Results

Total Results: 1,248 records

Showing results for "just culture".
Users also searched for: just culture

321. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
     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. … Patient safety is a property of the system, not just individuals.

322. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
     November 01, 2022 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Action Planning Tool … Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®). … your analysis may identify many more areas with potential for improvement, it is best to begin with just … Just write down all the ideas that people offer. – Walkarounds or safety huddles.

323. Strategy 2: Communicating for Improve Quality (Tool 6)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
     July 23, 2010 - to and honoring patient and family ideas and choices and using patient and family knowledge, values, beliefs … , and cultural backgrounds to improve care planning and delivery … works and how to get things done Are strangers in this environment Don not understand the system or culture … Remember, we are not just doing this to be nice. This is a quality and safety issue. … willingness and ability to do what professionals recommend; circumstances at home; and cultural values and beliefs

324. 068-Cusp-Monthly-Meeting-Agenda (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/068-cusp-monthly-meeting-agenda.docx
     April 01, 2025 - . · Tip: Don’t let this just be a report out. … Revisit Quarterly: Safety Culture and Team Dynamics Check-In: The CUSP Champion or designated team members … share progress on culture interventions, good ideas, collaborations that work well, what the team can

325. Diagnostic Safety Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
     May 01, 2023 - The belief is that limiting the number of a certain type of appointment scheduled on a daily basis or … It highlights bright spots: organizations that use a Just Culture approach to investigating errors, … Perspective reviewed the context of the no-blame movement and the recent shift toward a framework of a Just … Culture. 3. … Developing a Reporting Culture: Learning From Close Calls and Hazardous Conditions 3.

326. PowerPoint Presentation: Learn From Defects for Sustainability
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
     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. … defects Tip: Process mapping will uncover workflow issues, but it won’t get at values, attitudes, and beliefs

327. Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Fagnan & Rollins (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/fagnan-reflections-perceptions-mosops.pdf
     June 02, 2025 - Using the AHRQ Medical Office Survey on Patient Safety Culture Webinar - Fagnan & Rollins Practice … Enthusiasm Level: Negative Comments • “Staff just are not really responsive to filling out surveys … operational improvement.”  “More specifics on coordination of care for patients.”  “Related to how the culture

328. Family-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
     June 01, 2021 - I just shouldn’t have [prescribed antibiotics]. … She must be very different from the person you knew even just a year ago.” … Some may ask for specifics that may not be indicated, such as urine cultures, chest x rays, or antibiotics … Sometimes even just a little dehydration can affect an older adult.” … Or, you can address the downsides of getting a urine culture: “Getting a urine culture, which is likely

329. Slide Presentation - Workforce Safety and Well-Being Webinar Series (Session 3): Resolving Workforce Turnover Crisis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/workforce-turnover-crisis.pdf
     April 01, 2025 - to work less because they're just... … It's just too much. They're not happy. I think that's leading burnout in a big way." … (P17) Contributors to error Patient complexity Interface design CPOE guardrails Safety culture … Teamwork culture Team stability Team experience Team familiarity Communication Experience … Announcing the Next NAA National Webinar Series on Safety Culture in Healthcare February - April 2025

330. AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: User’s Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-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 … Adding Items If your ASC adds items to the survey, add these items toward the end of the survey (just … 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

331. Program-Dev-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/program-dev-facilitator-guide.docx
     June 01, 2021 - These are just some of the side effects that residents can experience from antibiotic exposure, so it … He asks the nurse to send a urine culture. … are just as important as preventing an unnecessary prescription from being written in the first place … Slide 18 Sharing/Distribution/Reporting SAY: Sharing the results of your intervention is just as … to reassess antibiotic prescriptions and verify the need to continue them. · Review the results of cultures

332. Assessing Progress on CLABSI and CAUTI Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/clabsi-cauti-icu/assess/index.html
     April 01, 2022 - successful implementation, teams need to assess their progress on CLABSI and CAUTI prevention; you might be just … Since human behavior inherently has inconsistencies and culture is always evolving, regular check-ins

333. ICU Assessment Response Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
     April 01, 2022 - • Video – Addressing Attitudes and Beliefs About Preventing Infections in ICUs (5:45 minutes) … o This video teaches how to take first steps in addressing these attitudes and beliefs to create a stronger … culture of safety.  … Just Culture principles support best practices to avoid punitive responses when someone speaks up about … Just Culture principles support best practices to avoid punitive responses when someone speaks up about

334. Implementation and Impacts of Lean Redesigns in Primary Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/leanprimarycarewebinar.html
     December 01, 2017 - Inner Setting: networks and communications, culture. … " Burning platform," "Hamster health care " " Just grinding out patients as a primary care doc … : Top-down style not as effective in clinics with " democratic, non-hierarchical" cultures . … Micro-cultures, largely fostered by local leadership, can powerfully affect implementation efforts. … Inner setting: Organizational culture. Local leadership.

335. A Conceptual Model for Disclosure of Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
     January 01, 2004 - openly about potentially vulnerable topics.27 Focus groups are good at uncovering the attitudes and beliefs … Our guide included open- ended questions designed to establish beliefs, behaviors, and perceived barriers … You are going to feel like you are just a bad guy.” … We just came within 200 feet [of another plane].’ … were immersed: “There obviously is a physician culture and nursing culture and a management culture

336. 2016 Hospital Survey on Patient Safety Culture Part I (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
     January 01, 2016 - Achieving a culture of patient safety requires an understanding of the values, beliefs, and norms about … It is just by chance that more serious mistakes don't happen around here. (A10R) 61% 2. … It is just by chance that more serious mistakes don’t happen around here. 61% 10.18% 18% 50% 55% 62% … It is just by chance that more serious mistakes don’t happen around here. 63% 63% 0% 29% -44% 5% - … Highlights • The delivery of survey results is not the end point in the survey process; it is just

337. Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
     December 01, 2017 - One was to assess unit level cultures surrounding the prevention of CAUTI and other hospital acquired … a little bit more about that two months ago when we talked about what people were saying about the culture … If positive blood cultures, we give antibiotics as soon as possible. … Then as you know, someone spikes a temperature, and someone has a Foley catheter and you culture the … That each unit, I mean at our place we have a surgical ICU, a medical ICU, etc., and the cultures are

338. Rafael Borja (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
     November 04, 2014 - One was to assess unit level cultures surrounding the prevention of CAUTI and other hospital acquired … a little bit more about that two months ago when we talked about what people were saying about the culture … If positive blood cultures, we give antibiotics as soon as possible. … Then as you know, someone spikes a temperature, and someone has a Foley catheter and you culture the … That each unit, I mean at our place we have a surgical ICU, a medical ICU, etc., and the cultures are

339. Addressing Unhealthy Alcohol Use: Resources From AHRQ | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/954.html
     April 01, 2025 - Recording of Safety Culture in Healthcare Webinar Now Available . Register for Upcoming Webinars . … in response to interest from ASCs in assessing patient safety culture in their facilities. … TeamSTEPPS® Tool Supports Both Patients and Providers It’s not just healthcare teams who benefit from … Recording of Safety Culture in Healthcare Webinar Now Available The webinar Safety Culture in Healthcare … Diagnostic stewardship of endotracheal aspirate cultures in hospitalized children with artificial airways

340. Medical Office Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/resources/infotransMOSOPS.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 … tend to confuse the word “culture” with ethnicity and race. … the word “culture” in the title. … It is just by chance that we don’t make more mistakes that affect our patients.