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961. 003-Clabsi-Prevention-Webinar-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
     October 01, 2024 - Don’t assume that just because you’ve incorporated all the best practices into your policy that the staff … Slide 37 Culture and Safety Climate SAY: An organization or unit's culture can play a role in the … If recent safety culture assessments have been conducted, review unit-level data related to psychological … Training staff to use this technique makes it easier for them to speak up, while also establishing a culture

962. Research on Person-Centered Care
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
     June 27, 2024 - literature Possible to shift focus away from individual behaviors to the purposeful use of method Aim 2 Custom … [Next slide] 46 Setting and Participants 47 Just a little bit about our patient population. … which you can see in the red box, patients were led through a standard exercise to select or craft a custom … And honestly, for some patients, it just comes down to, 'This is the only solution'." … "We just ran our reports to get those [NCCP] patients.

963. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
     April 01, 2025 - informs new understanding, as categorization of diagnosis is refined or further specified (e.g., not just … The goal is not just to prevent harm, but to achieve success. … Just as seen with the implementation of electronic health records and computer physician order entry … professionals committed to excellence should be celebrated, encouraged, and supported in medical culture … Instead, the shifted language allows an open, growth-minded culture that invites a focus on continuous

964. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
     September 01, 2024 - , and reduce diagnostic errors and near misses in clinical practice • Establish a work system and culture … from a fear of negative consequences if they do not follow instructions, rather than from trust or belief … Just as the patient’s voice is essential in their own medical decisions, it is essential in planning … simple steps that have been studied to help reduce disparities include: ■ Concordance of race and culture … If all else fails, just listen to the patient; they are telling you the diagnosis.10 Work remains

965. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
     September 01, 2024 - , and reduce diagnostic errors and near misses in clinical practice • Establish a work system and culture … from a fear of negative consequences if they do not follow instructions, rather than from trust or belief … Just as the patient’s voice is essential in their own medical decisions, it is essential in planning … simple steps that have been studied to help reduce disparities include: ■ Concordance of race and culture … If all else fails, just listen to the patient; they are telling you the diagnosis.10 Work remains

966. What Exactly Is Patient Safety? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
     July 02, 2008 - Culture and Professionalism Clinicians, governing boards, executive leaders, and middle managers of … This required a culture change to one that refrained from assigning “sharp-end” blame for mistakes; … It depends on a culture of openness to all relevant perspectives in which those involved in adverse … reporting of adverse events or near misses, dissemination of lessons learned, and the establishment of cultures … to be just patient safety, patient safety pioneers have pushed for a much deeper understanding of the

967. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
     January 01, 2024 - medication risk management efforts focus on preventing errors by improving systems and creating safety cultures … Results The research team for this study is just beginning to disseminate the findings.

968. AHRQ Final Progress Report: Impacts of the Physical Environment on Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/zimring-report.pdf
     January 01, 2024 - Study how design issues (e.g., family zones, decentralized nursing stations) affect the hospital culture … participants and allows them to narrow down the more extensive list of identified research needs into just

969. Patient and Family Engagement for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
     July 01, 2023 - Hospitals can present a very unfamiliar setting, system, and culture for patients. … provides continuous physical, emotional, and informational support to the mother before, during, and just

970. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
     December 01, 2013 - Usually occurs just superior to the internal stoma site on the anterior tracheal wall. … Suprastomal collapse: Pressure on tracheal cartilage just superior to the stoma may cause chondritis … Send swab for culture and treat with appropriate topical or systemic antibiotics. … Obtain stool sample for culture. Ask dietician to review feed and rate.

971. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
     December 01, 2013 - Usually occurs just superior to the internal stoma site on the anterior tracheal wall. … Suprastomal collapse: Pressure on tracheal cartilage just superior to the stoma may cause chondritis … Send swab for culture and treat with appropriate topical or systemic antibiotics. … Obtain stool sample for culture. Ask dietician to review feed and rate.

972. Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
     June 01, 2023 - Respondents with limited education or from cultures that discourage challenging professional authority … We just changed doctors. We no longer trust white doctors. … shortfalls, it would be essential to include elicitation questions as part of population-based surveys, not just

973. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides1.html
     October 01, 2017 - evidence-based, and effective risk assessments that call for: Critical thinking and clinical judgment—not just … Create an organizational culture that focuses on safety; they are constantly aware of the possibility

974. Preventing Pressure Injuries in Hospitals
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
     June 16, 2017 - evidence-based, and effective risk assessments that call for: Critical thinking and clinical judgment—not just … Create an organizational culture that focuses on safety; they are constantly aware of the possibility

975. Building Your SSI Prevention Bundle: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
     December 01, 2017 - Positive wound culture. Pain, redness, swelling. Diagnosis by surgeon. … Temperature (°C) at or just prior to time of incision.

976. Situation Monitoring: Severe Hypertension (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
     July 01, 2023 - Huddles may require attendance from more than just the bedside nurse and attending. … Smith, your labs just returned and are notable for an elevated protein/creatinine ratio and elevated … • How do we prepare now so that we are ready to handle the next event in the way we have just discussed … Debrief after events to support patients, families, and staff Debrief regularly to establish a culture … Regular debrief sessions after such events help to establish and sustain a culture of continuous learning

977. Presentation: Implementing Your SSI Prevention Bundle
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
     December 01, 2017 - In the Compendium, it’s not just about the right antibiotic, the right timing, and the right choice, … Program for Surgery – Implementation SAY: The driving force behind the TRiP methodology is the core belief … Task Tools and technology Administrative support Performance monitoring and feedback Perioperative culture … Perioperative culture How does the perioperative culture affect adherence? … inexpensive yet effective ways to show staff what their leaders value and, ultimately, improve safety culture

978. 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Items for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
     January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental … Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … supplemental item set was designed to be administered toward the end of the SOPS Hospital Survey 2.0, just … (a composite measure consists of 2 to 3 survey items that assess the same area of workplace safety culture … Composite Measure Percent Positive Response The six workplace safety culture composite measures are

979. III. Hotline Implementation and Refinement | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/implement3.html
     May 01, 2016 - organizations’ policies and training materials related to patient safety to confirm that they upheld “just … culture” principles, emphasized opportunities for learning rather than blaming individuals, and recognized

980. Summary of the 2018 AHRQ CAHPS Research Meeting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/survey-methods-research/summary-research-meeting.pdf
     January 01, 2019 - Most importantly, the speakers addressed the importance of not just using multiple survey modes, but … for the language around them to be engaging; those administering these surveys can’t assume that a “just … discharge period was too brief; in others, the parent was not available to answer the survey until just … Noting that 7 www.ahrq.gov/cahps | the use of telephones is no longer a strong part of our culture