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2021. 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.

2022. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865373/psn-pdf
      March 27, 2024 - In some cases, just taking that second look at a problem with this set of AI-fueled lenses leads us … First, we have a patient who is hypotensive, tachycardic with fever, and positive blood cultures immediately … It really humbled us and made us realize that just being able to predict an outcome is not the same … It’s a really exciting opportunity to not just keep an eye on the patient, but quantify certain aspects … It’s not just what we did, it’s the how we care for somebody.

2023. 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.

2024. 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

2025. Disposition of Comments for Quality Improvement Interventions To Address Health Disparities (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/disparities-quality-improvement_disposition-comments.pdf
      August 27, 2012 - It seemed to be missing a verb on first read but then upon reading it again, it seems to just be an … entities and health care facilities and providers seem effective because they are tailored to the culture … organizations in ways that are distinctly responsive to each individual organization’s characteristics, cultures … Just give the facts of “NN studies did ...“ This has been done in most instances. … Just to say in your current report, excise “in HIV/AIDS” and let it go at that.

2026. What Do We Know About Emergency Department Safety? | PSNet
      psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
      June 01, 2010 - PC: Just the way that people get set up for errors. … It never amounts to anything; she's just a frequent flyer." For me, those are red flags. … I make mistakes just like the next guy, but hopefully I'm making fewer because I see them coming. … One thing you can do is just take a time out and excuse yourself and say "I just have to attend to something … How did you get the culture to accept that? PC: It wasn't easy.

2027. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
      April 01, 2022 - strategies can be applied with varying frequency to accommodate needs specific to individual ICU cultures … Concepts like Just Culture and High Reliability Organizations are approaches that support an overall … To prevent collecting unnecessary urine cultures, which can contribute to overinflated CAUTI rates, … missed diagnoses, and misuse of antibiotics, it is critical to know when urine cultures are appropriate … Another opportunity for just-in-time targeted education can be when conducting multidisciplinary catheter

2028. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
      psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
      November 01, 2012 - Just like errors involving heparin, errors involving saline injection can lead to devastating outcomes … However, such strategies should include not just the substitution for the unavailable drug or product … 2011 WebM&M Cases Fatal Error in Neonate: Does "Just … Culture" Provide an Answer?

2029. In Conversation with...Geri Amori, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
      December 01, 2010 - We didn't talk about those things—we just didn't have those tools in our quiver. … generation in that belief system. … Disclosure is also a skill for life, not a skill just for work. … I don't think it had anything to do with the places as much as the individual cultures of those hospitals … So families have an important role, but if I can be intimidated with what I know and my beliefs about

2030. Artificial Intelligence and Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
      January 31, 2020 - We are also at a critical point in imaging where the volume is just massive. … combine all of this information and data to provide patients with their real risk of breast cancer, not just … There is now a product in use in the United States that does just that, called Patient Synopsis. … There is just such a wide dichotomy, to the point where you don’t even know what the patient had done … November 26, 2019 Perspectives on Safety Safety Culture

2031. 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.

2032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851389/psn-pdf
      July 31, 2023 - In fact, the success of the ASN has instilled a culture of innovation within the local hospital system … Establish a just culture framework and ensure buy-in from all partners. … Engage just culture principles and transform thinking from a root-cause analysis framework to a systems-focused

2033. 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.

2034. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
      October 01, 2022 - Prevention | ICU & Non-ICU Antibiotic Stewardship Fundamental Best Practices Antibiotic Stewardship Blood Culture … Have I ordered appropriate cultures before starting antibiotics? … , negative blood cultures. … Why do you want to keep giving the patient antibiotics that are hurting his kidneys just because you’ … Since his cultures don’t show MRSA or Pseudomonas, I think it would be reasonable to stop the vancomycin

2035. 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

2036. Slippery Slide Into Life | PSNet
      psnet.ahrq.gov/web-mm/slippery-slide-life
      January 21, 2017 - Deficiencies in organizational culture (hierarchy and intimidation, failure to function as a team, and … Simulation-based training is not just for novices. … currently no true neonatal human patient simulator available on the market; all “infant” simulators are just … Culture change and resource acquisition require the cooperation of those controlling people, space and … June 1, 2016 Building a culture of safety in ophthalmology.

2037. Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
      January 01, 2024 - It’s just…when I see red, I always think “stop,” and so I was just kinda like… ok, well maybe … Can’t they just do the whole MAR that way? Just to make sure everything is compatible?” … “There are days when I’m having a bad day and I’m in a hurry and I just …I mean, I’ll just type “ … and then…like if I had all my medicine and I just had the armband and scanned it and just scanned … to address issues related to medication technology implementation and compliance helped foster a culture

2038. Mod5-Comm-Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
      April 01, 2016 - individual and systemic bases of patient harm ■ Genuine professional commitment to the principles of just … culture and the CANDOR process Most health care team members exhibit some of the skills and competencies … Think of their habits, their beliefs, their mannerisms, their relations to others, any characteristics … He says he just needs more time. What would you say to Ron? … I will be able to let you see her in just a few moments.”

2039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33617/psn-pdf
      August 01, 2005 - Is it that there's not enough money, or that the culture is not one that promotes recruiting and retaining … We just believe that the people who are best able to determine what each unit needs are those who are … Finally, we need a culture in which safety is considered a problem-solving situation and not a punishment

2040. Medication Monitoring for Vulnerable Populations via IT (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017018-lehmann-final-report-2010.pdf
      January 01, 2010 - the ambulatory setting, using a set of national consensus measures and identify the organizational culture … rolled-up versions of reports of quality measure data as useful, could not be tested as there are just … Averaged responses tended to be just above the neutral midpoint and were consistent over time. … for attitudes about usefulness and for whether the full list of overdue patients was provided or just … Provider‐related factors may include a lack of awareness that medication monitoring is indicated or a lack of belief