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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - Leadership
Every leader models a healthy culture
and holds everyone accountable;
demonstrating the … Deep dive to learn why……
Culture
“I am responsible for creating a
positive and healthy culture around … SCORE detects interventions to improve engagement, culture, and burnout
23%↑ SCORE results when leaders … successful team”
• Team member Experiences: “There’s always these new things coming in at us that to
just … And just that validation was great. ”
• “[check-ins] made a big difference for me (…) There's definitely
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T3-Antibiogram_Specifications_Phase_2.pdf
May 01, 2014 - The antibiogram should only include culture results from specimens that were taken to diagnose clinical … Some patients receive multiple microbiological cultures during their stay in a nursing home. … Antimicrobial sensitivity results from clinical culture specimens are frequently reported in three categories … S.aureus specimens should be reported as two populations: (1) all S. aureus isolates and (2) just MRSA … Include only diagnostic isolates (not surveillance cultures).
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www.ahrq.gov/news/newsletters/e-newsletter/952.html
April 01, 2025 - that occurred during patient evaluation, 148 during delivery of treatment plans and disposition and just … Register for Upcoming National Action Alliance Webinar The “Safety Culture: Measuring and Responding” … webinar is the final installment in the National Action Alliance Safety Culture in Healthcare series … This session will explore strategies for assessing and strengthening safety culture using AHRQ’s Surveys … on Patient Safety Culture® (SOPS®) and real-world applications.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
November 01, 2019 - Have I ordered appropriate cultures before starting antibiotics? … Send urinalysis (UA) and urine cultures when patients have symptoms of UTI
Do not send urine cultures … Moment 2: Empiric therapy21
Oral therapy is preferred
Avoid giving ceftriaxone or other IV options just … Positive urine culture: ≥ 1000 CFU/mL of a urinary pathogen. … Ask colleagues why the urine culture was sent (was there a suspicion for UTI at some point?).
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-fullreport.pdf
February 01, 2018 - Timely Blood Culture for Children With Sepsis Syndrome
1
Timely Blood Culture for Children with Sepsis … guidelines strongly recommend that children immediately receive
a broad spectrum antibiotic, blood cultures … When possible, blood cultures should be obtained before
administering antibiotics, but this test should … The Q-METRIC measure expands
the VHA measure to include all children, not just those 16 years and older … just having general blood work.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - of safety
Not having explicit intent to continue a program and resources:
Don’t just give “lip-service … Slide 39
Sustaining a Culture of Confidence
Building a culture of confidence is largely about … amplifying successes and strengths to ensure the ‘voices’ of possibility, optimism and self-belief drown … other patient safety programs including Six Sigma, Lean, TeamSTEPPS, PDSA, On the CUSP: Stop HAI, and Just … Culture.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - Have I ordered appropriate cultures before starting
antibiotics? … Antibiotic-Associated
Adverse Events
SAY:
There are many areas for improvement in the case that
was just … Finally, institutional factors are those related to
institution culture and resources. … Factors
SAY:
Let’s discuss some potential solutions for the negative
contributing factors we just … Educate nurses about reviewing culture results.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
April 01, 2022 - · Team culture – see if your team remembers if and when the last staff culture of safety survey conducted … Slide 9
It is crucial to reiterate that safety culture is unique to each unit. … It’s not just unit staff, but may also include the emergency department (ED), operating room (OR) or … Just make sure the information gets updated on a regular basis and that patient information is not included … A way to start is to post just publicly reported data and expand from there.
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt4.html
October 01, 2015 - Measuring Culture
The AHRQ Hospital Survey on Patient Safety Culture (HSOPS) can be used to track changes … in patient safety culture over time and evaluate the impact of patient safety interventions. … allows a team to make specific action plans to address where staff perceptions indicate patient safety culture … CUSP can be used to actively strengthen safety culture in participating units. … Using the knowledge of those who cared for the patient just before their symptoms began improves understanding
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - Program for Improving Antibiotic Use is to improve the culture of safety. … and Families
SAY:
Unfortunately, sometimes communication does not go as smoothly as the example we just … The son let the nurse know and asked him, “Can we just check herurine?” … Her nurse calls the provider about the urine culture results. … Slide 14
Use Assertiveness (Not Aggressiveness)
SAY:
In the case we just discussed, the nurse yielded
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
November 01, 2014 - Organizational culture. … culture. … Three of LHC's hospitals are located within just a 7-mile radius of one another. … It's not like someone from the top just says, or I'm just saying, ‘This is how we're gonna do it.' … offices across the system but found that many of the new offices joining LHC had different organizational cultures
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
May 01, 2017 - Do you see movement in key measures like the patient safety culture survey? … ASC Environment
“Prior to the implementation of daily huddles our employees rated the facility Safety Culture … Thank you, IHI, for sharing your expertise in improving our facility safety culture!” … procedures
Observation of
Safety Work:unit
lead & senior leader
Problem Solving
• Compliance
• “Just
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
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.
9
Glucose Control … Again, these are just some of the process measure tools available to you.
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www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
January 01, 2024 - More than just clinical skills training, the facility was envisioned
to be and has become a place … researchers,
managers, executives, and policymakers internal and external to the University meet not
just … Other lectures developed specific themes related to cultures of safety
(reporting and learning systems … National Clinical Congress
Chicago, Illinois
2004
The “new look” in patient safety: systems, cultures … center is on the UC campus in a University building that is 5
to 10 minutes from the hospital complex, just
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Items-2022-1215-ENGLISH-508.pdf
January 01, 2022 - with the core SOPS® Hospital Survey Version
2.0 to help hospitals assess the extent to which their culture … item set should be added to the end of the SOPS Hospital Survey 2.0, after
Section F: Your Hospital, just … Measures: A composite measure is a grouping of two or more survey items that assess the
same area of culture … Development, Pilot Testing, and Psychometric Analysis of the
AHRQ Surveys on Patient Safety Culture®
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www.ahrq.gov/research/findings/final-reports/ptflow/section3.html
April 01, 2020 - Just as hospitals have collected financial data to give feedback to multiple stakeholders, they now must … This may require structure and culture modifications along the power/authority continuum ( Figure 1 ) … the current complexity and future uncertainty of modern health care, quality improvement is no longer just … sharing the data gave them "greater legitimacy" when dealing with other departments and helped create a "culture … information to support their position that ED crowding requires hospital-wide solutions and that it is not just
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www.ahrq.gov/faqs/index.html?page=4
June 12, 2025 - Common Formats can be used by any organization and provider, not just those working with a PSO. … a safety culture survey. … Examine trends in patient safety culture change over time. … What areas of patient safety culture do the survey questions cover? … The Hospital Survey on Patient Safety Culture measures staff perceptions of patient safety culture in
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
September 01, 2015 - 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.
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
July 01, 2023 - and effective communication depends on effective leadership, continuous situation monitoring, and a culture … People from different cultural backgrounds also may have differing expectations regarding the appropriateness … Use communication to foster psychological safety and affirm other team members, not just to give instructions … Cultural differences may lead to inaccurate perceptions of the personalities of people from diverse cultures
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/goeschel-summit2016.pdf
June 02, 2025 - practice
8 Goals to Improve Diagnosis and
Reduce Diagnostic Error
GOAL 5 Establish a work system and culture … recommendations to existing work
Dx Error is not “new”~ next phase of existing work
Patient Centered Care
HRO
Just … Culture
2.