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Showing results for "just culture".
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1861. 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

1862. 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.

1863. 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.

1864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33785/psn-pdf
      May 01, 2015 - We studied measurable aspects of safety culture and communication and teamwork in the operating room … Although I appreciated at some clinical level that some surgeons are better than others, I was just … Just by chance some of the earliest videos that came in happened to be from surgeons that were really … The hypothesis of that study is that we can make the really good surgeons just a little bit better, … It's really just aspects of cognitive skill and picking the right patients for surgery in the first

1865. 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

1866. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      November 01, 2006 - Would you just shrug your shoulders—nothing we can do about that!—and accept the outcome? … they would believe to be incorrect written guidance on the bottle (since it conflicts with their prior beliefs … 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

1867. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
      January 01, 2017 - Once VAC has been established using the criteria we just reviewed, the patient can be evaluated for IVAC … Included 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?

1868. Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
      January 01, 2024 - that human beings co-create what is thought to be “reality” through language, thoughts, images, and beliefs … - 6 - thoughts, beliefs, and language that shift current mental models about what is (“patients … engage participants as creative partners, perhaps prompting them to re-examine their own thoughts and belief … culture” or these penalties will not be seen to be fair. … Just culture = does not tolerate reckless disregard for the consequences of an action.

1869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49724/psn-pdf
      January 01, 2015 - postoperative outcomes.(9,10) A system that emphasizes the importance of non-technical skills and an overall culture … An organizational culture that emphasizes safety will work to flatten hierarchies, so that junior residents … Strong leadership will promote a culture wherein senior surgeons are kept informed about the status … In many institutions, creating this kind of culture will require formal training in effective behaviors … Protocol-based care is associated with not just shorter hospital stays but also a lower incidence of

1870. An Untimely End Despite End-of-Life Care Planning | PSNet
      psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
      February 01, 2012 - of 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 safety … Preventing harm in the ICU—building a culture of safety and engaging patients and families.

1871. 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?

1872. 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

1873. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
      September 01, 2015 - The training you just completed is a type of meeting. … Effective meetings don’t just happen. … Methods Nominal group process: This is just a fancy term for giving each person in turn a specified … observations may seem mutually incompatible and they will argue forever unless they can get past the belief … Just remember what you are trying to accomplish – creating a more relational environment in which to

1874. 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

1875. Module 2. Communicating Change in a Resident's Condition | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
      October 01, 2014 - Try to get them to talk with each other, not just to you. … Try not to interrupt the role play while it is running; just let the interactions flow naturally. … Pamela had just begun telling him about Mrs. C. … Usually, culture change includes implementing and disseminating some core teaching. … Including Teaching for Culture Change in the Effort Finding the right person to teach the module is

1876. Tailored DVD to Improve Medication Management for Low Literate Elderly Patients (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017281-lapane-final-report-2010.pdf
      January 01, 2010 - The length of the DVDs was "just right" (90+%), with 40% sharing the DVD and 48.4% watching the DVDs … A vast majority (95.4%) said that the lengths of the DVDs were just right. … They also 11 found the spacing of the DVD delivery to be just right (87.7%). … Ninety one percent said the amount of print materials they received were just right. … Medication Management Beliefs and Practices Of Low Income Older Adults From Diverse Racial/Ethnic Populations

1877. 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.

1878. 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.

1879. 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

1880. 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