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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
October 01, 2016 - These are just some examples. … They include:
· a positive urine culture in an asymptomatic resident
· a positive urine culture ordered … SAY:
Often the trigger for a urine culture is a call from a facility saying that the resident’s urine … but with increased fluid intake and improved toileting, and reserving cultures for residents with urinary … Slide 31
When to Order a Urine Culture Diagnostic Pathway
SAY:
Slide 32
Suspected Respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/core-discussion-key.docx
March 01, 2017 - How can you support a culture of safety around cleaning and disinfection? … Facilitator Notes
For example, remind the staff that just because a surface appears clean, it may still
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
June 01, 2014 - Medical Office Survey on Patient Safety Culture
Chapter 7. What’s Next? … Previous Page Next Page
Table of Contents
Medical Office Survey on Patient Safety Culture
Executive … The delivery of survey results is not the end point in the survey process; it is actually just the … This step is critical to realizing patient safety culture improvement. … It is important not to reassess culture too frequently because lasting culture change will be slow and
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapl.html
April 01, 2018 - Culture Type Map to Procedure Types
Appendix F. Algorithms
Appendix G. … after surgery within 30 days=1, else 0
P
Preop_hematocrit
Numeric
Latest hematocrit value just … before surgery
P
Preop_hemoglob
Numeric
Latest hemoglobin value just before surgery
P
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/themes.html
October 01, 2015 - Minnesota realized only after they had been certified as a PCMH for a while that becoming certified was “just … start of the journey” (oral interview, December 2014), and that successful transformation required not just … meeting recognition standards, but rather a change in overall practice culture. … champion can also be devastating to a transformation effort, particularly for smaller practices where just … example, Calman and colleagues found that the EHR at the Institute for Family Health Network, implemented just
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www.ahrq.gov/ncepcr/reports/grants-transform/key-themes.html
March 01, 2017 - Minnesota realized only after they had been certified as a PCMH for a while that becoming certified was "just … start of the journey" (oral interview, December 2014), and that successful transformation required not just … meeting recognition standards, but rather a change in overall practice culture. … champion can also be devastating to a transformation effort, particularly for smaller practices where just … example, Calman and colleagues found that the EHR at the Institute for Family Health Network, implemented just
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 01, 2019 - The patient was not producing
sputum, so sputum cultures were not obtained. … But when
the holes all line up, as they did in the case you just
heard, the likelihood of patient harm … During
this visit, a urinalysis and urine culture did not need to
be obtained. … For
example, if a patient is at the end of life, clinicians may
start antibiotics just to “do something … “Have I ordered appropriate cultures before starting
antibiotics?
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www.ahrq.gov/research/findings/final-reports/ptflow/executive-summary.html
July 01, 2018 - Data also can be used to show that ED crowding is not just an ED problem, but one that requires hospital-wide … to Addressing Implementation Challenges
Challenge
Recommended Approach
Rationale
Culture … Staff resistance, culture change, and lack of staffing resources
Use of Lean quality improvement methods … Widely reporting the results of multi-unit and department initiatives helps create a culture of transparency
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
March 01, 2018 - Introduction
Organizational culture refers to the beliefs, values, and norms shared by staff throughout … Patient safety culture is the extent to
which these beliefs, values, and norms support and promote patient … Overall Perceptions of Patient Safety
It is just by chance that more serious mistakes
don’t happen … Overall Perceptions of Patient Safety
A10
R
It is just by chance that more serious mistakes
don’t … Overall Perceptions of Patient Safety
A10
R
It is just by chance that more serious
mistakes don’t
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
March 01, 2018 - Introduction
Organizational culture refers to the beliefs, values, and norms shared by staff throughout … Patient safety culture is the extent to
which these beliefs, values, and norms support and promote patient … Overall Perceptions of Patient Safety
It is just by chance that more serious mistakes
don’t happen … Overall Perceptions of Patient Safety
A10
R
It is just by chance that more serious mistakes
don’t … Overall Perceptions of Patient Safety
A10
R
It is just by chance that more serious
mistakes don’t
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.docx
May 01, 2017 - comprise the team are responsible for starting and sustaining the initiative, so their engagement and belief … Effective senior executives help people successfully adapt to change by reinforcing attitudes, beliefs … Slide 37
SAY:
Just as it is critical to detail the responsibilities of the senior executive, it … role, nurse managers use a socio-adaptive skill set that encourages the use of teaching, coaching, and Just … to improve the local culture.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Leadership and Culture
a. … Does a “just culture”—in which frontline personnel feel comfortable with reporting and “disclosure”— … Is the safety and quality culture assessed annually?
2. Culture Measurement and Feedback
a. … Does a “just culture”—in which frontline personnel
feel comfortable with reporting and “disclosure”— … Culture Measurement and Feedback
Were the results of the most recent safety and
culture surveys distributed
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-facilitator-guide.docx
June 01, 2021 - Facilities can use data on antibiotic use, orders for urine cultures, and C. difficile LabID events to … The form can also be used to keep track of C. difficile LabID events and the number of urine cultures … resident is on an antibiotic scheduled three times daily, and they only receive 1 dose because they are just … Another data measure to consider tracking is the number of urine cultures collected. … All urine cultures should be collected, even if they are not positive.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - And where we were able to show success and able to make that part of the culture is that daily auditing … So it’s not just about money; it’s about quality. … physician all day or in there with that patient, so at the beginning it was a different, a difficult culture … So I think it was more impactful for the culture, not just for a practice, and I think it worked very … And they have just been wonderful.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Understand the CUSP framework for initiating culture change
Apply culture change theory to urinary … Slide 9
Aims
Understand the CUSP framework for initiating culture change
Apply culture change … values and beliefs , both explicit and implicit, that guides actions and decisions within the organization … Slide 45
Organizational Culture
…the shared set of social values and beliefs , both explicit … Change the ventilator settings
Order another test
Slide 65
Human Nature
Linda Lewis
"Don't just
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/safetymodule-slides-spanish.pptx
June 02, 2025 - /cusptoolkit/videos/07a_just_culture/index.html
Aplicar principios de seguridad | ‹#›
Video: A Just … Culture
http://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/videos/07a_just_culture … Just Culture, Healthcare Services Overview.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - Projects
Michigan Health & Hospital Association
Keystone Center for Patient Safety & Quality
It is not just … How can we do it with my resources and culture? … *
Measure
Have We Created a Safe Culture?
How Do We Know We Learn
From Mistakes? … * 100s 100s
Have we created a safe culture? … intervention solves the problem or mitigates the contributing factors for the accident
Rate the team belief
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-transcript.pdf
April 01, 2019 - www.ahrq.gov/cahps | 4 of 16
Nembhard, Slide 13
Much of the impetus is driven by a combination of belief … 31] or the percentage of
patients with Medicare or Medicaid, and various measures of organizational culture … Stifling organizational cultures may also be a barrier. … Such
cultures make ideas that depart from the status quo seem risky. … Build creativity into the culture of improvement and learning
within your organization, and reward it
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - Unlike other States, we did emphasize that this was a project for more than just ICUs. … And the second is the CUSP values and changes in behavior that change culture. … Learning from the defect, that is culture change and it's difficult to implement. … It is just one of the many successes that we've seen in our State. … I was just the facilitator. They did the work.
Mari Franks: Terrific.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/HIT-Patient-Safety-Item-Set-English-12-15-22.docx
December 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