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1941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33853/psn-pdf
      March 01, 2018 - Since the IOM report, we have been following up to see whether any evidence shows that the culture of … We have empirical evidence through 2016 that suggests the culture of patient safety in hospitals has … RW: Why do you think the balance has not shifted sufficiently so that people read your work and just … Then we used AHRQ measures on patient safety culture to appraise our hospitals. … That is not the culture of patient safety that the IOM recommended.

1942. Improving Communication and Teamwork Around Antibiotic Decision Making (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/communication-facilitator-guide.pdf
      November 01, 2019 - Communication and Teamwork SAY: Communication and teamwork are two key elements of patient safety culture … Sputum Gram stain and cultures as well as blood cultures are negative, but his creatinine has increased … ’s ridiculous—why do you want to keep giving the patient antibiotics that are hurting his kidneys just … Since his cultures don’t show MRSA or Pseudomonas, I think it would be reasonable to stop the vancomycin … Sputum Gram stain is negative and cultures grow normal respiratory flora.

1943. Personal Health Literacy | PSNet
      psnet.ahrq.gov/primer/personal-health-literacy
      October 31, 2023 - Health literacy is affected by many factors, including socioeconomic status, culture, and language. 11 … improvement program if they teach the underlying skills needed to manage health or obtain healthcare, and not just … October 28, 2020 Use of simulation to measure the effects of just-in-time information … October 5, 2022 WebM&M Cases Culture Clash No More: Integration

1944. Building an Engaged CUSP Team Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
      April 01, 2022 - Support from the top is crucial to the success of culture improvement efforts, but real, lasting change … Improving culture within the healthcare setting requires the model to be based on the understanding that … all culture is local and that work to reform culture must be owned at the local unit level. … and culture issues are best examined and improved at the level of the individual unit. … This type of rounding is a great way to engage with all frontline staff (and not just the senior executive

1945. Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-1.pdf
      May 02, 2016 - factors led to improved patient and provider engagement as well as improved patient safety and team culture … reviewed to foster shared decisionmaking, – Review options for same-day appointments, and – Build a culture … It also enhances patient satisfaction as appointments start and end on time, establishing a culture … Patients know that they have not just a physician caring for them, but a whole team. … collaboration should be promoted to providers, practice staff, and patients to emphasize the team culture

1946. Patient Safety in the United Kingdom: Evolution and Progress | PSNet
      psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
      May 01, 2007 - A more open culture, in which errors or service failures can be reported and discussed. … RW: When you're working in a given system and culture, there's a tendency to think that many things … LD: Well, culture and attitude tend to vary around the world. … That doesn't mean that the others are bad practitioners, it just means that (a) they're very busy, or … So we've been running formally for about 3 years, and we're just starting to think about evaluating the

1947. Patient Safety: A Perspective from Office Practice | PSNet
      psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
      May 01, 2009 - The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. … Electronic health records: just around the corner? Or over the cliff? … 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.

1948. Final Progress Report: Simulation Training For Rapid Assessment And Improved Teamwork (STRAIT) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
      January 01, 2024 - STRAIT utilized hybrid simulation techniques (e.g., high-fidelity manikins as the just emerging patient … Communication Culture Survey We administered a communication culture survey to all anesthesia providers … Data Analysis–Communication Culture Survey (CCS) The Communication Culture Survey is a 14-item instrument … Lessons learned will guide our and others’ development of simulation-based curricula, not just for handovers … The OR culture scores did not increase as much.

1949. Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
      January 01, 2025 - Secondary outcomes included the number of MRSA infections, positive MRSA clinical cultures, antimicrobial … number of 63 culture positive body sites. … #2 Number of cultures tested 137 98 308 195 462 305 Positive Confirmed MRSA tests 34 16 37 29 60 14 … Culture prevalence 24.82% 16.33% 12.01% 14.87% 12.99% 4.59% LTCF #3 Number of cultures tested 115 176 … There is a great need to perform well-designed demonstration projects in the LTCF, such as this one just

1950. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I-rev0921.pdf
      January 01, 2020 - Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … refers to the beliefs, values, and norms shared by staff throughout the organization that influence … Patient safety culture is the extent to which these beliefs, values, and norms support and promote patient … (F3R) 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.

1951. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2020 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Part_I.pdf
      January 01, 2020 - Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … refers to the beliefs, values, and norms shared by staff throughout the organization that influence … Patient safety culture is the extent to which these beliefs, values, and norms support and promote patient … (F3R) 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.

1952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33686/psn-pdf
      August 01, 2009 - And they went from 19 deaths out of 1750 patients with central lines, down to a handful in just a few … Is that an important difference between health care and industry in trying to create a culture that … It was a unionized plant, still UAW, but the union grievances against management just disappeared. … I just don't think we have figured out how. … Let's not just write off the whole project.

1953. Standard Deviations | PSNet
      psnet.ahrq.gov/web-mm/standard-deviations
      January 01, 2006 - 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.

1954. AHRQ Nursing Home Survey on Patient Safety Culture Version 2.0: User’s Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-users-guide-2.0.pdf
      March 01, 2025 - CULTURE NURSING HOME SURVEY 2.0: USER'S GUIDE PATIENT SAFETY SURVEYS ON PATIENT SAFETY CULTURE … AHRQ Surveys on Patient Safety Culture Nursing Home Survey Version 2.0: User’s Guide. … Patient safety culture refers to the beliefs, values, and norms shared by healthcare practitioners and … Adding Supplemental or Custom Items If your nursing home wants to add items to the survey, such as … the Workplace Safety Supplemental Items for Nursing Homes or other custom items, add these just before

1955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33691/psn-pdf
      December 01, 2009 - disruptive behaviors in perioperative and neurological services.(8,9) The implications went beyond just … The organization needs to be committed and openly supportive of a positive safety culture and environment … These factors include deep- seated values and beliefs influenced by age and generation, culture and

1956. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
      psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
      July 22, 2020 - 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

1957. Factors that Impact Perinatal Care Experience and Outcomes: Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
      March 06, 2025 - Science University) Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture … Presentation 1 Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture … Environment Effective, Timely, Quality Care Safety Communication and Accountability Respect for Culture … Examples of clinician influences: Training, clinical experiences, colleagues, personality, clinical culture … scalable approach to improving postpartum health and wellbeing  Very few no-shows and scheduling took just

1958. Half-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/teach/half-day.html
      May 01, 2023 - It’s important to still emphasize that every part of TeamSTEPPS is needed to foster a culture of safety … Consider consolidating the content of Slides 10-15 and just briefly reviewing the different types of

1959. 063-Ssi-Investigation-Tool-Cusp (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/063-ssi-investigation-tool-cusp.docx
      April 01, 2025 - Arrival to preoperative area: Insert answer here At or just prior to time of incision: Insert answer … standard) List allergies: Question Data Does the patient have a recent positive surveillance culture

1960. Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-demo-project.pdf
      June 02, 2025 - Cornell Medical School (east side) – Columbia University (west side)  Each campus has a distinct culture … Just a small fan. 1/12/2018 Int. Med.