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1881. Ventilator-Associated Event Surveillance: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
      February 01, 2017 - It helps us focus on the importance of preventing all complications resulting from pneumonia, not just … On the other hand, diffusion comes from your culture. … Just remember, change takes time and patience. … You may have an electronic health records system, but it helps to just gather the data and look at it … Just by looking at this one simple case, we can see several opportunities for improvement.

1882. 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

1883. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
      May 01, 2015 - Blood cultures were drawn and she received levofloxacin (administered approximately 3 hours after presentation … Twenty-four hours after admission, her blood cultures grew methicillin-resistant Staphylococcus aureus … published in 2001, the bundle includes the following: Measuring serum lactate levels Drawing blood cultures … These include: Checking a serum lactate Drawing blood cultures Starting empiric antibiotics 17 17 … UCSF ED has increased from 40% to over 90% UCSF institutional adult sepsis mortality has fallen from just

1884. 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

1885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49594/psn-pdf
      December 01, 2009 - to 3% in a matched control group.(7) Hospitals should develop strategies to prevent AMA discharges just … groups, like homeless IV drug users, require culturally competent care as much as patients from foreign cultures … Medical custom and medical ethics: rethinking the standard of care.

1886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33612/psn-pdf
      May 01, 2005 - led to considerable soul searching and, ultimately, a major change in institutional practices and culture … We have adopted and promulgated model error disclosure practices and fair and just culture principles

1887. Clinical Areas | PSNet
      psnet.ahrq.gov/clinical-areas
      March 24, 2025 - Nursing leadership plays an important role in establishing a culture of safety. … endorsed the importance of formal support programs, including peer support, education, error analysis, and just … culture. … Just over one-third were associated with the telehealth platform itself.

1888. 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.

1889. EvidenceNow Key Drivers and Change Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/keydrivers/description.html
      October 01, 2020 - Everyone in the practice, not just clinicians, may need time to create and adjust to shifts in what and … This means more than just paying for conference registrations. … Review measures of implementation and impact of evidence-based practices regularly To create a culture … Create a culture in which all practice members feel comfortable identifying opportunities for quality … To create a cohesive culture, leaders will need to engage in active listening and gain an understanding

1890. 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.

1891. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851870/psn-pdf
      July 31, 2023 - the Patient Safety Authority looks at events across the entire healthcare system in Pennsylvania—not just … The more difficult part of organizational learning becomes building that culture where staff is comfortable … Building that culture starts with leadership and it needs to reach the frontline. … It’s often not people purposefully avoiding reporting events; sometimes, they just do not know what … You must begin to build a culture to encourage reporting where people know that reporting is worth their

1892. Section 3: Are You Ready To Improve? | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
      February 01, 2020 - Once they become part of the organization's culture, these behaviors often play a large role in supporting … turnover rates in plan and medical group senior executives, the board can help sustain a corporate culture … "Creating loyalty means giving employees more for their labor than just a paycheck. … Here are just a few: Exceptional job performance Excellent team work Outstanding customer service … Orientation Orientation of new employees is the best place to begin the education about the culture

1893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861760/psn-pdf
      January 31, 2024 - Creating a culture of safety that values transparency, continuous learning, and a systematic approach … Approaches to Improving Patient Safety Adopt and maintain a safety culture Medication safety involves … A perception of poor safety culture has been linked to increased error rates.10 Broadening awareness … In a strong safety culture, error prevention and recovery programs are well developed, updated regularly … Program assessment and error investigation should consider a “just culture” approach that includes non-punitive

1894. 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

1895. In Conversation with…William B. Weeks, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
      May 01, 2009 - While there may be some marginal improvement in quality, the cost aspect was just ignored. … So there's a considerable amount of wariness about just saying, "No problem, we'll just reduce our utilization … They just find it in their interest to do that in terms of improving the value of their product. … The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. … Electronic health records: just around the corner? Or over the cliff?

1896. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
      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 … This is not just about technology; it’s also about processes, governance, and education and many other … 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

1897. Be Prepared to Be Engaged | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/interventions/prepared-slides.html
      May 01, 2017 - Project Goals Meaningful engagement with patients and families in ways that impact safety, not just … The figure also shows that external factors such as the health care system, culture, community, and environment

1898. WNYHealtheNet, LLC: A Collaborative Administrative Transaction Network Model (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006ScamurraUnger_051711comp.pdf
      June 05, 2006 - operating costs through shared resources Protect Patient Information Benefits  Creates a community culture … community-wide standards  Gain significant business value from transactions by utilizing MORE than just

1899. Performing SSI Investigations: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
      December 01, 2017 - Completed safety culture survey (HSOPS)? … was the patient’s temperature at the following locations: Arrival to preoperative area At or just

1900. 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