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  1. 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
  2. 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.
  3. 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.
  4. 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
  5. 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 justCulture, 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
  6. 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.
  7. 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.
  8. 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.
  9. 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
  10. 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
  11. 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.
  12. Paul Tedrick (doc file)

    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.
  13. 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.
  14. 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
  15. 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
  16. 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.
  17. 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
  18. 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 "Justculture and systems thinking. … Just to remind everyone, this is our solutions meeting for [brief description of event].
  19. 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!
  20. 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 “justculture,” where reporting does not lead to retribution. … Remember that this is part of a culture change. … “Just culture” environment.

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