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1821. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
      February 01, 2014 - But you don't know which item you have just lost. … However, mentally rehearsing an item just before an interruption increases its chance of survival, as … You can just put your hand up or shake your head, "I'm on the phone," that sort of thing. … If you do any of those things just ahead of the interruption task coming in, then you're fine. … We have this culture such that people are hypersensitive about interrupting someone, but somebody needs

1822. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
      February 23, 2008 - imaging to verify the position of the endotracheal tube and to ensure that both lungs, rather than just … The VHA faced a number of challenges in implementing this policy, including entrenched medical culture … The concept that intubation is now a skill that requires privileges was a real culture change, even … The culture change for resident education was that the skill needed to be learned just as any other … training was encouraged, the task force agreed that actual patient experience under observation—not just

1823. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
      November 01, 2014 - Eliminated staffing with a separate doctor just to see walk-ins. … And they don't just present with problems but they present with solutions. … When a solution is known, a "just-do-it" approach is used. … And he has just taken it, embraced it and has a lot of credibility. … (CFO) came into it with a lot of credibility and just flew with it...."

1824. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
      May 01, 2012 - some triggers might be essentially perfect correlates of what you're looking for (a positive blood culture … in real time and to mitigate rather than just prevent—so it changes the equation. … Building a safety culture clearly has a big part in enabling people to report problems in the system … One argument is that this effort is an essential part of building a culture of safety. … August 14, 2018 The correlation between neonatal intensive care unit safety culture and

1825. In Conversation With...Donald A. Norman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
      November 01, 2006 - The first time you hear it, it just makes sense. And it doesn't get in the way either. … The whole culture of aviation encourages admitting your mistakes, so everybody benefits from it. … One, it goes against the culture, but second, there are very strong legal issues. … of the problem is not only is it a complex social, equipment, and personnel issue, but the standard belief … they would believe to be incorrect written guidance on the bottle (since it conflicts with their prior beliefs

1826. Monitoring Ventilator-Associated Events: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
      February 01, 2017 - Once VAC has been established using the criteria we just reviewed, the patient can be evaluated for IVAC … Say: In the past, there was a broad range of agents for all healthcare-acquired infections—not just … doctors and they tried to establish a true diagnosis either by histology or quantitative bronchoscopy cultures … be able to tell who does and does not have a pneumonia, the evaluation studies do not support that belief … Say: Does anyone have any questions about the material we have just reviewed?

1827. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
      November 01, 2019 - Wound cultures should be obtained if purulence is present. … Nonantibiotic Therapy SAY: We often forget that successful treatment of cellulitis requires more than just … For patients with purulent cellulitis and culture data, convert to oral therapy based on these results … For patients without culture data, convert to TMP/SMX or doxycycline. … These infections often don’t have associated culture data to make prescribing decisions easier and,

1828. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet
      psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
      April 26, 2023 - I was interested in the concept of recovering and tolerating incidents and accidents rather than just … Not just purchasing a piece of equipment and installing them, but having goals around what the system … Those are the actions that you’d be willing to be interrupted for, not just someone with sleep apnea … also positioned as an organizational leader who valued systems engineering, and I think having the culture … Annual Perspective Ensuring Patient and Workforce Safety Culture

1829. Medical Office SOPS: 2016 User Comparative Database Report, Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-1.pdf
      January 01, 2016 - Achieving a culture of patient safety requires an understanding of the values, beliefs, and norms about … Patient Safety Culture Composites and Definitions Patient Safety Culture Composite Definition: The … It is just by chance that we don't make more mistakes that affect our patients. (F4R) 79% 4. … It is just by chance that we don’t make more mistakes that affect our patients. … The delivery of survey results is not the end point in the survey process; it is actually just the beginning

1830. Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - use a patient's name or pronouns because they do not want to enable something that goes against their beliefs … When it comes to healthcare though, their beliefs of normal shouldn’t interfere with someone’s ability … , rather than this is just who you are. 8 In these cases, healthcare is still very fallible. … working on not saying preferred pronouns and preferred name, because preferred implies a preference, not just … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.

1831. In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - use a patient's name or pronouns because they do not want to enable something that goes against their beliefs … When it comes to healthcare though, their beliefs of normal shouldn’t interfere with someone’s ability … , rather than this is just who you are. 8 In these cases, healthcare is still very fallible. … working on not saying preferred pronouns and preferred name, because preferred implies a preference, not just … We just want to be seen as humans, so that we can get our blood pressure managed on a regular basis.

1832. 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.

1833. 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.

1834. 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.

1835. 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.

1836. 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

1837. 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.

1838. 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.

1839. 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

1840. 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