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681. 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.”

682. Primary Care Practice Facilitation Curriculum Module 1: Instructor’s Guide to Using the PCPF Curriculum (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-1-instructors-guide.pdf
     September 01, 2015 - competency 21 Working With and Supporting Practice Leaders Organizational change Organizational cultures … In some cases, however, prior experience, beliefs, and attitudes can lead to incorrect assumptions about … Discussion of these prior experiences, beliefs, and attitudes is an essential part of developing the … Do you agree with the items just discussed?” … For those that send you a private message, you might state, “Someone just posted a comment that reads

683. 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

684. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/excelling_cahps_lessons_medicaid_webinar_transcript.pdf
     January 01, 2016 - That's part of the culture here at Blue Cross, but it's very deliberate, and it needs some care and … We don't just look at the overall average of the composites. … And you can even come up with custom questions as you need to if that's what helps you in your circumstance … So I always recommend that we just keep our eyes and our ears open. … We called that just movie theater.

685. University of Utah Health: Creating a Formula for Value-Based Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
     April 01, 2019 - Fostering a Culture of Learning If data are critical to continuous improvement, an organizational … culture that supports using data is foundational to being an LHS. … Culture change at University of Utah Health began a decade ago with the simple but powerful idea that … For example, the focus on young physicians recognizes that sustainable culture change requires that … They also emphasize that defining the return on investment in becoming a LHS has to involve more than just

686. Tackling Low Health Literacy Among Primary Care Patients: A Model from Missouri (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Tackling_Low_Health_Literacy_Among_PCP_2012_05_01_Transcript.pdf
     January 01, 2012 - about some of the factors that are important to any quality improvement effort such as organizational culture … And this expanded definition moves beyond providing just a static explanation and can more serve as … They just don’t have the resources to do it right now. … Are you just working on the ambulatory side or what other types of providers are you working with? … Stan Hudson Currently right now, we’re just focused on the ambulatory side.

687. Marshall-Traino, Heather | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsummarsh.html
     October 01, 2014 - Progress to Date: The grant has just started.

688. Final Progress Report: Consumer-Led Workshop To Advance Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/peck-report.pdf
     January 01, 2024 - Mission To be a champion for patient safety in a new healthcare culture. … As one participant wrote afterward: I have come to the belief that healthcare, in general, and organizations … showcase content; (iii) curricular materials that use adult education theory specifically adapted for the cultures … on how they work. ____________ I have come to the belief that healthcare, in general and organizations … showcase content; (iii) curricular materials that use adult education theory specifically adapted for the cultures

689. Strategy 2: Communicating for Improve Quality (Tool 6) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pdf
     June 02, 2025 - and how to get things done • Are strangers in this environment • Don not understand the system or culture … exercises 20 Strategy 2: Communicating to Improve Quality Training (Tool 6) Vignette 1 • Jack has just … act annoyed • Invite them to continue asking questions • Remember that nonverbal communication says just … attending physician, John Gladstone, after hearing from Angela about Jack’s pain and discomfort, has just … want them to—it is simply too risky for them • Your job is to make it safe for them to be here, not just

690. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/spread/notes.html
     December 01, 2012 - The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture … "Spread Module" module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces Just … Culture principles, which emphasize shared accountability and attitudes toward risk. … Organizational culture: Does the organizational culture embrace change? … Adoptable: The process is compatible with organization and unit values, attitudes, beliefs, and facilities

691. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
     June 02, 2025 - item set: – Raise awareness about impact of Health IT on patient safety – Assess how organizational culture … “Everyone just learns to accept they will need to override so many alerts and warnings that people

692. SOPS® Diagnostic Safety Supplemental Items for the SOPS Medical Office Survey (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-suppl-items.doc
     June 02, 2025 - A composite measure is a grouping of two or more survey items that assess the same area of culture related … items should be added to the end of the SOPS Medical Office Survey, after Section G: Overall Ratings, just

693. 128-What-Are-4Es-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/128-what-are-4es-one-pager.docx
     April 01, 2025 - both the technical objectives of improving practices and the adaptive objectives of establishing a culture … Engagement is not a one-way process—the goal is not to just convey information, but to invite their input

694. Morning Briefing and Shadowing (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
     April 01, 2013 - For instance, at Hopkins we call our morning briefing just that in ICU. … And some of the things that we often find, especially when culture is poor, is that people feel that … We involve pretty much everybody and, using the HSOPS, we look at, as I said, we look at culture scores … Also when there's a difference of 20 percent between cultures of provider types -- those questions where … dumped a liter of blood into their pleuravac that was just placed?

695. Case 3. Grand Hospital Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
     November 01, 2014 - Change organizational culture. … Because—then you should be able to put together your own team and just go. … 'That's followed by at completion of the project saying, 'We just scratched the surface.' … significant changes in organizational culture. … "I think the other shift is that the CEO is saying, 'It's OK to fail, just try something.'

696. Toolkit Prelaunch Activities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
     March 01, 2022 - As is the case with many infection prevention programs, it will take time to achieve culture change. … or history documented on transfer o MRSA-positive screening test (if performed) or clinical culture … Use your current processes for identifying MRSA-positive clinical cultures, screening cultures, and … Recognize that there may be patients with a history of MRSA, but with recent negative surveillance cultures … Just-in-time training – this document can be used for new, registry, or float staff in conjunction with

697. Appendix D: Four Suggested Key Areas | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapd.html
     February 01, 2014 - the delivery system, for example, knowledge that has been gained in other fields about organizational culture … Leadership   Culture   Change within organizations ARRA Grant: Rodriguez 2. … the delivery system to high-performing organizations that focus continually on improving value (not just … Interprovider/Interorganizational Processes for Improving Care Improving transitions in care, not just

698. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
     May 01, 2023 - The goal is to create a teamwork culture where team members respectfully challenge one another when the … Peters just returned from the dentist, and the nurse said she needs soft foods.”

699. HCA: How a Large Healthcare System Is Looking Beyond the Electronic Health Record (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_hca.pdf
     April 01, 2019 - journey characterized by strong leadership, effective use of data in the clinical setting, and both a culture … The heart of HCA’s approach is its belief that every piece of data generated helps to tell a story and … “The EHR is just a transactional system within the larger information ecosystem.” 3 For example … Fostering a Culture of Learning While data is foundational to HCA’s operations, being a true LHS requires … At HCA, using data in a continuous cycle of insights and learning is baked into its culture.

700. 3. What Are the Best Practices in Pressure Ulcer Prevention that We Want to Use? (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
     October 01, 2014 - In fact, when developing the plan of care, it is important to think beyond just a risk assessment scale … If they are on their side, pull the pillow out just a little. … Bend or straighten the legs just a little, using care not to hyperextend the knee. … This is a unit or facility culture issue that needs to be addressed systemwide. … It is not just the nursing staff that develops and implements treatment plans.