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2081. Barriers Associated with Medication Information Handoffs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
      January 01, 2004 - Just as notable is the variation due to nonpatient factors, such as individual discretion and time constraints … ” • Causes duplication of effort: “It’s just easier to gather the information for myself.” … systems, has also been cited.2 Nurses, pharmacists, and other clinicians have their own professional cultures … Promoting a culture of safety. In: Shojania, KG, Duncan BW, McDonald KM, et al. … Reducing prescribing error: competence, control, and culture.

2082. Module 3. Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
      October 01, 2014 - If the learning culture of your audience suggests that staff from different professions cannot learn … 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. … For instance, the system of care may not accommodate the new practice, or the culture of care may not … Usually, culture change includes implementing and disseminating some core teaching.

2083. Meaningful Measurement in Patient and Family Engagement | PSNet
      psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
      March 10, 2021 - That’s a potential gold mine of information; we just haven't bridged the data collection approach yet … KH : I was just thinking about return on investment. … Are you going to just start doing this? … A lot of the best programs start with no budget, just dedication and passion for the work. … Resources From the Same Author(s) Perspectives on Safety Safety Culture

2084. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
      January 01, 2025 - of collaborative clinical culture that can be used in future research. … Church, Virginia 05-336R-03 [Interagency Agreement] Team Training Curriculum (TeamSTEPPS) and Just … Curriculum (TeamSTEPPS) and Just Culture toolkits. … Church, Virginia 06-336R-03 [Interagency Agreement] Team Training Curriculum (TeamSTEPPS) and Just … Curriculum (TeamSTEPPS) and Just Culture toolkits.

2085. Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid CHG and Showering With 4% CHG Liquid Soap (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.docx
      March 01, 2022 - positive methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE) cultures … Note: Cloths should not be removed from warmer until just before bath. · For obese or incontinent patients … Remind patient that skin may feel sticky for just a few minutes after 2% CHG impregnated cloths are applied

2086. Strategies for Improving Patient Experience with Ambulatory Care: Tools to Help Patients Communicate Their Needs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-h.pdf
      July 07, 2017 - One issue is that many, if not most, patients are just beginning to become comfortable with relationships … shift is especially difficult for older patients and people who do not speak English or who come from cultures … For example, just prior to a doctor visit, a nurse may interview the patient, review the chart together

2087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49732/psn-pdf
      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 were growing methicillin-resistant Staphylococcus … performed by Rivers and colleagues (5), the bundle includes measuring serum lactate levels, drawing blood cultures … Regardless, certain bundle elements, such as checking a lactate, ordering blood cultures, and starting … has increased from less than 5% to near 80%, and sepsis mortality in our institution has fallen from just

2088. Orientation to Opioid Use Disorder Treatment | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/clinicwide-orientation-oud-treatment
      January 01, 2019 - As previously discussed in the section on Culture Change, negative interactions with providers and staff … treatment, Expressing empathy and compassion, Using reflective listening to summarize what you have just … Started Understanding the Components of MAT Addressing Organizational Readiness and Culture

2089. Improving Anxiety Detection in Pediatrics Using Health Information Technology - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs024314-bauer-final-report-2018.pdf
      January 01, 2018 - automates surveillance and screening for preventive and disease management with pre-screening items, just … In addition, a family friendly one page JUST IN TIME handout is available to print and provide the family … referral for mental health was made, whether medication was initiated, and whether the respective JUST … Additional considerations raised was the content of the JUST IN TIME (JIT) handout, specifically for … Similar discussions about the JUST IN TIME handout for ADHD were also reviewed at the CHUGs and the

2090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49497/psn-pdf
      December 01, 2005 - 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

2091. Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
      January 01, 2014 - Data also can be used to show that ED crowding is not just an ED problem, but one that requires hospital-wide … Just as hospitals have collected financial data to give feedback to multiple stakeholders, they now must … the current complexity and future uncertainty of modern health care, quality improvement is no longer just … information to support their position that ED crowding requires hospital-wide solutions and that it is not just … Data also can be used to prove to leaders that ED overcrowding is a hospital-wide issue rather than just

2092. Team Structure and Assembly - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure.pptx
      July 01, 2023 - change Hold teams accountable for team performance Define the culture of the organization Your AIM … Administration creates the climate and culture for a teamwork system to flourish by: Establishing and … Defining the culture of the organization. … Administration should strive to create a learning culture where there is trust and transparency to create … incorrect perceptions of what they stand to lose, and even though these losses are not real, they are just

2093. Team Structure and Assembly (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
      July 01, 2023 - change • Hold teams accountable for team performance • Define the culture of the organization … Administration creates the climate and culture for a teamwork system to flourish by: • Establishing … • Defining the culture of the organization. 13 Administration should strive to create a learning … culture where there is trust and transparency to create a safe environment to report, analyze, and … incorrect perceptions of what they stand to lose, and even though these losses are not real, they are just

2094. Team Structure and Assembly - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
      July 01, 2023 - change Hold teams accountable for team performance Define the culture of the organization Your AIM … Administration creates the climate and culture for a teamwork system to flourish by: Establishing and … Defining the culture of the organization. … Administration should strive to create a learning culture where there is trust and transparency to create … incorrect perceptions of what they stand to lose, and even though these losses are not real, they are just

2095. A Boost for Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
      June 01, 2022 - It has been just four months since joining President Biden’s Administration as Director of AHRQ.

2096. Understanding and Reducing Overuse of Potentially Harmful Screening Tests (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
      January 01, 2014 - Tests Principal Investigator: Stacey Sheridan, MD MPH AHRQ Grant Number: P01 HS021133 It is just

2097. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - in the dental ecosystem.( 20 ) As challenging as it has been to establish a safety culture in medicine … Is ambulatory patient safety just like hospital safety, only without the "stat"? … Open wide: looking into the safety culture of dental school clinics. J Dent Educ. 2014;78:745-756. … We are aware that the information we have is just a small part of the total. … September 6, 2017 Open wide: looking into the safety culture of dental school clinics

2098. 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
      January 01, 2016 - 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I PATIENT SAFETY NURSING HOME SURVEY … pertaining to patient safety culture: 1. … Planning for Improvement The delivery of survey results is not the end point in the survey process; it is just … Achieving a culture of resident safety requires an understanding of the values, beliefs, and norms about … Patient Safety Culture Composites and Definitions Patient Safety Culture Composite Definition: The extent

2099. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
      April 01, 2013 - There is no way to enforce someone sleeping just because they are provided with time off work. … Just as we would expect our colleagues not to show up to work drunk, we should expect them to show up … : Well, the ACGME certainly had it right that this is a complicated thing to do and that you can't just … This means that the local context (not just the schedules but the quality of the residents, the culture … Do certain schedules, or other matters of culture, information technology, and leadership, lead to better

2100. The National Action Alliance to Advance Patient Safety Summer Webinar Series: CDC Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
      July 25, 2023 - Regarding physical assaults, just under half of nurses, at 44%, reported physical assaults during this … Explore and consider avenues to not just meet but exceed these regulatory expectations. … ™ (SOPS®) Validated surveys to assess patient safety culture in different healthcare settings Supplemental … - Just getting started -Beginning phases -Somewhere in the middle -Have completed and are seeing results … AHRQ Surveys on Patient Safety Culture™ (SOPS®) Thank You! Polling Question