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161. Infectious Complications Related to the Catheter Other Than CAUTI | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-slides.html
     December 01, 2017 - for MDRO, and Clostridium difficile Solution: minimize catheter exposure, avoid unnecessary cultures … Slide 31 How Culture Plays a Role in CAUTI Prevention Kathlyn E. … The people who don't, you know, just think it is a burden.” … –RN Slide 41 Nurses and Physician Barriers Especially in the ICU, the belief in the need for … And then also just the documentation of it.

162. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
     September 26, 2023 - cultural assessment, site-specific planning and coaching efforts Fostered leadership engagement and Just … Culture of Safety Safety values and practices are used to prevent harm and learn from mistakes. … learning opportunities and a network of peer-to-peer connections Foundational training in HRO concepts, Just … Culture principles and error management tools HRO Baseline Training Safety behaviors and practices … When something goes wrong, I trust my organization and leaders will correct it and treat everyone in a just

163. AHRQ’s Surveys on Patient Safety Culture® for New Users - Rose Tyler (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-overview-webcast-tyler.pdf
     January 01, 2025 - AHRQ’s Surveys on Patient Safety Culture® for New Users - Rose Tyler AHRQ’s SOPS Program www.ahrq.gov … /sops Rose Tyler User Network for AHRQ’s Surveys on Patient Safety Culture, Westat http://www.ahrq.gov … Supplemental Items SOPS Core Survey + SOPS Supplemental Items— All items or selected sections + Custom … Survey Items = Customized SOPS Survey • Optional SOPS supplemental items and/or custom items can … be added just before the background questions at the end of the core SOPS survey. 14 Why Use the

164. Antibiotic Stewardship Slides, Part 1: Hand Hygiene
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
     March 01, 2017 - If there are no signs or symptoms, then don’t send a urine culture. … “Extra urine cultures lead to extra antibiotics—and that’s not good for anyone.” … Family says: “Let’s just give him antibiotics just in case.” … In our second example, the family says: “Let’s just give him some antibiotics just in case.” … Second, that positive urine cultures do not indicate CAUTI.

165. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
     April 01, 2025 - Learn, don’t just recover, when things go wrong.  … It refers to the values, beliefs, and norms that are shared by healthcare practitioners and other staff … Patient safety culture can be measured by determining the values, beliefs, norms, and behaviors related … Personal responsibility is just one factor. Focus on systems, not individuals. … What Is Patient Safety Culture?

166. Diagnostic Safety Supplemental Items for Medical Office SOPS | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/surveys/medical-office/supplemental-items/diagnostic-safety.html
     October 01, 2024 - Diagnostic Safety Supplemental Items for Medical Office SOPS The AHRQ Surveys on Patient Safety Culture … SOPS Medical Office Survey to help medical offices assess the extent to which their organization's culture … The 12 supplemental items may be added to the end of the Medical Office Survey, just before the Background … Diagnostic Safety Items Diagnostic Safety Results 2024 Results for the AHRQ Surveys on Patient Safety Culture … contains references to websites that provide resources medical offices can use to help improve the culture

167. Organizational Embrace of CUSP to Improve Patient Safety (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
     June 01, 2013 - in multiple areas of the hospital to reduce harm beyond CLABSI and CAUTI and to improve the overall culture … performance Pay structure and clinical ladder Decreased agency Web-based error reporting system Just … Culture principles Resilience Resource Team Return to Contents   Slide 24. … Connecting the Dots   A diagram that shows that just culture, open communication, CUSP Teams, resilience … of safety and just culture Stop the Line Policy Return to Contents   Slide

168. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
     January 01, 2024 - safety and effective error disclosure as well as the provider-centered implementation of “Just Culture … CULTURE Outcomes: ERROR DISCLOSURE & JUST CULTURE PATIENT-CENTERED CARE Recognizing this link … Four themes emerged: staff buy-in varied by organization, Error Disclosure Training enhanced Just Culture … The 27-item Disclosure Culture scale assessed Error Disclosure Coach trainee beliefs regarding organizational … TH, PI. 10 Innovation Hospitals are complex and sophisticated environments with deeply entrenched cultures

169. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
     September 01, 2015 - immobile intensive What the science & evidence show: CAUTI is a serious patient safety issue.1 “It’s just … • It's about more than just the Foley. … RETHINK THE “CULTURE OF CULTURING” URINE Reflex pan culturing may lead to C. difficile infection. … Change the culture. Visit www.ahrq.gov/CAUTItools for more information. 1. Bell L. … Change the culture. Visit www.ahrq.gov/CAUTItools for more information.

170. Identifying Targets for Improvement in Antibiotic Decision Making (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
     November 01, 2019 - to another  Prescribing excess durations of antibiotic therapy when shorter durations should be just … Slide Adaptive Problems SAY: Adaptive problems are those that require a change in attitudes, beliefs … Remember: just because antibiotics are broader spectrum does not mean they will be more effective for … Sputum cultures grow a pan-susceptible E. coli. … A sputum culture is pending.

171. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
     August 22, 2023 - metrics • Ensuring just culture and transparency after harm • Review of harm reporting timeliness … • Make Sure the Board understands how you ACT on concerns about safety and how just culture connects … • Useful videos to explain Safety and Just Culture to your board: 1. https://www.youtube.com/watch … Board Culture and Commitment Culture of Safety – Is your board on board? … Boards need to not just review quality metrics but more deeply support a culture of safety and understand

172. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - Influences Patient Safety Culture? … Human Error 1990 Patient Safety Culture in Nursing Homes • Safety culture scores are lower on average … to one which is just … Safety Culture Medical Error: A Leading Cause of Death Patient Safety Culture: An Increasing Priority … The Importance of Safety Culture What Influences Patient Safety Culture?

173. Facilitator Guide: Engage Senior Executives in Surgical Site Infection Prevention Work (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
     December 01, 2017 - For example, preventing surgical site infections is not just about giving the right antibiotic at the … Adaptive work addresses the attitudes, beliefs, and values of clinicians that drive behaviors, norms, … However, not all leaders are great at building this culture. … It is much easier to engage someone (anyone, not just executives) if you can be clear about what will … Don’t just invite them to come to the unit and walk through the OR with you.

174. Engaging Senior Executives: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
     December 01, 2017 - For example, preventing surgical site infections is not just about giving the right antibiotic at the … Adaptive work addresses the attitudes, beliefs, and values of clinicians that drive behaviors, norms, … It is much easier to engage someone (anyone, not just executives) if you can be clear about what will … Consider a brief safety culture summary, highlighting important points or culture score results. … Don’t just invite them to come to the unit and walk through the OR with you.

175. National Action Alliance Webinar June 18, 2024: Empowering Patient Voice in Safety Strategies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-june-2024.pdf
     January 01, 2024 - 2) Psychological Safety: Please push back or disagree or just ask questions as Pam, Deanna, and … be the Leader in Improving Child Health Simplified View of our Journey Pursuing Perfection Culture … of Improvement HRO: Culture of Safety/ Operational Excellence Solutions for Patient Safety … 2) Psychological Safety: Please push back or disagree or just ask questions as Pam, Deanna, and … 2) Psychological Safety: Please push back or disagree or just ask questions as Pam, Deanna, and

176. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
     January 01, 2014 - impact of unnecessary antibiotic use in causing C. difficile infection Summarize the role of unit culture … risks for MDRO, and Clostridium difficile Solution: minimize catheter exposure, avoid unnecessary cultures … The people who don't, you know, just think it is a burden.” … -RN Nurse and physician barriers 41 Especially in the ICU, the belief in the need for close monitoring … And then also just the documentation of it.

177. Value and Efficiency Supplemental Items for the SOPS Hospital Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/surveys/hospital/supplemental-items/value-efficiency.html
     December 01, 2024 - Efficiency Supplemental Items for the SOPS Hospital Survey The AHRQ Surveys on Patient Safety Culture … The 26 supplemental items may be added to the Hospital Survey, just before the Background Questions. … developed and pilot tested for providers and staff in hospitals and ask for their opinions about the culture … provide practical resources hospitals and medical offices can use to implement changes to improve the culture

178. Workplace Safety Supplemental Items for the SOPS Nursing Home Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/surveys/nursing-home/supplemental-items/workplace-safety.html
     June 01, 2025 - Safety Supplemental Items for the SOPS Nursing Home Survey The AHRQ Surveys on Patient Safety Culture … core  SOPS Nursing Home Survey to help nursing homes assess the extent to which their organization's culture … The 23 supplemental items may be added to the end of the Nursing Home Survey, just before the Background … Resources Nursing homes can use these resources to implement changes to improve the culture of workplace

179. Hospital Administrative Staff vs. Nursing Staff Responses to the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
     February 24, 2008 - and generated reports to share with hospitals as a basis for interventions to improve their safety cultures … this environment, hospital senior management and administrators must be cognizant of the opinions and beliefs … For example, item A10 (reverse-worded) states, “It is just by chance that more serious mistakes don’ … Scores in this dimension remained relatively unchanged between baseline and remeasurement, with just … and administrators must be cognizant of the opinions and beliefs of the frontline staff regarding the

180. 099-Cusp-Guide-Why-Choose-Cusp-Approach (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
     October 01, 2024 - These layers include microsystems of various people, technology, equipment, and policies, just to name … Healthcare providers, just like everyone else, are hesitant to change their way of approaching their … Slide 10 Why Does Culture Matter? … A positive culture of safety can enhance the effectiveness of the CUSP work, just as negative perceptions … information on CUSP provided in this Toolkit for MRSA Prevention is not intended to be comprehensive, but to just