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Showing results for "just culture".
Users also searched for: just culture

  1. 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

  2. Rapid Response Teams: Lessons from the Early Experience | PSNet

    psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
    November 01, 2005 - In addition to improving patient outcomes, RRTs may have other salutary effects on the hospital culture … What did we just learn? What's the next step that we can take? And I think that's science also. … What's the culture? … They just show up to do the work, hundreds and maybe even thousands of people like you, Bob, who I can … We have a value called Celebration and Thankfulness, which is to just keep pausing as an Institute, and

  3. 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.

  4. How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight09.pdf
    September 08, 2015 - individuals with the credentials, demeanor, and communication style that best fit their needs and culture … Matching care coordinators to practices’ needs and culture is essential Some characteristics, such … appreciative of my efforts and the fact that I offered to do care coordination for them so that they can just … be a mom or dad—just relieve a little bit of stress … Define CSHCN needs broadly so that a care coordinator focuses on more than just high- utilization patients

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33642/psn-pdf
    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 … Are we just going to have to make it through this learning curve and make mistakes as we go along, or

  6. The Evolution of Patient Safety in Surgery | PSNet

    psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
    August 01, 2017 - Describing a macho and unforgiving culture, one in which the notion of a systems approach to errors was … culture and structure, trainees (and others) should understand that calling for help when one is in … Just the fact that leaders like Bilimoria are looking at surgical safety and quality with rigor, blending … Just as diagnostic errors have, until recently, been a relatively neglected part of the patient safety … Over the past 20 years, these personal strengths have been augmented by meaningful system and culture

  7. Don't Dismiss the Dangerous: Obstetric Hemorrhage | PSNet

    psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
    August 21, 2024 - In such cases, hypotension is explained away as "the result of spinal or epidural anesthesia," or we just … Women complaining of increased postoperative abdominal pain are just "overly sensitive." … As a surgeon, I understand the subconscious impulse to deny that you may have just caused a major operative … learning actions, including huddles, debriefs, and monitoring outcomes, are the glue that creates the culture … significant hemorrhages Reporting and Systems Learning (Every Unit) Establish a culture

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49466/psn-pdf
    October 14, 2004 - At a deeper level, physicians need to make sure they do not contribute to a culture in which non- physician … described improving safety as akin to fighting mosquitoes: we have to drain the swamp, rather than just … references https://psnet.ahrq.gov//#references to make sure it does something about the latter, not just

  9. 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.

  10. EMS Patient Safety in the Field | PSNet

    psnet.ahrq.gov/perspective/ems-patient-safety-field
    July 28, 2021 - to a 911 call, the safety of EMS personnel is of paramount importance and of great concern due not just … Safety culture in EMS. JEMS. … Creating a culture of safety. EMS World. … In some cases, data is just collected for high-priority and high-sensitivity calls. … That’s just the beginning of the process.

  11. Maternal Safety | PSNet

    psnet.ahrq.gov/primer/maternal-safety
    January 10, 2024 - According to the Centers for Disease Control and Prevention (CDC), there were just over 3.6 million births … consistently safe access and equitable care, for all women regardless of systemic or provider unconscious belief … AHRQ’s Safety Program for Perinatal Care (SPPC) takes an overarching approach to improving safety culture … Just another ordinary bad birth? … Failure to rescue, communication, and safety Culture.

  12. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report Part II (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-MOSOPS-Database-Report-Part-II-508.pdf
    January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report Part II Surveys … Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … (Item F3*) 77% 59% It is just by chance that we don’t make more mistakes that affect our patients. … (Item F3*) 80% 72% 69% 68% 73% 75% 79% 87% It is just by chance that we don’t make more mistakes that … (Item F3*) 71% 80% 81% 69% 81% 50% 75% 68% 75% It is just by chance that we don’t make more mistakes

  13. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part II (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_II_508.pdf
    January 01, 2020 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part II Surveys … Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … are much higher for medical offices participating in the 2020 database compared with patient safety culture … It is just by chance that we don’t make more mistakes that affect our patients. … It is just by chance that we don’t make more mistakes that affect our patients.

  14. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part II (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-appendix.pdf
    January 01, 2024 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part II Surveys … on Patient Safety Culture® (SOPS®) Medical Office Survey: 2024 User Database Report Part II: Appendix … Surveys on Patient Safety Culture® and SOPS® are trademarks of the U.S. … Surveys on Patient Safety Culture® (SOPS®) Medical Office Survey: 2024 User Database Report. … Highlights are based on results for the 10 patient safety culture composite measures, the patient safety

  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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