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301. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others (December 10, 2013) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
     December 01, 2017 - We have maintained a culture of subordination to a superior rather than teacher to learner or partner … you become more comfortable with giving people the power to do it on their own, that shame-and-blame culture … You know, having worked in TeamSTEPPS and around culture, not just with the CUSP CAUTI program but with … We're interested in maybe stories that people have of early breakthroughs in changing the culture, that … is to go from a culture of ego and hierarchical structure to the wider interdisciplinary collaborative

302. Navigating-Hierarchy-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
     December 10, 2013 - We have maintained a culture of subordination to a superior rather than teacher to learner or partner … you become more comfortable with giving people the power to do it on their own, that shame-and-blame culture … You know, having worked in TeamSTEPPS and around culture, not just with the CUSP CAUTI program but with … We’re interested in maybe stories that people have of early breakthroughs in changing the culture, that … is to go from a culture of ego and hierarchical structure to the wider interdisciplinary collaborative

303. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
     June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design … The work of Filarte in Milan and the design of the British Army Field Hospital at Renkioi are just … Just as physicians are “independent consultants” representing the patient, so architects are the agents … This document could be just a list of spaces by department and 6 usually does not include … The design process would produce a set of documents that describe the proposed project, just as the

304. Tool: Task Assistance | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/task.html
     May 01, 2023 - Attitudes and beliefs: Some attitudes or group norms restrict team members from offering or requesting … following scenario: Two members of the gastrointestinal laboratory are assessing an older patient who has just … Did your response reinforce the need for assistance and an affirming culture in your teams?

305. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
     March 01, 2021 - organizational design influence patient safety, and how can systems ensure that safety is embedded in their cultures … How important is implementation of Just Culture principles in producing highly reliable outcomes? … What are best evidence-based methods for establishing a Just Culture in hospitals? … organizational cultures that prioritize prevention of harm to patients, their families, and healthcare … reduce burnout Interventions to engage and incentivize executive leaders to foster and sustain care cultures

306. Case Study: Improving Customer Service at Health Share of Oregon (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/health-share-of-oregon-case-study.pdf
     September 01, 2016 - strive to understand what good service means to members and contribute to a service- oriented team culture … An Interview Question to Assess the Fit to the Culture During interviews, the customer service manager … This culture is also reflected in Health Share’s expectations regarding members’ voicemails, which … The CSRs typically attend both the mandatory and optional trainings to better understand not just the … service can be enhanced when staff are encouraged to see members as multidimensional people, not just

307. New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201518.html
     July 01, 2015 - Hospital Survey on Patient Safety Culture , which assesses staff perspectives on patient safety issues … "The training just blossomed across our entire health system," Ms. Kong said. … Jacobs said AHRQ’s Hospital Survey on Patient Safety Culture , conducted about every 18 months and completed … AHRQ Product(s): Emergency Severity Index, Hospital Survey on Patient Safety Culture … , TeamSTEPPS®, Surveys on Patient Safety Culture Topic(s): Healthcare-Associated

308. Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation_facnotes.docx
     December 01, 2017 - Second, have you completed a safety culture survey? … This is the Hospital Survey on Patient Safety Culture or HSOPS survey. … NOTE: HSOPS stands for the Hospital Survey on Patient Safety Culture. … It’s just one process measure initially developed for the colorectal operating room. … Again, these are just some of the process measure tools available to you.

309. Performing an SSI Investigation: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-fac-notes.html
     December 01, 2017 - Second, have you completed a safety culture survey? … This is the Hospital Survey on Patient Safety Culture or HSOPS survey. … Note: HSOPS stands for the Hospital Survey on Patient Safety Culture. … It’s just one process measure initially developed for the colorectal operating room. … Again, these are just some of the process measure tools available to you.

310. Physician Engagement (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
     April 01, 2013 - But the culture was, “Hey, we’re trying hard. Stuff happens. Our patients are sick, not a big deal. … They all boil down, though, to the view that these infections, a true belief that they’re preventable … issue, that if not you, George, and I know you have a great relationship and you work really hard for a culture … And I think we have some culture work to do. … accountable, and making sure that supplies are there, investigating all of these infections, creating a culture

311. Involving Patients and Families in Safety: Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
     July 25, 2023 - landscape assessment of PFE in your organization What is your #1 takeaway from what you just … (CUSP) A national program in partnership with NORC and funded by AHRQ Build a team and safety culture … and funded by CMS focused on the nation’s 24 Indian Health Services hospitals Build and sustain a Just … Culture for IHS hospitals 17 MAPS: Brief Background • MAPS was established as Minnesota’s patient … Each patient added value” Administration • “My favorite part was to see the messy cultures chart transform

312. 5 Tk3 P3T4-Training Slides For Prescribing Clinicians Phase 3 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK3_P3T4-Training_Slides_for_Prescribing_Clinicians_Phase_3.docx
     May 01, 2014 - . · In addition to ordering a urine culture, which of the following procedures would you follow? … Typically, a clinician does not have cultures or test results to identify a specific medication to prescribe … SAY: As you can see, of the cultures used to make the antibiograms, the most common were urine/wound/ … The most common positive urine cultures were…. … Antibiogram SAY: You will also notice from the antibiogram that not all antibiotics are tested—usually just

313. 165-Cusp-Monthly-Meeting-Agenda (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/165-cusp-monthly-meeting-agenda.docx
     June 02, 2025 - Tip: Don’t let this just be a report out. … Revisit Quarterly: Safety Culture and team dynamics check-in: CUSP Champion or designated team member … (s) share progress on culture interventions, good ideas, collaborations that work well, what the team

314. New Jersey Hospital Uses AHRQ Toolkit To Reduce Urinary Tract Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201701.html
     March 01, 2017 - It promotes the judicious use of catheters, urine cultures, and antibiotics. … nurses to earn reward points, acquire best-practice information to support a learning organization culture … Key findings from the project included: A "just-in-time" education platform that used mobile technology

315. Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
     February 01, 2023 - We know that just because a patient is in the ICU, the patient may not require a urinary catheter. … Slide 12 In some instances, resistance to changing catheter use practices comes from the belief that … Behavior-based beliefs are a challenge. … Slide 16 Many ICUs obtain cultures from multiple sites when a patient has a temperature spike. … Once you have helped contribute to that safety culture, you will need to sustain your progress.

316. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
     March 27, 2025 - A Blueprint for Success 2017 A blueprint of clear actions leaders can take to develop a safety culture … 2019 This framework focuses on the discipline of quality and safety across all healthcare roles, not just … Leadership, Governance, and Culture Safety Science • Leadership and Governance for Safety • Shared … Vision for Safety • Just Culture • Culture of Learning and Safety- Individual and Organizational … • Culture of Learning and Safety- Individual and Organizational • Just Culture • Leadership and

317. The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
     May 25, 2023 - Establish standards 27 Audience Question “What message would you like to add to what you have just … “Please remember that equity is not just a matter of skin color, language and national origin, but that … Total Score Current State Description Recommended Actions 7–11 Just Beginning • Create an action … all senior leaders are trained and understand the principles of patient safety. • Create a written just … , Leadership, and Governance Culture, Leadership, and Governance Safety Culture & Resilience Results

318. Presentation: Turning Data Into Action
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action.pptx
     December 01, 2017 - the roots of problem areas and begin to formulate strategies for improvement. 12 CREATING CUSTOM REPORTS … AND NSQIP AHRQ Safety Program for Surgery – Onboarding SAY: Welcome to this overview of creating custom … investigations Turning Data into Action ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: We have just … . 14 Data Reports: NHSN Practice makes perfect This presentation provides an overview of creating custom … 27 Data Reports: NSQIP Practice makes perfect This presentation provides an overview of creating custom

319. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
     January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report … Part II Surveys on Patient Safety Culture® (SOPS®) Ambulatory Surgery Center Survey: 2023 User Database … Surveys on Patient Safety Culture® and SOPS® are trademarks of the U.S. … Surveys on Patient Safety Culture® (SOPS®) Ambulatory Surgery Center Survey: 2023 User Database Report … Highlights were based on results for the eight patient safety culture composite measures, and for the

320. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
     December 01, 2017 - This program also addresses adaptive elements, or the values, attitudes, and beliefs that influence how … Our culture sustains that belief. Our culture tends to reward first-order problem solving. … SAY: Instead of just looking at individuals, we have to look across the entire spectrum. … Don’t just focus on what went wrong; also focus on what went right. … care · Create independent checks · Learn from defects Patient safety is a property of the system, not just