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201. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
     April 01, 2013 - They also felt that there was never any failure in the belief that blood stream infections were preventable … Or “They have a different culture than we do.” … essentially people’s perceptions of the culture. … If somebody decided they wanted to do just culture, I think that they would probably be able to do that … Just trying to be more creative about just having meetings.

202. The Role of Leadership in Quality Improvement Efforts (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Role_of_Leadership_In_QI-_2011_11_01.pdf
     January 01, 2011 - Like culture, leadership is another important aspect in any improvement effort, not just with patient … Can you talk a little bit about how leadership and culture are related? … That sets the culture of an organization. Carla Zema That’s great. … board every month to ensure that they’re hearing about the quality improvement work that you do is just … And so if you’re having trouble getting your issue on to the leader’s agenda, pulling together not just

203. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
     December 01, 2017 - 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.

204. Engaging-Staff-Stories-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/engaging-staff-stories-transcript.docx
     May 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

205. Nursingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursingnotes.docx
     June 02, 2025 - The CUSP framework is a proven tool that nurse managers can use to improve the safety culture on their … Because nurse managers are in a position to align the unit’s goals and processes with a culture change … Nurse managers can help the CUSP team implement Just Culture principles on their unit to reinforce peer-to-peer … role, nurse managers use a socio-adaptive skill set that encourages the use of teaching, coaching, and Just … The Just Culture framework supports nurse managers’ work because it engages staff and supports teamwork

206. Understanding SOPS Surveys: A Primer for New Users - Gray (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-3-gray-2018.pdf
     January 01, 2018 - Surveys 10 Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture … (SOPS) Westat What is Patient Safety Culture? … 11 12 AHRQ Surveys on Patient Safety Culture Surveys of providers and staff about the extent to … Test new items with new areas of focus, such as Just Culture 4. … AHRQ Surveys on Patient Safety Culture Areas of Patient Safety Culture Assessed Across SOPS Surveys

207. Value and Efficiency Supplemental Items for the SOPS Medical Office Survey | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/surveys/medical-office/supplemental-items/value-efficiency.html
     December 01, 2024 - Efficiency Supplemental Items for the SOPS Medical Office Survey The AHRQ Surveys on Patient Safety Culture … The 21 supplemental items may be added to the Medical Office Survey, just before the Background Questions … developed and pilot tested for providers and staff in medical offices and ask for their opinions about the culture … provide practical resources hospitals and medical offices can use to implement changes to improve the culture

208. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/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.

209. Implementing the CMS Patient Safety Structural Measure: Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-slides.pdf
     May 13, 2025 - implementation of patient safety competencies for all Hospital has action plan for workforce safety Written just … culture policy to that balances no blame and appropriate accountability Culture of Safety and Learning … Systems Hospital conducts hospital- wide culture of safety survey Our hospital implements at least … is in terms of progress and growth • Organizations will receive a total score for each area: • Just … Analytics • Performance Improvement Methodologies such as PDSA • Ethical Standards 20 PSSM Domain 3 Culture

210. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
     August 01, 2022 - Leadership and Culture: Are governance/senior leaders regularly and thoroughly briefed on risks and … Has a safety culture survey been completed? … Does a "just culture"—in which frontline personnel feel comfortable with reporting and "disclosure"—exist … Is the safety and quality culture assessed annually? … Culture Measurement and Feedback: Were the results of the most recent safety and culture surveys

211. Presentation: Engaging Senior Executives
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
     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 … composite scores graphs Consider a brief safety culture summary, highlighting important points or culture … Don’t just invite them to come to the unit and walk through the OR with you.

212. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
     January 01, 2020 - refers to the beliefs, values, and norms shared by staff throughout the organization that influence … Patient safety culture is the extent to which these beliefs, values, and norms support and promote patient … Just before the start of procedures, the doctor encouraged all team members to speak up at any time … 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

213. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/bibliography/index.html?page=4
     January 01, 2025 - Good Catch Campaign: Improving the perioperative culture of safety. … Patient safety culture from a nursing point of view in a broader context. … Promising practices for improving hospital patient safety culture. … An assessment of the impact of Just Culture on quality and safety in US hospitals. … Perception of patient safety culture in pediatric long-term care settings.

214. Best Practices for Administering SOPS® Surveys Users (Webcast): Sorra Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-sorra.pdf
     January 01, 2024 - Project Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 12 Selecting … Survey • SOPS supplemental item sets or customized questions should be added to the end of the survey, just … to the SOPS Databases • Develop your final, customized SOPS Survey SOPS Supplemental Items or Custom … they use the complete SOPS trademarked survey without edits or deletions − Ensure they can accommodate custom … Delivery of results is NOT the end point in the survey process, it is just the beginning.”

215. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
     June 02, 2025 - AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions SOPS® Hospital Survey Items and … • To participate in the AHRQ Hospital Survey on Patient Safety Culture Comparative Database, the … : Items and Composites In this document, the items in the Hospital Survey on Patient Safety Culture … are grouped according to the safety culture composites they are intended to measure. … It is just by chance that more serious mistakes don't happen around here. (negatively worded) A17.

216. Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Adams-Pizarro_109.pdf
     January 08, 2008 - Introduction Culture change and a positive safety culture are increasingly being identified as essential … Another widely applied model is the “Just Culture” model by David Marx,8, 9 which balances individual … of the culture survey. … Patient safety and the “Just Culture”: A primer for health care executives. … Patient safety and the “Just Culture.” The Just Culture Community; 2007.

217. AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201809.html
     January 01, 2019 - Shah reviewed urine culture orders and canceled orders for catheters that did not meet criteria requiring … Specifics about the urine culture: The reason for the culture, ordering physician, and a variety of … symptom data are collected, which Shah uses to determine whether the ordering of the culture met requisite … effective in continuing to prevent infection, she noted, explaining that CAUTI cases dropped further to just

218. Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
     January 01, 2008 - change, just as they need to learn how to eliminate infections. … Culture is the underlying values, beliefs, and assumptions that make an organization or group distinct … current culture, and implement interventions intended to improve culture. … Keep a “Laser-Sharp” Focus on Patients Hospitals, clinicians, and local cultures are unique, and sometimes … The KICU project reinforced our belief that inferences regarding the benefit of a quality improvement

219. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/sops/bibliography/index.html?page=4
     January 01, 2025 - Good Catch Campaign: Improving the perioperative culture of safety. … Patient safety culture from a nursing point of view in a broader context. … Promising practices for improving hospital patient safety culture. … An assessment of the impact of Just Culture on quality and safety in US hospitals. … Perception of patient safety culture in pediatric long-term care settings.

220. Appendix B. Decisionmaking and Readiness for Implementation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
     September 01, 2013 - clinical trials versus adoption after definitive trials must be determined based on local needs and culture … obtain, a simplified estimate can be made by identifying all ICU patients who have a positive blood culture … Determining MRSA clinical cultures. … The order of approaching these key stakeholders will depend on the culture, standard processes, and existing … Is universal decolonization just about reducing MRSA? No.