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921. 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

922. 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.'

923. 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.

924. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
     January 01, 2024 - A single-center harm-reduction program, Nephrotoxic Injury Negated by Just-in-time Action (NINJA), reduced … population in the US, estimates that chronic kidney disease patients incur per person per year costs of just … We assessed patient safety culture using the AHRQ Patient Safety Culture Survey, in which all items have … the variable will allow us to additionally distinguish between hospitals with strong and weak safety cultures … For example, we do not expect that there is just one way to effectively implement NINJA.

925. 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

926. 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

927. 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.

928. Safe Medication Administration: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
     July 01, 2023 - used on L&D units, but administration procedures vary greatly due to 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 … used on L&D units, but administration procedures vary greatly due to lack of standardization, local culture

929. 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

930. 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.

931. Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
     January 01, 2023 - patient safety, and provider well-being may serve as a vital step for honing healthy organizational cultures … reduced stress by clinicians, less likelihood of litigation, heightened learning, stronger institutional cultures … family Deny/defend Transparent, ongoing Event analysis Physician, nurse are root causes Focus on Just … bond between patients and healthcare providers—thereby promotingstrengthening healthy organizational cultures … Our hypothesis was that hospitals with more positive patient safety cultures would have patients with

932. Using-Health-It-To-Support-Qi (pdf file)
     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

933. Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension (pdf file)
     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

934. Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage (pdf file)
     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

935. 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?

936. New Models of Primary Care Workforce - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center (pdf file)
     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,

937. 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.

938. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
     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

939. Information to Help Hospitals Get Started (doc file)
     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

940. 4-Overview-Facilitator-Guide (doc file)
     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