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61. SOPS™ 101 Webcast Transcript (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
    June 01, 2020 - This is summarizing what I've just said. … 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. … If you just focus on one unit that, could be good for patient safety culture improvement just for that … and Just Culture.

62. Culture | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/culture.html
    April 01, 2022 - Culture A strong patient safety culture supports a learning environment and invites diverse input … Use these tools to help your team make lowering infections part of your culture.​ … Examples of common barriers that inhibit developing this culture are ineffective action from leaders, … in Preventing Healthcare Associated Infections (PDF, 291.7 KB) Making It Work – Overcoming the "Just

63. Paul Tedrick (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
    June 10, 2014 - , and then when to treat and not treat those positive urine cultures. … those cultures the right way. … Have the cultures come back? … So, three quarters do not have guidelines for ordering urine cultures, a quarter do. … Changing culture is not an easy thing to do.

64. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
    March 01, 2017 - A Just Culture is one that allows teams to learn from mistakes in a safe environment. … Slide 24: Just Culture 8,9 Say: The term "Just Culture" refers to a system of shared accountability … A Just Culture environment helps provide a foundation for staff empowerment. … Within the Just Culture model, five key elements contribute to improved outcomes. … Slide 25: A Just Culture Say: A system of Just Culture recognizes that people make mistakes.

65. Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture®, TeamSTEPPS® | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/202502.html
    June 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture®, TeamSTEPPS® … Permanente (KP) School of Anesthesia in Pasadena, California, uses AHRQ’s  Surveys on Patient Safety Culture … This survey is designed specifically for ASC staff, asking their opinions about the culture of patient … Establish a “just culture” for all anesthesia practitioners (an atmosphere of trust where those who provide … “Every year, we conduct TeamSTEPPS training for our students to promote that just culture,” Dr.

66. Using a Tiered Approach With CUSP Principles Facilitator Guide (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
    April 01, 2022 - A “Just Culture” is a system in which staff members and the system itself are held accountable. … More information to reinforce “Just Culture” principles can be found in a short, 5-minute video from … Slide 7 A “Just Culture” environment supports improved outcomes by emphasizing both well-designed … Additional foundational elements of a “Just Culture” are accountability and justice. … Slide 8 With the key concepts of “Just Culture” and systems theory being the backbone, CUSP can be

67. Pharmacy Survey Webinar Transcript (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/psopswebinartrans.pdf
    October 29, 2013 - But first I want to just talk about what is Patient Safety Culture? … It’s the beliefs, the values and the norms that they have. … gets really hectic and things are just moving really fast; maybe that’s the time to just take 30 seconds … And we’ll just keep working on emphasizing that safety culture. … You will just submit the electronic data to us.

68. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
    December 01, 2017 - , and then when to treat and not treat those positive urine cultures. … those cultures the right way. … Have the cultures come back? … So, three quarters do not have guidelines for ordering urine cultures, a quarter do. … Changing culture is not an easy thing to do.

69. Facilitator-Notes (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/facilitator-notes.docx
    March 01, 2017 - A Just Culture is one that allows teams to learn from mistakes in a safe environment. … SLIDE 23 SAY: The term “Just Culture” refers to a system of shared accountability in which health … A Just Culture environment helps provide a foundation for staff empowerment. … Within the Just Culture model, five key elements contribute to improved outcomes. … SLIDE 24 SAY: A system of Just Culture recognizes that people make mistakes.

70. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
    April 01, 2025 - Just Culture a. … Just Culture Decision Support Tool https://www.patientsafety.va.gov/docs/Just-Culture-Decision-Support-Tool … a Just Culture toolkit that introduces the main concepts of Just Culture, ways to implement, and case … - building/ This website provides a definition of Just Culture, presentations on Just Culture, a case … Culture Toolkit Just Culture Decision Support Tool Just In Time Toolkits: Recipes for Staffing Transformation

71. AHRQ Safety Program for Perinatal Care: Learn About the Comprehensive Unit-based Safety Program
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp.pptx
    May 01, 2017 - Improvement Model for Improvement Plan-Do-Study-Act Root Cause Analysis Failure Mode Effect Analysis Just … Anchor new approaches in culture. … Culture Introduction to Just Culture Principles 12 Learn About CUSP AHRQ Safety Program for Perinatal … Care 12 Understand Just Culture CLICK LINK BELOW TO PLAY VIDEO: http://www.ahrq.gov/professionals … Just Culture. Plano, TX: Outcome Engineering; 2011.

72. SOPS Program Brief (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-program-brief-2024.pdf
    January 01, 2024 - Organizational culture refers to the beliefs, values, and norms shared by staff throughout an organization … Patient safety culture is the extent to which these beliefs, values, and norms support and promote … culture. …  Examine trends in patient safety culture over time. … Supplemental items can be added toward the end of the core SOPS surveys, just before the background

73. SOPS Supplemental Items | Agency for Healthcare Research and Quality
    www.ahrq.gov/sops/surveys/supplemental-items.html
    February 01, 2025 - SOPS Supplemental Items The AHRQ Surveys on Patient Safety Culture® (SOPS®) surveys are composed … A composite measure is a grouping of two or more survey items that assess the same area of culture. … supplemental items included in your survey must be inserted at the end of the core SOPS survey items, just … Adding Custom Survey Items  You can add your own custom survey items, but they must be inserted at the … end of the core SOPS survey items, just before the background questions. 

74. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
    April 01, 2023 - Just Culture a. … provides links to ways to engage and educate a Just Culture, execute a Just Culture, and evaluate a … Just Culture. … - building/ This website provides a definition of Just Culture, presentations on Just Culture, a case … Just Culture 4.

75. Understanding SOPS Surveys: A Primer for New Users (Webcast) Transcript (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
    June 01, 2022 - So, what is patient safety culture? … Gray, Slide 13 Patient safety culture can be defined as the beliefs, values, and norms shared by healthcare … And then, as Caren just mentioned, Version 2.0 was released recently in 2019. … So, I wanted just to point out a little bit about the Hospital Database. … So, just so you're aware of that.

76. SOPS™ Introducing the New SOPS Hospital Survey 2.0 webcast transcript (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hsops2.0-webcast-transcript.pdf
    January 01, 2020 - So I'd just like to set the context for this work for you. … You've talked to us about orientation of the survey to just culture and you've talked to us about the … Patient safety culture can be defined as the belief, values and norms that are shared by healthcare … And when you submit to the database, you'll need to cross walk your custom units and work areas and … So the short answer is yes, hospitals can add at the AHRQ supplemental items or their own custom supplemental

77. Using a Tiered Approach With CUSP Principles Slides
    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-slides.pptx
    April 01, 2022 - CUSP + Tiered Approach ׀ 6 Standardize Care Create Independent Checks Learn From Defects Just … Values, and Expectations System Design Behavioral Choices Improved Outcomes Foundational elements of Just … Culture include promotion of learning systems, accountability, and justice. … Understand Just Culture. http://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/videos … Patient Safety and the “Just Culture”: A Primer for Health Care Executives.

78. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module1/safety-modules.pptx
    March 01, 2017 - assessments Provide templates and discussion guides to project leads Educate teams on T.E.A.M.S. and Just … HAIs/CAUTI Long-Term Care Safety Modules Applying Safety Principles | ‹#› 16 Understanding Just … Applying Safety Principles | ‹#› Video: A Just Culture http://www.ahrq.gov/professionals/education/ … CAUTI Long-Term Care Safety Modules Applying Safety Principles | ‹#› 19 Leadership’s Role in Just … Just Culture, Healthcare Services Overview.

79. National Content Series Facilitator’s Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/role-play.html
    May 01, 2017 - of Culturing: The Importance of Knowing When to Order Urine Cultures Facilitator Instructions This … situation-background-assessment-recommendation) to effectively communicate resident care and when to order urine cultures … Mullins, a resident of Sunny Terrace Long-Term Care, has just been transferred back from a stay in the … I think it’s just pulling on her leg. Dr. Killbug : You think she’s got leg pain? … Nurse Nohai : Catheters just aren’t good for our patients.

80. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - 21 Just Culture Seeks middle ground between historical “shame/blame-bad apple” approach and “blame-free … Culture. … Just Culture principles are a crucial accompaniment to the CANDOR process framework and will spark the … If a Just Culture is so important to an organization’s culture, why do we still focus on blame? … In a Just Culture, not only is shared responsibility the norm, but a commitment to eliminating the possibility