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421. Identifying Key Areas for Delivery Systems Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
     December 01, 2017 - Generic model of an organization and its incentives A graphic depiction of how the structure, culture … Culture and leadership influence structure and are in turn shaped by incentives. … Incentives, structure, culture and leadership all influence clinical and delivery processes. … Slide 10 Qualifications/limitations Just my opinions – no compelling evidence.

422. Transcript: How To Increase Ownership and Engagement at Multiple Levels To Prevent Infections in ICUs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/ownership-engagement-transcript.pdf
     April 01, 2022 - Ownership Transcript | 2 and you want to make sure that what's entailed in your protocol is not just … Second of all, there are ways to display that data, or even just to talk about it. … And they were anything from, you know, just very minor, maybe we don't have enough of this particular … So, it promotes a culture of safety for people to speak up when they see something that they think could … It also helps I think sort of orient them to your safety culture as well, so that coming into a new

423. Exhibit 20. Estimates of the total number of SSI cases in the United States, based on the rates used | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiexh20.html
     April 01, 2018 - Culture Type Map to Procedure Types Appendix F. Algorithms Appendix G. … Only 2 facilities performed coronary artery bypass grafting, with a pooled of just under 5,000 SSI cases

424. SOPS Diagnostic Safety Pilot Study Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-pilot-study-report.pdf
     April 01, 2021 - Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … ™ (SOPS®) Diagnostic Safety Supplemental Items assess the extent to which the organizational culture … supplemental items were designed to be administered toward the end of the SOPS Medical Office Survey, just … The supplemental items were administered toward the end of the SOPS Medical Office Survey, just before … The items are grouped by the patient safety culture composite measure they are intended to measure.

425. Medical Office SOPS Translation Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/international/medical-office/translators.html
     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 group … 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.

426. Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
     June 01, 2017 - Nobody's getting blamed, everybody's getting educated, and everybody's going to be part of this culture … Gosh, this guy was really sick, he came in with septic shock, positive blood cultures, and we saved … I'm just like everybody else there, and I want them to perceive me as everybody else. … It's hard to say, “Gosh, this is just not what this person's cut out for.” … Can you tell us just a little bit about that structure?

427. 053-Dec-Guide-Readiness (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/053-dec-guide-readiness.docx
     October 01, 2024 - Infection Rates: These are total bloodstream infection rates from all causes for patients in the unit, not just … Remember to estimate based on bloodstream infections from all causes, not just those limited to central-line … · MRSA Clinical Cultures: The total number of MRSA clinical cultures will help estimate your unit’s … Who and how you approach these key stakeholders will depend on the culture, standard processes, and existing … (5) Is decolonization just about reducing MRSA?

428. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - Don’t just assume that an individual made one mistake. … lasting change, remember the human factors involved in the defect: the attitudes, the values, and the beliefs … Find what is hiding just below the surface, those protections that prevent the patient harm from getting … Say: Think about the culture. … Ask: Was there something about the safety culture, the operating room culture, or the PACU culture

429. PowerPoint Presentation (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
     May 01, 2014 - These are just some examples. … They include: - a positive urine culture in an asymptomatic resident - a positive urine culture ordered … Studies have shown that a positive culture obtained solely because of a change in urine appearance will … but with increased fluid intake and improved toileting, and reserving cultures for residents with urinary … Do not order urine culture YES Order urine culture if you observe 1 or more: New onset burning urination

430. Assemble the Team and Engage Leadership for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
     July 01, 2023 - 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 38: How To Engage Your Senior Executive and Develop Shared Accountability for the Work Say: Just … role, nurse managers use a socio-adaptive skill set that encourages the use of teaching, coaching, and Just … to improve the local culture.

431. Lessons on How To Improve Future National Collaboratives | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal5.html
     January 01, 2013 - Some teams viewed On the CUSP: Stop BSI as just another quality "flavor of the month," or focused solely … on coaching calls to highlight strategies and tactics to improve these important aspects of safety culture … State leads felt unprepared to instruct their teams on how to use the HSOPS results to improve safety culture … It demonstrates how CUSP works with existing patient safety frameworks such as TeamSTEPPS®, Just Culture

432. Case 2. Central Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
     November 01, 2014 - Culture change. … The result was a planned timeline of Lean projects, events, and "just do it" activities. … could take more responsibility for the pre- and post-RCI event work and the sustainment efforts in the belief … Those two terms are part of our culture now." … The CEO's belief in Lean motivates other staff to keep committed to the process.

433. Person Centered Care Planning for Persons with Multiple Chronic Conditions: Appendices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/baseline-scan-appendices.pdf
     February 22, 2024 - o Time pressures o What features of your organization’s culture made it easier to implement person-centered … What features of culture made it more difficult? o Were peoples’ attitudes a factor? If so, how? … They are just living happier, more fulsome lives.  … disparities, the agencies emphasized this work more, but this can change depending on the priorities and beliefs … disparities, the agencies emphasized this work more, but this can change depending on the priorities and beliefs

434. Case 4. Suntown Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
     November 01, 2014 - Improve organizational culture. … It just was huge. … It was just constantly backward and it was just keeping everybody in line and keeping everybody on point … organizational culture because of Lean. … you-—if you skip so many small steps, the whole thing is just going to break down."

435. Best Practices in the Diagnosis and Treatment of Diverticulitis and Biliary Tract Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
     November 01, 2019 - percent of patients with diverticulosis will develop diverticulitis; remember that the presence of just … diagnosis in diverticulitis is challenging unless the patient has an abscess that is drained and sent for culture … Commentary Slide Number and Slide Moment 3: Narrowing and Converting to Oral Therapy SAY: If culture … Remember to narrow therapy based on culture data, if available. … Antibiotics do not have to be continued just because a stent remains in place.

436. Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
     October 01, 2014 - It's just important and crucial. … It just really helps quite a bit. … Daily we are faced with cultures that feel very differently about what type of medical care they will … It just doesn't exist. … I think you just answered that, Julie, and I think, Dr.

437. Experiences From the Frontline: Case Studies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
     May 01, 2015 - …It’s just going to cycle back around again.” … An OMH senior leader noted, “What I share with my [unit] leaders is that, just on a day-to-day basis … safety culture, as shown in the graph on page 11. … So it’s just an explanation, education, and give it another try. … According to local facilitator, “[The unit nurses] just feel, first of all, valued, empowered.

438. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
     November 01, 2016 - We think that in developing a culture and emphasis on quality, moving from a focus on volume to value … Just as Dr. … Advancing the DHCS Quality Strategy: Building a Culture of Quality [Slide 17) There's been a lot … of work in this area to not only build the Strategy but also a system-wide culture of quality, not only … We've also realized that in order to build this culture of quality that we keep talking about that we

439. Appendix E | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
     April 01, 2018 - 636  ---- Health Literacy Improvement 31 635  ---- Informed Consent 11 656 Culture … 682  -- Red Rules 1 686  -- Institutional Patient Safety Plan 53 689  -- Just … Culture 18 668 Education and Training 0 671  -- Continuing Education 0 672

440. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/pichert.html
     August 01, 2017 - hospitals had reliable systems and dedicated staff for patient advocacy, SHS’s small‑town locations were just … patients or resources), poor prior relationships, or a social relationship that makes the messenger role just … Nevertheless, one reason this study was conducted was to assess and demonstrate PARS’ viability in just … to implement an intervention process that promotes professional self-governance, fosters a fair and just … culture of safety and kindness, and reduces avoidable lawsuit risk.