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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-mupirocin.docx
March 01, 2022 - Just in Time Training: CHG Cloth and Mupirocin
Decolonization of Non-ICU Patients With Devices
Section … 11-1 – Just in Time Training:
Chlorhexidine Cloth Bathing or Showering Plus Mupirocin
What Is Targeted … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening test, or clinical culture
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - Just Culture
a. … provides links to ways to engage in and teach about a Just Culture, execute
a Just Culture, and evaluate … a Just Culture. … Nursing 2015 Just Culture Toolkit
https://nursing2015.wordpress.com/blue-team/blue-team-documents/just-culture … -
tool-kit-building/
This website provides a definition of Just Culture, presentations on Just Culture
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-liquid-mupirocin.docx
March 01, 2022 - Just in Time Training: CHG Liquid and Mupirocin
Decolonization of Non-ICU Patients With Devices
Section … 11-2 – Just-in-Time Training:
Chlorhexidine Basin Bathing or Showering Plus Mupirocin
What Is Targeted … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening tests, or clinical culture
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-iodophor.docx
March 01, 2022 - Just in Time Training: CHG Cloth and Iodophor
Decolonization of Non-ICU Patients With Devices
Section … 11-3 – Just in Time Training:
Chlorhexidine Cloth Bathing or Showering Plus Nasal Iodophor
What Is … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening test, or clinical culture
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
September 01, 2015 - We also have our
Nursing Home Patient Safety Culture, the Medical Office Survey Culture and Community … It’s the beliefs, it’s the
values and the norms that they share. … about how
12
we’re doing and just continue what we’re doing and just enjoy the process of taking … They’re just busy, and that’s just something that they -- one thing else they have to do. … This was merely just a pilot to refine the Ambulatory Surgery
Center Survey on Patient Safety Culture
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-liquid-iodophor.docx
March 01, 2022 - Just in Time Training: CHG Liquid and Iodophor
Decolonization of Non-ICU Patients With Devices
Section … 11-4 – Just-in-Time Training:
Chlorhexidine Basin Bathing or Showering Plus Nasal Iodophor
What Is Targeted … methicillin-resistant Staphylococcus aureus (MRSA) carriers by history, screening tests, or clinical culture
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - Just Culture
a. … a Just Culture toolkit that
introduces the main concepts of Just Culture, ways to implement, and case … Just Culture Decision Support Tool
https://www.patientsafety.va.gov/docs/Just-Culture-Decision-Support-Tool … Nursing 2015 Just Culture Toolkit
https://nursing2015.wordpress.com/blue-team/blue-team-documents/just-culture-tool-kit … -
building/
This website provides a definition of Just Culture, presentations on Just Culture, a
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - Culture of safety
James Reason20 defines “culture” as “shared values (what is important) and
beliefs … Culture of reporting
5. Learning culture
6. “Just” culture
7. … A
common belief system is essential to develop a safe culture. … Safety culture strategies and the development of a common belief system—
along with an anonymous and … confidential reporting system and a “just” culture—
are crucial to the creation of a culture in which
-
www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
March 01, 2013 - Slide 2
Learning Objectives
Introduce Just Culture principles
Learn how Just Culture principles … Culture Principles
Slide title
Slide title
Slide 4
Understand Just Culture
(vignette … still)
Video icon
Slide 5
Just Culture 1
A system that:
Holds itself accountable … : Transparency is impossible
Blame-Free Culture: No accountability
Just Culture: Optimally supports … Just Culture. Plano, TX: Outcome Engineering; 2011
(Adapted from) Dayton E, Henricksen K.
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Educate teams on T.E.A.M.S. and Just Culture. … Just Culture principles. … at Understand Just Culture .
1. … Just Culture, Healthcare Services Overview. Outcome Engineering ; 2012. … Just Culture, Healthcare Services Overview. Outcome Engineering ; 2012.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Just Culture
a. … -
building/
This website provides a definition of Just Culture, presentations on Just Culture, a case … provides links to ways to engage in and teach about a Just Culture, execute a
Just Culture, and evaluate … a Just Culture. … resources and videos on Just Culture.
4.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
January 01, 2014 - Famolaro, Slide 8
Just specifically, the medical office survey was designed to measure the culture of … It assesses staff and provider attitudes and beliefs about patient safety. … Just to be
brief on this slide, I’m just going to point out some large differences in percent positive … Famolaro, Slide 23
So, let’s go on -- and just as a reminder you can download this information, I just … Do you ever focus on one domain at a time or one patient safety culture area at a
time, or you just
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
June 01, 2020 - Gray, Slide 11
Patient safety culture can be defined as the beliefs, values, and norms that support … These beliefs, values and norms are shared by healthcare providers and staff in the
organization. … [Describer: Other topics include: Success Stories from the Medical Office SOPS, Using Just Culture To … If you just focus on one unit that, could be good
for patient safety culture improvement just for that … and Just Culture.
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/guide.html
March 01, 2017 - Overview of Toolkit Modules
Slides 6–13
Implementing Change
Slides 14–16
Just … During the meeting, obtain a commitment from leaders to improve safety culture. … Materials: Slides 14–19
Audience: LTC administrators and leaders
Topic: Just Culture
Method: During … a meeting, use the slides and facilitator notes to define and discuss the principles of Just Culture … Through an open discussion or a written exercise, ask the team to reflect on what elements of Just Culture
-
www.ahrq.gov/news/newsroom/case-studies/201411.html
August 01, 2014 - Mercy Health Uses AHRQ's Patient Safety Culture Survey and TeamSTEPPS® to Enhance Care
Search All … largest nonprofit health systems in the United States, has used AHRQ's Hospital Survey on Patient Safety Culture … Mercy also uses the AHRQ resources to gain critical insights into opportunities to enhance safety culture … The Hospital Survey on Patient Safety Culture is a tool hospitals can use to assess their patient safety … Implementing "Just Culture Principles," which include creating an open and just environment, learning
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
July 01, 2023 - Just Culture.
Image: TeamSTEPPS penguin and logo—as seen in TeamSTEPPS®. … Slide 12: Introduction to Just Culture Principles
Introduction to Just Culture Principle
Slide … 13: Understand Just Culture
Image: Opening shot of Just Culture video with the words "Click to play … Blame-free culture: no accountability.
Just culture: optimally supports a system of safety. … Just Culture . Plano, TX: Outcome Engineering; 2011.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
June 02, 2025 - do things around here”
Exists at
multiple
levels:
System
Organization
Department
Unit
Beliefs … Composites
27 items assess 8 composites of patient safety culture
1. … Never
88%
positive
29
29
Communication About
Patient Information
% Positive Response
Just … of procedures, all team members
stopped to discuss the overall plan of what was to be done 92%
Just … Safety Culture?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
June 01, 2021 - and beliefs
Identifies system opportunities to prevent them from occurring again
Identifying Targets … Clinicians are not using appropriate criteria to order urine cultures. … Pocket guides with criteria for when to order urine cultures. … Identifying Targets
15
Adaptive Problems
Adaptive solutions require a change in attitudes, beliefs, … They should only be used when necessary, not “just in case.”
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/guide.docx
March 01, 2017 - Infection Prevention
Overview of Toolkit Modules
· Slides 6–13
Implementing Change
· Slides 14–16
Just … During the meeting, obtain a commitment from leaders to improve safety culture. … Materials: Slides 14–19
Audience: LTC administrators and leaders
Topic: Just Culture
Method: During … a meeting, use the slides and facilitator notes to define and discuss the principles of Just Culture … Through an open discussion or a written exercise, ask the team to reflect on what elements of Just Culture
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdf
April 01, 2022 - bloodstream
infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) and improve safety culture … This can be impeded by a unit’s culture and clinicians who believe that
it is safer for the patient … to have the catheter “just in case” the patient takes a turn for the worse. … An
engaged culture is critical in creating an environment where clinicians understand the risk of increased … in Case” Mindset
Issue
Barriers
Suggested Strategies
Addressing Culture, Education, and Auditing