just … Culture to Improve Hospital Survey on Patient Safety Culture Results (November 9, 2016) Introducing … the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture  (July 15, 2015) Success Stories … Safety Culture (April 29, 2011)

122. Health IT Patient Safety Supplemental Items for the SOPS Hospital Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/surveys/hospital/supplemental-items/health-it.html
     September 01, 2025 - Safety Supplemental Items for the SOPS Hospital Survey The AHRQ Surveys on Patient Safety Culture … with the core  SOPS Hospital Survey to help hospitals assess the extent to which their organization's culture … The 15 supplemental items may be added to the end of the Hospital Survey, just before the Background … Pilot study results are available for just over 9,000 hospital respondents who completed the supplemental

123. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - A Just Culture supports disclosure and learning from errors and encourages viewing every event as an … This element supports the creation of just culture. … Improved culture of safety as a result of open, fair, and just management of individual and system issues … More information on Just Culture can be found in the Apply CUSP module of the AHRQ CUSP Toolkit. 12 … to a systems approach to Event Investigation and Analysis supports a Just Culture.  

124. 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.

125. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
     December 01, 2017 - Second is the physician culture can also be a barrier. … Secondly to reframe values and beliefs, third was to segment the engagement plan. … The second element is about reframing values and beliefs. … Of course this requires a change in beliefs and attitudes. Next slide. … Have a belief in what you're doing.

126. 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

127. 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.

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. 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

130. 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.

131. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
     January 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items Ambulatory Surgery … Ambulatory Surgery Center Survey on Patient Safety Culture are grouped according to the safety culture … Safe Surgery 2015: South Carolina Tool 2: Surgical Safety Culture Survey. … Just before the start of procedures, all team members stopped to discuss the overall plan of what was … Just before the start of procedures, the doctor encouraged all team members to speak up at any time if

132. 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.

133. 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.

134. 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

135. 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.

136. 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.

137. 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.

138. 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.    

139. 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.    

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