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Showing results for "just culture".
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  1. Draft Interview Protocol: HH4M Interviews With Cooperative Members Round 1 of 2 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/115-michigan-hh4m-coop-1st-round-interview-protocol.pdf
    June 02, 2025 - Perceptions about the ways in which the Cooperative would influence practice QI capacity, leadership, and culture … If you are more comfortable answering the questions with respect to just your workgroup, that would … Practice culture broadly? c.

  2. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet

    psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
    July 23, 2024 - Commit to accountability and a patient safety culture in the organization. … Commit to accountability and a patient safety culture in the organization. … ultimately contributing to improved patient outcomes and fostering a commitment to high reliability and just … culture in healthcare practices. … Innovators must listen in order to understand what is happening in the organization’s culture.

  3. Competencies To Improve Diagnosis in Health Professions Education  | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-4.html
    March 01, 2022 - Various aspects of educational culture and other forces have led to a greater emphasis on diagnosis in … role-appropriate curricular focus on diagnosis. 11 , 12 , 31 , 33 Increasing this focus will require culture … Just taking the time to reflect on the differential diagnosis may help avoid too quickly settling on

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49838/psn-pdf
    August 01, 2018 - medical care that is inconsistent with patients' goals, we need to apply the principles of safety culture … , just as we do to prevent CLABSI. … the need to engage patients and families with frontline clinicians in a partnership to establish a culture … Engagement of patients and families and frontline clinicians is necessary to establish a culture of … Preventing harm in the ICU—building a culture of safety and engaging patients and families.

  5. Classics and Emerging Classics | PSNet

    psnet.ahrq.gov/classics
    August 01, 2023 - of Safety (146) Institutional Patient Safety Plan (3) Just Culture (9) … This AHRQ Web site provides validated safety culture survey tools (Hospital, Medical Office, Nursing … Organizations can also use the AHRQ database to compare their Surveys on Patient Safety Culture™ (SOPS … An AHRQ WebM&M perspective discussed how to establish a safety culture. … Although interventions varied, there were international similarities in workplace norms and culture.

  6. Reducing Unnecessary Urinary Catheter Use in the Emergency Department | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-urinary-catheter-use-ed-transcript.html
    December 01, 2017 - In order to accomplish this it's important to change the culture of urinary catheter placement in the … Through our work we found that there are three steps, three keys to success that are required to change culture … Thank you very much for your time and attention today and just a reminder that your feedback is very

  7. Reducing Unnecessary Urinary Catheter Use in the Emergency Department (March 3, 2015) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.html
    December 01, 2017 - In order to accomplish this it's important to change the culture of urinary catheter placement in the … Through our work we found that there are three steps, three keys to success that are required to change culture … Thank you very much for your time and attention today and just a reminder that your feedback is very

  8. Reducing-Unnecessary-Urinary-Catheter-Use-Ed-Transcript (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.docx
    June 02, 2025 - In order to accomplish this it’s important to change the culture of urinary catheter placement in the … Through our work we found that there are three steps, three keys to success that are required to change culture … Thank you very much for your time and attention today and just a reminder that your feedback is very

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838221/psn-pdf
    September 28, 2022 - or populations that just have significant barriers to care. … If we're not going to reimburse, it's just not going to happen. … However, it'll take a change in the culture because we’re so used to the idea that care is provided … Those people have just been so effective. … Is there a chance that it's the community that just can't support this model of care?

  10. Primers | PSNet

    psnet.ahrq.gov/primers-0
    March 15, 2025 - Provider-Patient Communication (7) Health Literacy Improvement (4) Culture … of Safety (11) Just Culture (1) Education and Training (12) … empowering patients to ensure safe care, and emphasizing patient involvement as a means of improving the culture … Using a standardized and robust organizational approach to respond to such events promotes a culture

  11. In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE | PSNet

    psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
    August 31, 2020 - Another experience that was of vital importance to me occurred just a couple of years ago when I met … That's just a fact. … feel comfortable to step up and speak up and protect patient safety, with action and not just words. … This is not something where you just came in one day and started hiring nurses who fill that safety culture … Or is it just a paradigm shift of how your thinking of the care you are providing?

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867850/psn-pdf
    February 26, 2025 - But they just were not being listened to. … High reliability and safety culture are fragile, and they need to be re- accomplished. … When that leader left, the culture reverted completely back to a much more traditional approach where … So let us just do them all together, and that will make us highly reliable. … One thing that came out of COVID was a pretty consistent finding that safety culture eroded.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33875/psn-pdf
    March 01, 2019 - that they were a dot-com and we were a dot-org and that explained many of the different practices and beliefs … SH: My opinion is that every hospital develops its own culture and its own operating system. … —just as if a hospital were initiating a new EHR on its own independent of a merger. … There is so much to be said for just sitting at the labor floor desk. … This PSA [professional services agreement] thing is just enormous.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49495/psn-pdf
    December 01, 2005 - Subsequent urine cultures were negative. … Consider the lowest person in the hierarchy of a hospital, perhaps a young ward clerk (it could just … It was just a paperwork snafu, and the patient really was supposed to go to surgery. … Do her colleagues snicker at her, whispering just out of earshot during coffee breaks, while the surgical … Hospital Survey on Patient Culture.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33831/psn-pdf
    April 01, 2017 - The second is safety culture. … Just do it the way I said." … Their culture is completely different. … That changes their culture. … Also, zero harm is not just getting rid of complications.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33755/psn-pdf
    September 01, 2013 - Contemplate culture. … culture of a given organization and its subunits. … Creating a culture of safety requires leading differently. … undermine their ability to affect lasting change and create a learning orientation by focusing on just … ref7 https://psnet.ahrq.gov//#ref8 https://psnet.ahrq.gov//#ref9 https://psnet.ahrq.gov//#ref10 have beliefs

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33706/psn-pdf
    February 01, 2011 - But we built from there and just started to expand out. … Yet you and others have written about the culture of medicine being so individualistic. … Now I would argue that this is the core of that culture. … We got to talking about exactly the issue that you just raised, the culture. As Dr. … But for adult learners this is just absolutely critical.

  18. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective | PSNet

    psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
    June 01, 2016 - Successfully receiving CPPS recognition is rewarding and is consistent with my longstanding belief in … Culture. … It wasn't just the notion that culture has an impact on safety, but that it could be quantified or measured … Just focusing on joy and meaning without really looking at culture and leadership is also going to be … And that's not just physicians; the same is true of nursing.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43571/psn-pdf
    October 01, 2014 - Following evidence that walkrounds improved safety culture, this practice became widely endorsed by … highlighting that failure to follow up on concerns raised may actually erode, rather than enhance, safety culture … effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units https://psnet.ahrq.gov/primer/culture-safety … https://psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33809/psn-pdf
    June 01, 2016 - It wasn't just the notion that culture has an impact on safety, but that it could be quantified or measured … Just focusing on joy and meaning without really looking at culture and leadership is also going to be … And that's not just physicians; the same is true of nursing. … The truth is that today we're getting more cross-fertilization, not just at the university level but … Just like we see in other fields, we're going to have individuals who are working in the area who are
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