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Showing results for "just culture".
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  1. In Conversation With... James Augustine, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-james-augustine-md
    July 28, 2021 - In some cases, data is just collected for high-priority and high-sensitivity calls. … That’s just the beginning of the process. … Safety culture in EMS. JEMS. … September 8, 2015. https://www.jems.com/ems-insider/safety-culture-in-ems Erich J. … Creating a culture of safety. EMS World.

  2. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-facguide.docx
    January 01, 2017 - They have a good team-oriented culture and share their beliefs, strategies, and methods for providing … Slide 14 Using Daily Goals SAY: The Daily Goals process is not just a checklist but a means to improve … 15 AHRQ Safety Program for Mechanically Ven=lated Pa=ents Using Daily Goals •  Do not use as “just

  3. 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.

  4. Alert Fatigue | PSNet

    psnet.ahrq.gov/primer/alert-fatigue
    March 15, 2025 - overdose of an antibiotic, in large part because the ordering physician had been advised by colleagues to "just … mitigate these consequences—including alert fatigue—The Joint Commission recommended improving the culture … III report outlines several patient safety practices to address alert fatigue, including fostering a culture … November 3, 2021 Safety culture as a patient safety practice for alarm fatigue.

  5. Complaints as Safety Surveillance | PSNet

    psnet.ahrq.gov/web-mm/complaints-safety-surveillance
    May 05, 2021 - patient safety benefits of complaints, individuals and institutions need to foster an environment and culture … The aim should be a just culture where physicians are not punished for isolated lapses or systems failures … Effective resolution of complaints should therefore consider not just the needs of the current patient … Patient complaints offer just one window on poor performance and should be considered in the context

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60652/psn-pdf
    June 29, 2020 - Just linking back to what I said previously, it’s all thanks to hearing from those members that are … I credit the culture shift over the last 20 years to make sure that patient safety remains front and … Has that changed at all or are we just doing it differently? … We’re really pleased that we are able to open up all of these resources, not just for our members but … On that website, there is a page dedicated just for patients related to COVID-19.

  7. Understanding CAHPS Surveys: A Primer For New Users Webcast Transcript (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-surveys-webcast-transcript.pdf
    January 01, 2018 - Ginsberg serves as the Division Director for AHRQ's work on CAHPS and also the Surveys on Patient Safety Culture … I'm just going to show you two. … So it's not just CMS. … Shaller, Slide 47 So, finally, just a quick note on the CAHPS Database. … So, yes, we have tested just about every imaginable mode.

  8. 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.

  9. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
    October 06, 2021 - Stuebe just described. … Our culture of health, I think, is the most powerful intervention that we have because everything flows … So, we made a lot of noise, and this was not just something unique to our group. … Every single one of those moms just had a baby. … AS: I think I would just want to express my gratitude to AHRQ for funding this kind of work.

  10. In Conversation with...Brent C. James, MD, MStat | PSNet

    psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
    February 26, 2025 - 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.

  11. Interpreting the Patient Safety Literature | PSNet

    psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
    June 01, 2005 - Safety culture assessment: a tool for improving patient safety in healthcare organizations. … simultaneously studying clinical research, health policy, and management] was to combine those two cultures—quality … By exposing that, we revealed the dissonance between our pride and our belief that we are a great institution … PP: Unequivocally, they should start with culture change. … It simply says, measure your culture (we use J.

  12. 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.

  13. 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.

  14. 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.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33783/psn-pdf
    April 01, 2015 - LL: In a sense it's a mix—I think they fell prey to the belief that checklists are a simple thing. … you just do this one thing. … Why can't you just make it happen? … It just is not simple. … Finally, I think the culture change we seek will happen faster than we expect.

  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. 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.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33712/psn-pdf
    June 01, 2011 - Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture … First of all, are they so anticipatable that we should just now expect them? … that is that organizations can start to deviate from established procedures and bend them if in their culture … The culture created at the top is more important than any number of experts that you have there. … Japan's culture made it harder to discuss the risk.

  19. 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

  20. 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
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