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www.ahrq.gov/sites/default/files/2024-07/carroll-report.pdf
January 01, 2024 - The Somali Bantu have distinct historical and
cultural background and traditions as well as linguistic … We have been unable
to find research that systematically explores traditional belief systems of African … It’s just what they believe – it’s kind of cultural thing. … I
just know heart cancer, breast cancer. I don't know where it comes from or what it is. … The Somali Bantu: Their History and Culture.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report … Part II
Surveys on Patient Safety Culture™ (SOPS®)
Ambulatory Surgery Center Survey:
2021 User Database … Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … Surveys on Patient Safety
Culture™ (SOPS®) Ambulatory Surgery Center Survey: 2021 User Database Report … measures are much higher
for ASCs participating in the 2021 database compared with patient safety culture
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report … Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … 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 … Just before the start of procedures, the doctor encouraged all
team members to speak up at any time
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - (SIR) and standardized utilization ratio (SUR)
ICU Assessment
Additional data:
Unit patient safety culture … chronic obstructive pulmonary disease
Average line dwell time is 12.4 days; staff relay most left in “just … staff; daily ICU goal sheet not used—it is old and needs revision to be actionable
All cases had blood cultures … documentation did not support
All 6 cases had fever; 2 cases had symptoms of UTI other than fever; all cultures … Institute for Healthcare Improvement’s Plan-Do-Study-Act (PDSA) Worksheet
Video – Addressing Attitudes and Beliefs
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/success-transcript.html
June 01, 2017 - pictures of all the teams that were utilizing the checklist, and we posted them on a bulletin board with culture … And one day, one of the physicians who was adamant about not using the checklist—he just thought it was … a hindrance, he didn’t need it, he was safe already, and he just did not want to use it—saw the bulletin … board and was just looking at all the pictures and thought it was very nice, and he just wanted to know
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules.html
May 01, 2017 - They support learning and implementation efforts to improve safety culture and practices in long-term … Also, specific modules may be used to address areas of safety culture that the facility identifies as … way to identify areas is to review the results from the AHRQ Nursing Home Survey on Patient Safety Culture … Open Communication
Positive Reinforcement
Collaborative Trust and Confidence
Just … Culture and Open Communication
Transcript (en español: Word , 1.57 MB)
4.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
January 01, 2024 - Questions to Run On
• What are safety competencies, and how can they support
safety culture and practice … • Leadership and Governance for Safety
• Shared Vision for Safety
• Just Culture/Culture of Learning … Culture
2. Leadership
3. Patient Safety Risks and Solutions
4. … and caregivers in patients’
healthcare decisions
• Articulate and apply principles of a fair and just … culture
© 2023-2024 University of North Texas Health Science Center (UNTHSC).
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www.ahrq.gov/sites/default/files/2024-07/seid-sobo-report.pdf
January 01, 2024 - enable building the
mutual trust necessary to elicit from interviewees a truer depiction of their beliefs … appointment
Procure consent
Background
information check
Specific and
general attitudes
and beliefs … “[I just do the] regular mom thing. … We were out there for like another hour and [my
daughter’s] like, ‘Mommy, let’s just go home.’….So, … She said ‘just concern yourself with taking care of [your
daughter]….
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-fac-notes.html
December 01, 2017 - Culture Check-Up Tool. … Slide 13: Create Custom Reports in NHSN & NSQIP
Say:
Welcome to this overview of creating custom … Slide 14: Using Data To Drive Quality Improvement
Say:
We have just learned how to obtain data … Slide 15: Data Reports: NHSN
Say:
These slides will provide an overview of generating custom reports … Slide 28: Data Reports: NSQIP
Say:
These slides will provide an overview of generating custom reports
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action_facnotes.docx
December 01, 2017 - Culture Check-Up Tool. … Slide 12
Create Custom Reports in NHSN & NSQIP
SAY:
Welcome to this overview of creating custom reports … Slide 13
Using Data To Drive Quality Improvement
SAY:
We have just learned how to obtain data on safety … Slide 14
Data Reports: NHSN
SAY:
These slides will provide an overview of generating custom reports … Slide 27
Data Reports: NSQIP
SAY:
These slides will provide an overview of generating custom reports
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www.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - and Communication
Briefing in Action
Daily Goals
Using the Daily Goals Checklist
Understand Just … Culture
Accountability
Debrief on Accountability
Peer to Peer Coaching
The Role of the Nurse
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - King, Beth Kohsin, Mary Salisbury
Abstract
Advancing to a culture of safety requires a systems change … Effective teams did not just happen. … It was discovered that teamwork was not just a
simple tool to organize staff and improve outcomes, but … Experience with this phased delivery design reveals that implementing
teamwork is greater than just … outcomes to a team-driven culture of safety.
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsr2.html
February 01, 2014 - have very little understanding of how and why some delivery system organizations develop effective cultures … and culture (arrow not drawn in the model). … , and external incentives also influence outcomes directly and not just through their impact on care … Suggested Key Areas for Delivery System Research
Even with criteria as specific as those I have just … More specifically, research should focus on:
Improving transitions in care, not just from inpatient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - mistake, not excusing one’s part in the incident but not
letting the event create untrue or exaggerated beliefs … which it was possible to track a surgery team mistake or near miss through to its
final outcome, just … Just 3 of the 26 (12 percent) MICU team
mistakes and near misses occurred in a group care situation, … So, I just keep quiet and take
my cues from the attending. … In just a few
instances were there mistakes or near misses with overt facilitating factors that
were
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/surgical_roles.docx
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?
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/CreatinganEffectiveCustomerServiceTrainingProgram20120501Transcript52312.pdf
May 01, 2012 - would meet the specific learning needs of our
organization and it could be tailored to our unique work culture … And around that same time the system had just begun to deploy a new patient communication strategy that … Not just a top down directive, but truly across the organization, we were here to make this a better … Lisa Sergy
Well the BRITE program has been with us now for, we just had our 5 year anniversary, I’ve … back over the last 5 years, I could say that it’s really been instrumental
in changing our learning culture
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
June 01, 2021 - She stated that she wanted to “just go back to bed.”
Slide 8
Case 1: Elma R. … Let’s get a UA and urine culture. … The lab just called me and he has an antibiotic-resistant organism growing in his urine culture. … The lab just called to notify me that he has a resistant organism in his urine. … I'm calling because our policy states that I must inform the on-call physician about all positive cultures
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www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-fac-guide.html
February 01, 2017 - 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 … to cross the line to come in and see you in your space, they are eager for you to invite them to do just … Consider a brief safety culture summary, highlighting important points or culture score results. … Do not just invite them to come to the unit and walk through the ICU with you.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/infotransNHSOPS.pdf
January 01, 2010 - 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 … the word “culture” in the title. … The Nursing Home Survey on Patient
Safety Culture examines patient safety culture from a nursing home … (More about this
item: “We” includes all staff in the nursing home, not just direct care workers.)
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www.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - The CUSP framework is a proven tool that nurse managers can use to improve the safety culture on their … 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 … Culture Check-up Tool.
Daily Goals Checklist.
Learn From Defects Form.