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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/theresa-famolaro-slides-12-45.pdf
July 22, 2019 - Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture … Reduce infections and surgical harm through the use
of a surgical safety checklist
► Improve safety culture … existing surveys
Interviewed
experts and ASC
staff
Identified key
areas of patient
safety culture … Good Fair Poor
87%
positive
22
Communication in the Surgery/Procedure Room
% Positive Response
Just … start of procedures, all team members
stopped to discuss the overall plan of what was to be done 92%
Just
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - But I want to point out to you that safety culture is not— the need to improve safety culture, that is … So this slide, what do we mean when we say ‘safety culture'? … And it doesn't just apply to health care. I think it's applicable to just about every area of life. … And it does take time to improve culture on the unit. … Our cultures don't evolve overnight and they aren't cured overnight.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - But I want to point out to you that safety culture is not— the need to improve safety culture, that is … So this slide, what do we mean when we say ‘safety culture’? … And it doesn’t just apply to health care. I think it’s applicable to just about every area of life. … And it does take time to improve culture on the unit. … Our cultures don’t evolve overnight and they aren’t cured overnight.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
July 01, 2017 - Are there certain species found in the urine culture that should be considered red flags and that will … antibiograms for urinary tract pathogens from the local hospital if you don't have antibiograms of cultures … Consider what factors or pressures may be driving the physician’s repeated rounds of cultures and antibiotics … For example, if you think the antibiotic use is just a reflex or habit, you might bring up the concept … How can I explain to a resident why we decided to not conduct a urinalysis or urine culture?
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www.ahrq.gov/es/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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.docx
March 01, 2017 - Are there certain species found in the urine culture that should be considered red flags and that will … antibiograms for urinary tract pathogens from the local hospital if you don’t have antibiograms of cultures … Consider what factors or pressures may be driving the physician’s repeated rounds of cultures and antibiotics … For example, if you think the antibiotic use is just a reflex or habit, you might bring up the concept … How can I explain to a resident why we decided to not conduct a urinalysis or urine culture?
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - However, changing culture is the key to sustain safety and improve outcomes for our patient. … It is a culture change. … And also working toward a helping unit collaborative-type culture. … And it just worked beautifully. … It just seemed to fit our culture well.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - moments of antibiotic decision
making, management of asymptomatic bacteriuria
largely falls under just … culture can be as low as
1,000 cfu per mL of a urinary pathogen. … therapy is
preferred for empiric therapy, and you should avoid
giving intravenous, or IV, therapy just … Third, a positive urine culture is considered ≥ 1,000 CFU
per mL of a urinary pathogen. … Therapy should be
narrowed based on culture results.
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www.ahrq.gov/news/newsletters/e-newsletter/947.html
February 01, 2025 - Just 3 percent of those without any of these conditions experienced transportation issues. … Project Provides Insights To Optimize Respiratory Culture Practices . … 38 experts, these practices outline key practices, including preparation before deciding to obtain cultures … , clinical indications for obtaining cultures and scenarios in which to avoid obtaining them, methods … for specimen collection, and interpretation of culture results.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-user-guide.pdf
July 01, 2018 - values,
beliefs, and norms about what is important and what attitudes and behaviors are expected and … the order of the items or response options, deleting one or more items, or
adding supplemental or custom … If possible, we recommend surveying staff using a
combination of the two sample types just described … It is just by chance that more serious mistakes don’t happen around
here ........................... … It is just by chance that more serious mistakes don't happen around here.
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www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
January 01, 2024 - that learning is enhanced when teachers make the effort to elicit their learners’ prior knowledge and beliefs … a team’s knowledge about the content and
communicative process of an error disclosure event, their beliefs … The
iterative development process strengthened our belief that the key constructs were covered in the … Just as the timing of apologies differed considerably, the content of apologies differed. … There’s just no way that can happen
otherwise.”
Med RN: “That it is okay to apologize.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empower-staff-transcript.pdf
April 01, 2022 - Anne: I think the biggest thing to address here is the culture of a hierarchy in medicine. … They may just feel like it's not their place. … really simple thing that people can do to start the process of breaking down
hierarchy in the unit culture … Don't just say, “Sorry, your
glove is dirty.” And then walk out of the room. … to relearn some of the habits that we've all
been doing for, in some cases, a long time, but this culture
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
June 01, 2021 - Finally, you will be able to list common resident signs and symptoms that warrant collecting urine cultures … Slide 7
Case 1
SAY:
Let’s look more deeply into the case we just discussed. … Slide 12
Case 2: Question 1
SAY:
Based on the information you just saw and heard, what would you … Cultures taken from the drainage bag or from the proximal port of the catheter do not necessarily reflect … Urinalysis and urine cultures should only be sent if the resident is symptomatic, NOT if urine appears
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
August 01, 2022 - CANDOR Policies & Processes
Yes
Inconsistent/
Unsure
No
Comments
Leadership and Culture … 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
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www.ahrq.gov/news/newsroom/case-studies/201524.html
August 01, 2015 - "CUSP is one resource in our toolkit to build our culture of safety." … including establishing a system-wide, multidisciplinary patient safety team, and implementing "Fair and Just … other AHRQ tools, including the Agency’s TeamSTEPPs program, its Hospital Survey on Patient Safety Culture … The tools have focused on four patient goals: improving the culture of safety; medication safety; infection … AHRQ's Hospital Survey on Patient Safety Culture, which helps hospitals assess staff perspectives on
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www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - Culture of Prevention [Slide 12]
Nazleen Bharmal: You know, it's an exciting time to be in health … The foundation for the culture of prevention is built, not only in prevention at the community level, … When we talk about building this culture of prevention, it's not about just the programs and policies … take that next step in this office, in this new tenure, to work with communities to change many norms, beliefs … But I'll just give one.
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www.ahrq.gov/ncepcr/tools/cultural-competence/planclas.html
July 01, 2019 - assessment alone may well be an excellent first choice for a quality improvement project for many plans just … goals will recognize that members have different customer-service and health-care needs based on their cultural … backgrounds.
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www.ahrq.gov/hai/cusp/modules/index.html
August 01, 2019 - Apply CUSP
The Apply CUSP module of the CUSP Toolkit introduces Just Culture principles, which emphasize … The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh19.html
April 01, 2018 - Culture Type Map to Procedure Types
Appendix F. Algorithms
Appendix G. … 1997 and staying close to that level until 2001, at which point these surgeries increase steadily to just … comparison, total hip replacement surgeries begin at around 250,000 annually in 1993, increase slowly to just … above 300,000 annually in 2001, then increase to just above 400,000 annually by 2007.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … UNC Hospitals Scores Compared to the AHRQ SOPS
Database Teaching Hospitals Scores
Patient Safety Culture … of Safety
Workgroup:
Develop operations and
structure for supporting
culture of safety
Event … Just Culture and Safety Culture
education
• Implement process throughout the Medical Center within … Culture of Safety Improvement Project UNC Medical Center
Where were we? 2017
Where were we?