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www.ahrq.gov/news/newsroom/case-studies/201527.html
September 01, 2015 - "We include AHRQ's Hospital Survey on Patient Safety Culture for our work in 'just culture,' where … Patient and Family Engagement in Hospital Quality and Safety,
Hospital Survey on Patient Safety Culture … Hospitals Toolkit,
Re-Engineered Discharge (RED),
TeamSTEPPS®,
Surveys on Patient Safety Culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/engaging-srexec-facguide.docx
January 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 … or culture score results
ASK:
Do you know how to access your HSOPS aggregate report? … 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/npsd/npsd-patient-safety-culture-brief.pdf
September 01, 2016 - Improve Patient Safety Culture
Developing a culture of safety is an essential task for
health care … Patient safety culture improvement starts with
assessment
2. … The AHRQ Surveys
on Patient Safety
Culture are valuable
tools for assessing
patient safety culture … Unit-based Safety Program (CUSP)
■ Just Culture Training
■ Patient and Family Engagement Training … Promoting a culture of safety as a patient safety
strategy: a systematic review.
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www.ahrq.gov/evidencenow/model/profiles/walkers-point.html
March 01, 2021 - Patients at Walker's Point come from a wide range of economic and cultural backgrounds, and most patients … "We often see people who are pre-something, like pre-diabetic and just starting to get into bad habits
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
June 02, 2025 - approach that health care institutions and practitioners can use to respond in a timely, thorough, and just … organizations and practitioners respond to unexpected patient harm events in a timely, thorough, and just … Culture, system, human factors
Care for the caregivers None Offered immediately
Financial resolution … This table demonstrates just a few of the changes that must occur to realize the goals of the CANDOR … In the CANDOR process, event analysis incorporates Just Culture and system and human factors causes of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-inthe_ED_transcript.docx
June 02, 2015 - We should just be clear about that at the top. … It's just another task for me to do. … In a culture where evidence-based practice is recognized and rewarded, then everyone is more in-line … It's not just a task to be done. … A non-punitive culture, visible and supportive leadership.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-transcript.html
December 01, 2017 - We should just be clear about that at the top. … It's just another task for me to do. … In a culture where evidence-based practice is recognized and rewarded, then everyone is more in-line … It's not just a task to be done. … A non-punitive culture, visible and supportive leadership.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-practices-ed-transcript.html
December 01, 2017 - We should just be clear about that at the top. … It's just another task for me to do. … In a culture where evidence-based practice is recognized and rewarded, then everyone is more in-line … It's not just a task to be done. … A non-punitive culture, visible and supportive leadership.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-transcript.html
December 01, 2017 - Sue: Thank you, Sarah, and it is indeed a honor to be here today to talk with you for just a few minutes … The first step to ensuring this trusting partnership in any setting is to create a culture that promotes … Also, this culture should provide honest, clear, two-way communication in order to facilitate the exchange … Through this process of development of culture that demonstrates mutual respect and honest communication … your previous webinars on different topics, it's very important to foster an open and non-punitive culture
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
July 07, 2015 - Sue: Thank you, Sarah, and it is indeed a honor to be here today to talk with you for just a few minutes … The first step to ensuring this trusting partnership in any setting is to create a culture that promotes … Also, this culture should provide honest, clear, two-way communication in order to facilitate the exchange … Through this process of development of culture that demonstrates mutual respect and honest communication … your previous webinars on different topics, it's very important to foster an open and non-punitive culture
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www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
December 01, 2017 - This is an example from one of these states that we work with in terms of safety culture, using HSOPS … dimensions of safety culture. … It's a hospital environment, and they don't understand the system or culture. … Group education sessions may be well received, because often, patients share common beliefs, and it's … Let's just stop.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
July 09, 2013 - This is an example from one of these states that we work with in terms of safety culture, using HSOPS … dimensions of safety culture. … It’s a hospital environment, and they don’t understand the system or culture. … Group education sessions may be well received, because often, patients share common beliefs, and it’s … Let’s just stop.
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www.ahrq.gov/news/newsroom/case-studies/201806.html
October 01, 2018 - AHRQ’s Safety Attitudes Questionnaire contributed to facility-wide improvements in patient safety culture … Now, the emergency department wait time is just 21 minutes under a streamlined process that has enabled … Bridgeport also strengthened its culture of patient safety when its entire staff—from the receptionists … Hospital-wide, the hospital’s culture of patient safety continued to improve.
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14sum.html
June 01, 2014 - Medical Office Survey on Patient Safety Culture
Executive Summary
Previous Page Next Page … Table of Contents
Medical Office Survey on Patient Safety Culture
Executive Summary
Chapter … is an expansion of AHRQ's Hospital Survey on Patient Safety Culture to the medical office setting … The Medical Office Survey on Patient Safety Culture 2014 User Comparative Database Report consists … for Improvement
The delivery of survey results is not the end point in the survey process; it is just
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap3.html
June 01, 2014 - Medical Office Survey on Patient Safety Culture
Chapter 3. … Previous Page Next Page
Table of Contents
Medical Office Survey on Patient Safety Culture … three-fourths (79 percent) of database medical offices had fewer than 10 providers, but they account for just
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www.ahrq.gov/news/newsroom/case-studies/201520.html
July 01, 2015 - AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to reduce surgical site infections (SSIs) to just … CUSP integrates communication, teamwork, and leadership engagement to create and support a culture of … More importantly, "Amery has developed a culture of accountability" with CUSP, Ms.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-facilitator-guide.pdf
November 01, 2019 - Slide 7
Sepsis: Cultures
SAY:
Patients with suspected sepsis should have blood
cultures drawn … The median time to antibiotic
administration was just under 1 hour. … Remember, there is no requirement to “complete
a course of antibiotics” just because you started
them … have
grown, narrow based on those cultures. … Remember: just because
antibiotics are broader spectrum does not mean
they will be more effective for
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Just Culture
"People make errors, which lead to accidents. Accidents lead to deaths. … The fair and accountable culture is not a blame-free culture, as individuals must still be accountable … SANCTION
Adapted from: Marx D., New York, NY, Columbia University, Patient Safety and the "Just … culture and systems thinking. … Just to remind everyone, this is our solutions meeting for [brief description of event].
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
September 01, 2016 - important step in improving culture. … You can see it in the video how differently Sandy reacted in just a tone of her voice when Olivia was … Peck but Mary just started working on the unit with Jessica and doesn’t want to start off on the wrong … So, just like with the use of CUS, you escalate your concerns up the chain of command. … To Improve Culture
Communication ׀ 21
TeamSTEPPS® Can Help!
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Graham.pdf
April 01, 2004 - The walkarounds promote a “just culture” environment. … opportunity for leadership to actively engage frontline staff in a
discussion around the concept of a “just … culture,” where reporting does not lead to
retribution. … Remember that this is part of a culture change. … “Just culture” environment.