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1861. 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.

1862. Inside the epidemic of misdiagnosed women. | PSNet
      psnet.ahrq.gov/issue/inside-epidemic-misdiagnosed-women
      February 02, 2022 - June 23, 2021 Not ‘just depression.’

1863. Tip 2. In a Quality Report, Be Concise and Well-Organized | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/resources/writing/tip2.html
      July 01, 2011 - Some experienced report sponsors have cut down this content to the "bare minimum"—just enough to answer

1864. Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. | PSNet
      psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
      June 26, 2019 - July 22, 2020 Just a Cup of Tea – an Introduction to the SEIPS Framework.

1865. Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
      January 01, 2010 - templates ► Legal consultation regarding legal protections and privilege ► Integration of safety culture … of knowledgeable staff available to assist with patient safety activities and to promote a safety culture … • Mostly, we just listen ► And learn ---- a lot • As you listen you are inevitably drawn into the … ► How do you change culture? … 39 Value of the PSO Program • PSOs help to build or reinforce an internal culture where it is

1866. Acknowledging Our Track Chairs (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
      June 16, 2021 - in 4 practices have EHRs – but adoption alone not adequate measure  Importance of organizational culture …  Trust is key in developing a culture of quality.  Process  Demonstrating value at the user level … Key Insights  Culture—unequivocal leadership support and local champions are essential for change …  Patient-centered hospital design can support a culture of safety. …  Pursuing the principals and not just the tools of Lean. What Did We Learn?

1867. 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

1868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866055/psn-pdf
      May 29, 2024 - , Ascension, as a health system, sought to eliminate the harm caused by RSIs and to improve safety culture … 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.

1869. Integrated Behavioral Health--The Journey To Becoming The Standard Of Care (doc file)
      integrationacademy.ahrq.gov/sites/default/files/2024-09/Integrated%20Behavioral%20Health--The%20Journey%20to%20Becoming%20the%20Standard%20of%20Care.docx
      January 01, 2024 - One, I'm just blessed to work in a health system that has a foundational belief in the importance of … And so, it's just that little pause before every visit. … think, behavioral health is important, but there's ways to do it that I think can truly change the culture … One of the newer bills that just got introduced just recently, weeks ago, again going back to the psychology … I'm going to just sort of skip around here, because there's just a whole bunch of very good questions

1870. 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.

1871. Becoming a Patient Safety Organization | PSNet
      psnet.ahrq.gov/perspective/becoming-patient-safety-organization
      July 01, 2011 - this does for the people doing the analysis, and for the institutions where they work, is create a culture … they do have peer review protection, provide it within institutional walls, and it may be limited to just … Speaking now just about the area we have addressed, which is patient safety in hospitals, we have created … That also gave us the opportunity to say, we're going to define a system that doesn't work just at the … December 16, 2009 Building a Culture of Patient Safety: Report of the Commission on Patient

1872. 111-Cusp-Program-Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/111-cusp-program-sustainability.docx
      October 01, 2024 - essence, sustainability is achieved when the improved processes and interventions are embedded into the culture … The Comprehensive Unit Based Safety Program, or CUSP, fosters a culture of patient safety by improving … made throughout the safety initiative are maintained over time and embedded into the organization's culture … lower MRSA rates, the team should consider interventions that can be sustained and long-lasting, not just … Embedding patient safety into the culture of the unit leads to long-lasting impact and motivation for

1873. Mutual Support: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
      July 01, 2023 - is a key element in being a good team member, even when it’s sometimes difficult to do because the culture … just informed that Ms. … I was just informed that Ms. … Finally, DESCR is a great tool to help reinforce and establish a culture of huddles for high‐risk patients … Sonentag, obstetrician SCRIPT The L&D director reinforces her belief that Dr.

1874. 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.

1875. 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.

1876. Microsoft PowerPoint - Health IT Implementation.ppt (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-implementation.pdf
      December 01, 2005 - Change The hardest part about any HIT implementation process is the culture change. … with the stakeholders – Involve all people to some degree early on so people don’t feel they are just … Advancing Excellence in Health Care Culture and Workflow Change (Remember: Culture change = Advertising … +Support) Solution: Do not underestimate the training required in order to address culture change. … – Also make sure that you don’t just listen to a vendors’ demo but develop your own use cases and

1877. Antiseptic-impregnated catheters: Is the Juice Worth the Squeeze?
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
      January 01, 2013 - 11 Just because a patient is in the ICU does NOT mean that the patient needs a Foley… The Key Question … GPS questions 5 GPS Validation Study Kathlyn Fletcher, MD, PhD Goals To assess the unit-level culture … questions Observations on the involved wards Methods: Overview Analysis Inductive coding to define the culture … hospital – is reflexive If a patient is hypoxemic: we give oxygen Low BP: IV fluids Positive blood cultures

1878. 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.

1879. 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

1880. 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