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2001. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
      April 07, 2008 - collective orientation Propensity to take other’s behavior into account during group interaction and belief … .18 • Klimoski & Mohammed28 • Mathieu, et al.29 • Stout, et al.30 Mutual trust The shared belief … Just as in previous work, links between CRM training and reactions and declarative and procedural knowledge … Patient safety culture surveys. … Assertiveness and team performance: More than “just say no.” In: Salas E, Bowers C, Edens E, eds.

2002. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
      May 06, 2008 - critical to encourage the use of the PEERs system, since many employees still did not entirely trust the “just … dealing with many different hospitals, there are many different stages of readiness and many different cultures … Work must continue daily to maintain and support a healthy culture. … as an assessment of the culture across Trinity Health hospitals. … Developing a culture of safety in the Veteran’s Health Administration.

2003. In Conversation With… Paul Aylin, MBChB | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
      June 01, 2017 - In one hospital I worked at, the microbiologist had to come in to deal with your blood culture. … So, you were encouraged not to do blood cultures on the weekend. … Another suggestion was that maybe it's just that on a Friday you get a different mix of doctors doing … Which I knew before, but this research has just confirmed that. It's been very interesting. … I'm also very interested in not just surveillance at a hospital level, consultant level, or GP level,

2004. 2.a-2 Practice Focus Group Guide (Preintervention) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool2a2.html
      April 01, 2018 - Just be sure to talk loud enough so the whole group can participate. … What does this vary with (e.g., age, gender, culture)?

2005. SOPS® Value and Efficiency Supplemental Item Set for the SOPS Medical Office Survey - English (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-ve-suppl-item-set-english-2023.docx
      January 01, 2023 - set should be added to the end of the SOPS Medical Office Survey, after Section G: Overall Ratings, just … Measures: A composite measure is a grouping of two or more survey items that assess the same area of culture

2006. Continuing a 35-Year History, AHRQ Pursues Vital Pathways to Improve Patient Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/35-year-history.html
      May 01, 2024 - This program combines improvements in safety culture, teamwork, and communication to prevent healthcare-associated … Just last month, the  U.S.

2007. 140-Ssi-Investigation-Tool-Cusp-Completed (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/140-ssi-investigation-tool-cusp-completed.docx
      April 01, 2025 - Arrival to preoperative area: 36.8 At or just prior to time of incision: 36.0 Final temperature … symptom was nausea – no rash) Question Data Does the patient have a recent positive surveillance culture

2008. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part I: Main Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt1-transition-updated.pdf
      June 01, 2022 - Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … HSOPS 2.0 assesses many of the same areas of patient safety culture as HSOPS 1.0, but substantial changes … some composite measures (a group of 2 to 4 survey items that assess the same area of patient safety culture … Shifting to a “Just Culture” framework to assess Response to Error; 4. … HSOPS 2.0 assesses many of the same areas of patient safety culture as HSOPS 1.0, but substantial changes

2009. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
      May 01, 2007 - 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 … A more open culture, in which errors or service failures can be reported and discussed.

2010. Nursing Home Information Technology (IT): Optimal Medication and Care Delivery | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery
      January 01, 2023 - "Just matching provider requirements with existing information technology products is an incomplete solution … outcomes, have been key to generating enthusiasm among staff for health IT and creating what Horn calls a "culture … project participant, recalls how involvement of frontline staff through this project transformed the work culture

2011. Summary of USPSTF Draft Recommendation: Behavioral Counseling Interventions to Support Breastfeeding (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/QH2JxjAo7FmcfCBy8c_65Y
      November 18, 2024 - health benefits for babies and may also have health benefits for the person breastfeeding, yet only just

2012. Person- and Family-Centered Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pfcc.html
      June 01, 2018 - Person-centered care means defining success not just by the resolution of clinical symptoms but also

2013. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
      April 21, 2008 - Although on the surface sensemaking seems like a simple process, we are just beginning to understand … culture.”27 In addition, they were asked to support their clinical microsystem staff throughout their … culture. 7 Hospital Existing reporting system description A “The staff member … Fair and just culture, team behavior, and leadership engagement: The tools to achieve high reliability … Patient safety and the “just culture”: A primer for health care executives.

2014. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
      December 14, 2022 - not only understand what has to be done for patient safety, but are given the time to do it within a culture … Sometimes measures are just slightly different from one program to another. … Some of them were just a little bit different. … There are many lessons here, including communication strategies, culture, leadership, teamwork training … I have a personal belief that if we unleash the voice of the patient in quality reporting, we are going

2015. Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/measuring-patient-safety
      December 14, 2022 - not only understand what has to be done for patient safety, but are given the time to do it within a culture … Sometimes measures are just slightly different from one program to another. … Some of them were just a little bit different. … There are many lessons here, including communication strategies, culture, leadership, teamwork training … I have a personal belief that if we unleash the voice of the patient in quality reporting, we are going

2016. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
      October 01, 2016 - Some areas we will just touch upon; for others, we will go into greater depth. … These are just some examples. … And, just a little history: SBAR originated in the U.S. … Studies have shown that a positive culture obtained solely because of a change in urine appearance will … Just like before, fill out everything as appropriate. What is purulent drainage?

2017. Rural Iowa Redesign of Care Delivery with EHR Functions - Grant Final Report Grant ID: 1UC1HS015196-0. (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015196-crandall-final-report-2007.pdf
      January 01, 2007 - impact of implementing electronic health record (EHR) functions on patient care and organizational culture … To enhance organizational culture and safety among the project partners, and 4. … While the physician training process included flexible scheduled training and just-in-time training … Overall, we found the physicians appreciated the just-in- time educational mechanisms when the EHR and … To enhance organizational culture and safety among the project partners.

2018. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? | PSNet
      psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
      June 01, 2017 - In one hospital I worked at, the microbiologist had to come in to deal with your blood culture. … So, you were encouraged not to do blood cultures on the weekend. … Another suggestion was that maybe it's just that on a Friday you get a different mix of doctors doing … Which I knew before, but this research has just confirmed that. It's been very interesting. … I'm also very interested in not just surveillance at a hospital level, consultant level, or GP level,

2019. In Conversation With… Andrew Gettinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
      September 01, 2017 - When you ask people why they don't just turn off those "this could happen" alerts, there's a concern … If something comes up and it doesn't make sense, just because the computer presented it to you doesn't … I routinely interact with not just the leadership of ONC but all the various staff members. … I believe everything you just said, but I'm sure some folks out there might say there's an EHR system … As such, another key facet of this work is for organizational leadership to create the blame-free culture

2020. In Conversation with…Vineet Arora, MD, MA | PSNet
      psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
      March 01, 2011 - Our culture in health care is very different from those other industries that have adopted some effective … RW: Difficult because of cultural resistance or difficult because of logistics and the workload just … They're critically unstable and the handoff is more than just temporary in the sense that the team may … So there is a handoff occurring at discharge, and I often think just like you would communicate and sign … We often say handoffs are more than just the transfer of content, it's also the transfer of professional