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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?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - This sort of change, and
development of “a culture of learning,” is an important step toward developing … It is a widely held belief that medical errors are a significant problem, yet it is
difficult to estimate … Instead, it just asked practitioners to report whether the error
resulted in any harm. … Training in error identification and
error mechanisms, and in the systems, culture, conditions, and … Each
practice must recognize how to assess its own culture and design, and conduct
effective tests
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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.'
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www.ahrq.gov/faqs/index.html?page=3
December 20, 2012 - Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveys on Patient Safety Culture … Can I modify the Surveys on Patient Safety Culture? … changing the order of items or response options, deleting one or more items, and adding supplemental or custom … supplemental items or additional items from other surveys must be added to the end of the SOPS survey, just
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/030-hand-hygiene-webinar-slides-notes.docx
October 01, 2024 - products and availability, knowledge levels, opportunities for additional education, as well as the safety culture … When deciding the best way to disseminate data, consider the hospital and unit culture. … Slide 27
Engage
SAY:
Whether just starting out or working to revitalize an existing program, it is … improvement and promotion strategies by identifying and addressing barriers specific to the workflows and culture … safety climate or lack of accountability
· Measurement, including issues like distrust in data, lack of belief
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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.”
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www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
January 01, 2024 - We collected baseline and post-implementation data on
measures attitudes to teamwork, safety culture … To measure safety culture, we used a modified version of the Safety Attitudes
Questionnaire (SAQ).34 … between ideal and real is not unique to education; in the clinical environment, policy
makers often have beliefs … , and, as evident from our qualitative data, such culture change takes time for
people to adapt to. … they will take away from this session back to the
bedside regarding teamwork
TAKE NOTES:
EVEN IF JUST
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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.
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
March 01, 2015 - Factors supporting the use of health IT for QI in primary care
Having a practice culture with a … In total, [to] be more proactive about how we manage our patients
instead of just being reactive.” … staff, because these kinds of outcomes are “things that…health care providers
care about as opposed to just … As Richelle Koopman, M.D., M.S., from UMHS stated, “There is power to just having the
data, but if you … exemplary uses and best practices to inspire and guide primary care
practices seeking to create a culture
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
July 01, 2023 - improve patient safety in women’s healthcare through
multidisciplinary collaboration that drives culture … continually improve patient safety in women's healthcare through
multidisciplinary collaboration that drives culture … Clinical knowledge
• Clinical expertise
• Evidence‐based best practices
Adaptive Elements
• Culture … The remaining modules will draw from and build on the case scenario that we just
walked through in order
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
October 01, 2016 - and RD usually have a full daily schedule, but for urgent needs, an MA or LVN can call
them for a just-in-time … These appointments are scheduled before or just after a clinical visit, if
possible. … Quality
Methodist Healthcare Ministries has focused on developing a culture of quality care by spurring … currently receive individual reports, but Methodist
Healthcare Ministries is working toward a provider culture … Methodist Healthcare Ministries has begun to build a culture of quality improvement among all
staff,
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-staff-ny.pdf
June 02, 2025 - I just want to ask a couple of more questions about the program, How did the frequency and
length of
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
July 01, 2023 - improve patient safety in women’s healthcare through
multidisciplinary collaboration that drives culture … continually improve patient safety in women's healthcare through
multidisciplinary collaboration that drives culture … .
3
Two Sides of Patient Care
Technical Elements Adaptive Elements
• Clinical knowledge • Culture … These areas of
systems improvement are: establishing a culture of huddles and
debriefs, multidisciplinary … The remaining modules will draw from and build on the case scenario that we just
walked through in order
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/4-overview-facilitator-guide.docx
January 01, 2019 - CUSP methodologies can also help to improve overall patient experience and your perioperative safety culture … Keep in mind that this is just a guide to help you develop a timeline, but sometimes it may take a month
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
June 02, 2025 - for patient- and family-centered care, and tools and resources for changing hospital and health care culture … consumers and health care providers to create health care systems that are safe, compassionate, and just
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www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
April 01, 2018 - Culture Type Map to Procedure Types
Appendix F. Algorithms
Appendix G. … Organisms associated with deep- or organ-space SSI were counted by positive microbiology cultures from … The “simple” algorithm, using only data on postoperative cultures or postoperative antibiotics, had a … Just as we demonstrated with the “inclusive” algorithm, we could investigate other algorithms with known
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2a.html
May 01, 2018 - Health Status
Asian Americans tend to rate their health status more highly than do other groups, just … Cultural beliefs pertaining to cancer among Middle Eastern immigrants in New York appear to be significantly … emerged included experiences of discrimination, fears of immigration enforcement, and differences in beliefs … Foodways, the eating practices and customs of a group of people (e.g., lack of vitamin C intake among