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181. Workplace Safety Supplemental Items for the SOPS Hospital Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/surveys/hospital/supplemental-items/workplace-safety.html
     December 01, 2024 - Workplace 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 supplemental items can be added to the end of the Hospital Survey, just before the Background Questions … to websites that provide practical resources hospitals can use to implement changes to improve the culture

182. Urine Culturing Stewardship in the ICU Setting Facilitator Notes
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
     April 01, 2022 - 1-5 Ordering urine cultures thoughtfully, so they inform (not misinform) the care of individual patients … overuse/CDI More resistant organisms Correct diagnosis missed Implementing Culturing Stewardship28 Beliefs … If skeptical staff think it is just about avoiding penalties— “Yes, this does help us avoid penalties … However, a urinalysis was sent, and this hospital performs reflex cultures. … The influence of contaminated urine cultures in inpatient and emergency department settings.

183. Microbiologic-Specimens-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/microbiologic-specimens-facilitator-guide.docx
     June 01, 2021 - Let’s take a minute to review our indications for collection of urine cultures. … · You just removed a contaminated catheter. … Slide 13 Case 3: Carol SAY: Let’s move on to discuss sample collection of respiratory cultures. … Explain to the resident that you need phlegm from her lungs, not just spit from her mouth. … For example, we often see sputum cultures positive for yeast, or Candida albicans.

184. Final Progress Report: Building Consensus Among States on Patient Safety Reporting (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
     January 01, 2024 - Marx defined a just culture as one that recognizes that even professionals make mistakes and develop … A just culture, he said, realizes that human error is a manageable aspect of any organization, yet has … Marx defined a just culture as one that recognizes that even professionals make mistakes and develop … • There remains an unresolved tension between public accountability and a “just” culture. … A just culture supports open discussion of medical error to improve care delivery systems.

185. AHRQ Views: A Unique Effort To Advance Care for People Living With Long COVID | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/905.html
     March 01, 2024 - Data Submissions Begin June 3 for Survey on Patient Safety Culture® Hospital Database . … Access the chartbook , which includes assessments of patient safety culture and the impacts of COVID … Articles featured this week include: Creating a just culture in the perioperative setting . … submission for AHRQ’s Surveys On Patient Safety Culture® (SOPS®) Hospital Database is open June 3–21 … Patients' and physicians' beliefs and attitudes towards integrating personalized risk estimates into

186. Surgical Safety Team Roles and Responsibilities Tool | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/surgical-roles.html
     December 01, 2017 - Just like clinical teams, effective improvement teams have clearly defined roles and responsibilities … Hospital Survey On Patient Safety Administration Who will administer the safety culture survey? … Who will analyze the safety culture results? … Who will debrief the safety culture results?      

187. How CUSP Enables Nurse Empowerment (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
     April 01, 2013 - We do an annual assessment of our culture. … One of the things that I felt that was important to stress is that there are certain beliefs or unit-based … cultures that predispose for success. … And you really need the hospital leadership, unit-based leadership, to belief that the staff who are … And in general, you have to have a culture that speaks up about patient safety.

188. St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201709.html
     June 01, 2017 - Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee … "AHRQ's Hospital Survey on Patient Safety Culture is an essential tool that we use each year for patient … Because patient safety culture occurs mainly at the hospital unit level, St. … Since its release in 2004, AHRQ's Hospital Survey on Patient Safety Culture has been used by hundreds … "Just as we work to engage staff through the AHRQ safety culture survey, our research using the AHRQ

189. How To Avoid the Harms of Antibiotic Overuse | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/part-1-slides.html
     February 01, 2019 - Why not just give her an antibiotic? It won't do any harm. Probably the urine. … Asymptomatic Bacteriuria (ASB) Versus CAUTI Bacteriuria ≠ CAUTI Bacteriuria means a positive 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." … increase in antibiotic resistant organisms Be aware of overuse if the resident has a positive urine culture

190. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
     August 20, 2015 - Learn and Apply New Skills Module 8 5 Sustainability occurs when processes, outcomes, ideas, beliefs … with an organization’s commitment to make the necessary changes that promote a timely, thorough, and just … Promote just and fair culture. … staff to report CANDOR events and other adverse patient events by promoting transparency and a fair and just … culture.

191. Integrating Teamwork Tools into CUSP Efforts | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-transcript.html
     December 01, 2017 - There are other important elements of this project, particularly around culture change that have to be … These are more challenging and without a culture and an environment that really promotes teamwork and … Let's just talk real briefly about what is TeamSTEPPS. … Handoffs as we just mentioned. … If you have a culture where this s encouraged, hopefully that won't happen.

192. Integrating-Teamwork-Tools-Into-Cusp-Efforts-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-into-cusp-efforts-transcript.docx
     April 07, 2015 - There are other important elements of this project, particularly around culture change that have to be … These are more challenging and without a culture and an environment that really promotes teamwork and … Let's just talk real briefly about what is TeamSTEPPS. … Handoffs as we just mentioned. … If you have a culture where this is encouraged, hopefully that won't happen.

193. Engaging Staff With Stories: Transcript - Sustainability Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/stories-transcript.html
     June 01, 2017 - Sharing data from the patient safety culture assessment baseline puts the plan in perspective and allows … So, sharing that alone was huge, the patient safety culture assessment baseline. … That was where I had the obstinate anesthesiologist in particular, but, you know, after I just kept visiting … It’s definitely a group effort, and it’s not just within this one facility, it’s the entire group of

194. Healthcare Safety Competencies Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
     May 01, 2025 - Over-Arching Safety Competency Areas and Associated Knowledge Themes    Leadership, Governance, and Culture … Culture of Learning and Safety- Individual and Organizational Just Culture Leadership and Governance

195. Manage-Resident-Uti-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-facilitator-guide.docx
     June 01, 2021 - Remember that residents who have positive urine cultures but have NO symptoms of infection do NOT have … She tells you she just started having a stinging sensation and a feeling of urgency when she urinates … This slide shows just a few lines from a typical antibiogram. … Remember from our culture collection presentation that urine cultures should always be obtained from … It may just mean that you have more information about the resident, like finding out that another medication

196. Appendix L. Intensive Care Unit Infographic Poster | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
     October 01, 2015 - "It's just a Foley, so what's the big deal?" … 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.

197. Final Progress Report: Creating Learning Cultures Around Mistakes for Residents (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
     January 01, 2024 - Learning Cultures Around Mistakes for Residents Timothy J. … mistake, not excusing one’s part in the incident but not letting the event create untrue or exaggerated beliefs … For example, female physicians were just as likely to exhibit the same responses as their male counterparts … This need to integrate learning cultures into existing residency work cultures means mean that the development … Implementing safety cultures in medicine: What we learn by watching physicians.

198. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/bibliography/index.html?page=5
     January 01, 2025 - culture dimensions. … Nonpunitive response to errors fosters a Just Culture. Nurs Manage. 2017 , 48(1): 53-55. … Measuring patient safety culture in pediatric long-term care. … Measuring patient safety culture in Romania using the Hospital Survey on Patient Safety Culture (HSOPSC … Cultural humility and hospital safety culture.

199. Guide to Implementing and Sustaining a Program To Prevent CLABSI and CAUTI in the Intensive Care Unit Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
     April 01, 2022 - Key mindsets in the implementation of this work are high reliability, systems thinking, and Just Culture … With the mindsets of high-reliability, systems thinking and Just Culture as a basis, the following resources … prompt removal o Urine Culturing Stewardship in the ICU Setting – review situations in which urine cultures … The Playbook is a rich document grounded in the mindsets of high reliability, systems thinking, and Just … Culture.

200. Ed-Catheter-Insertions-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
     September 10, 2013 - Real briefly, I just wanted to introduce all three of our speakers. … A few days later, he developed fever and his blood pressure dropped and blood cultures are done and the … urine cultures also; they grew the same organism, Ecoli, and he is diagnosed to have CAUTI and septicemia … What is the culture? What is your nursing culture? What is your physician culture? … Shawn Horton: Okay, I just have a quick question.