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461. Assemble the Team and Engage Leadership for Perinatal Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
     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 … Perinatal Safety Assemble Team/ AHRQ Safety Program for Perinatal Care Engage Leadership 21 SAY: Just … nurse managers use a socio-adaptive skill set that encourages the use of teaching, coaching, and Just … to improve the local culture.

462. Improving Antibiotic Use is a Patient Safety Issue
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
     November 01, 2019 - opacities at the base of his lungs Not producing sputum, so sputum cultures … related to a urinary tract infection (UTI) Has ≥100,000 CFU/mL of a pan-susceptible E. coli in urine culture … and flank pain Presents to her local ED and is hypotensive Admitted and initiated on cefepime Urine culture … Have I ordered appropriate cultures before starting antibiotics? … Antibiotics "just-in-case" in a patient with aspiration pneumonitis.

463. Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
     March 01, 2017 - Culture consists of the team's values, attitudes, and beliefs, which all have an impact on the team's … Other critical factors for reducing CAUTIs include appropriate use of urine cultures and non-treatment … designed to assist you in developing skills and strategies to improve all aspects of resident safety, not just … By measuring how often urine cultures are collected for all residents with or without an indwelling urinary … Decreasing inappropriate use of urine testing (urine cultures) is one strategy that can be used to decrease

464. 157-What-Are-4-Es (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
     October 01, 2024 - Adaptive challenges are more complex and involve peoples’ beliefs, behaviors, feelings, values, and preferences … The goal is for leadership to support and have an active stake in the outcome—not just sign off on the … from the past 2 years to demonstrate convincingly that the MRSA rates are an ongoing issue and not just … The aim of execution is not just to implement improvements, but to ensure the improvements are sustainable … Staff are asked to anonymously evaluate aspects of patient safety culture.

465. Appendix B. Detailed Research Domain Framework Definitions and Classification Rules | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
     June 01, 2020 - medical errors, developing and testing systems to learn from errors and near-errors, and creating a culture … that supports these activities (a “safety culture”). … An example of a safety culture would occur when a health care professional feels empowered to speak up … Studies of provider knowledge, beliefs, and attitudes related to care are also included as systems of … models (e.g., profit/nonprofit, physician-owned, ACOs), size, management practices, staffing levels, and culture

466. New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
     October 01, 2016 - “Cherokee tries to be the fabric of the local Appalachian culture.” –Dr. … I guess I just ignored everything, all the mental illness that’s out there.” … Programmers use just-in-time data to create custom reports. … Interviewees said that the culture of care at Cherokee enables innovation. … This culture allows individuals to work on problems.

467. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - Aware that culture and tradition have a significant effect on framing how the health care community … learning formats into their curriculum to foster these skills.10 The goal is to teach students not just … These medical students are ideal candidates for intervention because they are just beginning their clinical … Safety culture and integrated concepts. Unfallchirurg 2002;105(11): 1033–42. 3. … Going paperless with custom-built Web- based patient occurrence reporting.

468. Transcript: How To Create Team Buy-In and Motivation To Get to Zero Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdf
     April 01, 2022 - have said that ICU teams struggling to overcome stubborn infection rates might have an underlying belief … It's just dealing with patients who are sick, they are at risk, and sometimes these things happen. … Sometimes you just need to relate it back to the practices. … We tend to just accept, "Oh, things went well." … So, we found in looking at culture data, looking at outcomes data, have found that where senior leaders

469. Methods (continued, 2) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
     July 01, 2018 - to help others. 82 Conway argues that increasing the focus on the patient and increasing PFCC is "just … Existing culture, including quality and safety culture. … Culture refers to the norms, values, beliefs, and behaviors of an organization that reflect and shape … characteristics that enable an organization to "modify both its technical aspects and its values and/or beliefs … Just as important as strong leadership from the top levels is the presence of physician or other clinical

470. Safemed Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
     May 01, 2017 - on L&D units, but administration procedures vary greatly because of lack of standardization, local culture … This aspect of perinatal safety calls for L&D units to foster a culture of teamwork and communication … These techniques provide staff with the language and skills to “speak up” and have a “just in time” crucial … Tool, available on the AHRQ Web site, provides additional details for these six key safety elements just … on L&D units, but administration procedures vary greatly because of lack of standardization, local culture

471. In Situ Simulation: Challenges and Results (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
     May 05, 2008 - Issues related to culture, performance anxiety, time pressures, and patient perceptions that can interfere … The clinicians, the local clinical context, and the organizational institutional culture represent psychosocial … the solutions will vary depending on factors specific to the host organization, State law, safety culture … We hypothesized that “just-in-time” and “just-in-place” refresher training programs would be effective … Specifically, use patterns by physicians practicing at our hospital support a strong belief that the

472. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
     May 01, 2017 - …It’s just going to cycle back around again.” … safety culture, as shown in the graph on page 6. … As he put it, “culture doesn’t change one day to the other.” … 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.

473. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
     May 01, 2017 - …It’s just going to cycle back around again.” … safety culture, as shown in the graph on page 6. … As he put it, “culture doesn’t change one day to the other.” … 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.

474. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/systems/system/delivery-system-initiative/casalino/paper/idkeydsr1.html
     February 01, 2014 - The model also adds organizational culture and leadership. … Culture and leadership also strongly influence the processes used to provide care and probably influence … The emergence of culture and leadership is not well understood, but both are probably influenced by the … Appendix C presents a long list of research topics organized by the categories in the conceptual model just

475. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
     August 01, 2022 - elements for implementation of a Care for the Caregiver program include: Internal Patient Safety Culture … Internal Safety Culture Assess your internal patient safety culture to evaluate whether patient safety … Patient Safety Culture Assessment Items Does this exist at your organization? … What is your reporting culture like? … YES  NO       Develop "just in time" tools to help clinicians/supervisors contact the second-victim

476. Decolonization Strategies
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
     April 01, 2025 - Preferred: Mupirocin twice daily for 5 days pre-op Start as soon as possible with as many doses, even if just … patients known to be positive for S. aureus receive the treatment Usually based on nasal surveillance culture … Approaches Evidence Exists for Both Approaches Targeted approach6,7,8,10 Based on nasal surveillance culture … screening Staff had no documentation of mupirocin prescriptions Staff had limited access to nasal swab culture … Mupirocin twice daily for 5 days preoperative Start as soon as possible with as many doses, even if just

477. 009-Antibiotic-Stewardship-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
     October 01, 2024 - Fundamental Best Practices SAY: In addition to the four main strategies, Antibiotic Stewardship and Blood Culture … acute care setting on building and maintaining an antibiotic stewardship program, improving the safety culture … Sputum Gram-stain and cultures as well as blood cultures are negative, but his creatinine has increased … That’s ridiculous—why do you want to keep giving the patient antibiotics that are hurting his kidneys just … Slide 28 Advocacy and Assertion SAY: Just to review, an assertive approach includes: · Initiating

478. SOPS® Diagnostic Safety Supplemental Item Set for the SOPS Medical Office Survey - Spanish (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Final-DX-Safety-items-12-15-22-SPANISH.docx
     November 01, 2022 - set should be added to the end of the SOPS Medical Office Survey, after Section G: Overall Ratings, 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™

479. Value and Efficiency Supplemental Items for Hospitals and Medical Offices - SORRA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-sorrarev.pdf
     February 01, 2018 - and Pilot Test Results Joann Sorra, PhD Project Director User Network for Surveys on Patient Safety Culture … ™ (SOPS™) Westat, Rockville, MD 11 AHRQ Surveys on Patient Safety Culture Surveys of staff about … the extent to which the organizational culture supports patient safety 12 Hospital (2004) Nursing … survey items for both hospitals and medical offices • Assess the extent to which the organizational culture … Issues just keep happening. Even if you tell them where the problem is coming from.”

480. Communication Strategies To Promote Resident Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/strategies-slides.html
     March 01, 2017 - attendees will be able to— I dentify possible barriers to effective communication within a facility culture … Slide 3: Remember T.E.A.M.S To Improve Culture 1 Excellent Communication - Infographic that outlines … What's Working - Infographic that describes how a facility can assess what's working in its current culture … To Improve Culture TeamSTEPPS image - Three TeamSTEPPS cartoon penguins portraying doctors and other … Today's session was really intended to introduce you to just two TeamSTEPPS techniques that can really