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2081. Webinar Transcript: Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
      November 01, 2016 - It's not patient and family centered care, because we want it to be beyond just the experience of the … We just want to help you promote your good, valuable, quality improvement work. … We just finished our fourth quality strategy, which we modeled after the NQS, and I want to let Dr. … We've also seen a big shift in the quality culture here at the California Department of Health Care Services … In addition, we've been annually monitoring the culture of quality within our organization, and our survey

2082. From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
      May 05, 2008 - Build a safety culture • Continue to transform Michigan’s health care culture to one characterized … undergoing a cultural transformation, from blaming individuals to creating organized systems and cultures … Without a doubt, the Commission delivered just that. … This effort required a total investment of approximately $400,000, including just over $10,000 for transcription … Culture change is hard and requires a long-term commitment.

2083. CHII Costs (ppt file)
      digital.ahrq.gov/sites/default/files/docs/page/ADAMS_3_I.ppt
      January 01, 2013 - health improves immediately and she only misses one day of school Hannah’s mother returns to work after just … All rights reserved Multiple Systemic Problems Financial Poor Quality High Cost Culture Practice … Variations Social Factors Limited Access Unit Prices Administrative Costs Culture Structure Standards … Medical custom varies a great deal even among communities that are demographically and geographically … All rights reserved Structure – Too many masters results in no standards Culture – Impacts standards

2084. 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.

2085. 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

2086. Surveys on Patient Safety Culture (SOPS®) Medical Office Survey: 2022 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
      January 01, 2022 - ON PATIENT SAFETY CULTURE™ Surveys on Patient Safety Culture™ MEDICAL OFFICE SURVEY: 2022 USER … refers to the beliefs, values, and norms shared by staff throughout an organization that influence … Patient safety culture is the extent to which these beliefs, values, and norms support and promote patient … (Item F3*) It is just by chance that we don't make more mistakes that affect our patients. … (Item F3*) 75% 25.98% 0% 38% 64% 80% 100% 100% 100% It is just by chance that we don’t make more

2087. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
      July 01, 2024 - , pharmacists, 101 social workers, 102,103 informatics professionals 104 ) on their attitudes and beliefs … Both groups shared a belief that delayed release might be beneficial to certain patients and in certain … But we just can’t manage that by workflow. … that their organizations implemented the Cures Act with little guidance for clinicians despite the “culture … you have different communities that have vastly different demographics… social constructs, different cultures

2088. 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.

2089. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
      January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item … Set for Medical Offices 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic … Surveys on Patient Safety Culture® and SOPS® are registered trademarks of the U.S. … provides step-by-step guidance on how to develop an action plan to improve patient safety culture, … supplemental item set was designed to be administered toward the end of the SOPS Medical Office Survey, just

2090. Using Health IT Chronic Disease Management (pdf file)
      digital.ahrq.gov/sites/default/files/docs/hit-cdm-transcript-062111.pdf
      June 16, 2021 - Just a word here we did retrain the staff in taking blood pressure. … Here this is just a dummy report. … First is Open Door offered a culture of quality improvement, and supported learning, and change. … And I would just say this is probably a generalizable lesson. … really challenged just to meet the daily needs of the patient.

2091. 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

2092. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
      January 01, 2025 - will also look at what happens to older patients over time (i.e., during their care journey), not just … I just had that document and just grabbed my phone… and made the call” [Pt-F] “I don’t remember … is pending, send a message to the SNF NP Pool and the Culture RN pool indicating pending culture … Notification to SNF NP of urine culture results – Culture RNs send results to SNF NP through EHR inbox … SNF NP following up with rad culture RN SNF NP SNF NPs will follow up with culture RNs regarding the

2093. 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

2094. 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.

2095. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
      October 01, 2012 - The HSOPS is comprised of 10 dimensions assessing safely culture and 4 outcome variables. … worked to adapt, coordinate, and integrate other improvement techniques and tools such as TeamSTEPPS, Just … Culture, Lean, and Six Sigma programs with the CUSP efforts. … Some teams viewed On the CUSP: Stop BSI as just another quality ―flavor of the month,‖ or focused solely … It demonstrates how CUSP works with existing patient safety frameworks such as TeamSTEPPS, Just Culture

2096. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil3.html
      April 01, 2018 - What: Define the Council's Goals and Objectives Organizations that are just beginning to bring patients … For teams that are just beginning to initiate patient involvement, the project timeframe should be kept … If this is the first project that includes patients, consider including just a few (e.g., less than five … Unfamiliarity with health care systems and the medical world; belief that they do not have enough medical

2097. Retained Surgical Items: Causation and Prevention | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
      January 04, 2024 - placed but did not “see” the retained sponge because they thought the sponge radiopaque markers were just … interventional vascular, cardiac and radiological procedures in sites other than ORs, proceduralists (not just … in lieu of counting instruments, although this strategy increases cumulative radiation exposure, not just … Implementing system changes in processes of care requires attention to inter-professional culture differences … determine whether the devices under consideration are likely to be helpful at that site, given that site’s culture

2098. 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

2099. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
      December 01, 2015 - Joseph Mercy Hospital, Ann Arbor, MI Learning Objectives Describe how to use data to change culture … of safety Not having explicit intent to continue a program and resources Don’t just give “lip-service … 37 Building a Culture of Confidence How can we build and maintain a culture where success cycles are … of Confidence Building a culture of confidence is largely about amplifying successes and strengths to … ensure the ‘voices’ of possibility, optimism and self-belief drown out the ‘voices’ of self-doubt, negativity

2100. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2024-medical-office-database-report-rev.pdf
      January 01, 2024 - Culture® e PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety Culture … refers to the beliefs, values, and norms shared by staff throughout their organization that influence … Patient safety culture is the extent to which these beliefs, values, and norms support and promote patient … (Item F3*) 73% It is just by chance that we don't make more mistakes that affect our patients. … (Item F3*) 73% 26.50% 0% 33% 63% 80% 94% 100% 100% It is just by chance that we don’t make more mistakes