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2101. Facilitator Guide: Auditing Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
      December 01, 2017 - Just as you can audit clinical processes, you can audit briefing and debriefing processes. … A structured process provides a concrete way to improve your safety culture. … We have a lot of work to do on just the basics.

2102. Auditing Your Briefings and Debriefings Process: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
      December 01, 2017 - Just as you can audit clinical processes, you can audit briefing and debriefing processes. … A structured process provides a concrete way to improve your safety culture. … We have a lot of work to do on just the basics.

2103. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
      June 01, 2013 - -based, the program just had to be available for implementation within the United States. …  Just culture—techniques for facilitating an organizational culture that promotes accountability … Engineering ‘Human Factors Engineering and Patient Safety' ‘Introduction to Patient Safety' ‘Just … Processes' ‘Patient Safety Assessment Tool (PSAT)' ‘Patient Safety Culture Surveys/Tools’ 35 … Taxonomy ID Content Area Frequency 686 -- Institutional Patient Safety Plan 53 689 -- Just

2104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33787/psn-pdf
      January 01, 2018 - Let me just give you a couple of examples of the new way we're thinking at IHI about safety. … burnout, particularly people feeling like they have been working very hard at these things and it's just … MB: To me good leadership understands the difference between the two circumstances you just described … In other words, the culture and context matter, the leaders matter, and the mechanism is the change … Hence, the theory was that if you understood your culture and you had a mechanism that you could try

2105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73526/psn-pdf
      July 28, 2021 - ://psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture … The Differences Between Human Error, At-Risk Behavior, and Reckless Behavior Are Key to a Just Culture

2106. 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

2107. In Conversation With… Matthew Weinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
      August 01, 2018 - MW : It's probably both, but I think there just is not a lot of money in health care education. … Some other countries do more simulation, but there's a fundamental cultural belief that's still hard … Contrast that with nuclear power, where a safety culture is imposed in part by the regulators and in … Two other advances that we're just beginning to see are going to be really exciting. … We're just starting to see this technology.

2108. 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.

2109. 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

2110. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
      psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
      September 01, 2017 - The best approach to both understanding and resolving them is sociotechnical, which includes not just … planning for downtime and system configuration).( 16 ) Lesson Two: EHR Safety Requires More Than Just … As such, another key facet of this work is for organizational leadership to create the blame-free culture … When you ask people why they don't just turn off those "this could happen" alerts, there's a concern … I routinely interact with not just the leadership of ONC but all the various staff members.

2111. Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
      July 22, 2015 - Changes in practice culture and mental models are often required. … , Calman and colleagues found that the EHR at the Institute for Family Health Network, implemented just … must be replaced by a patient-centered model, where care is provided by teams, and the focus is not just … Organizational culture associated with provider satisfaction. … York State, including the Bronx, Manhattan, and the Mid-Hudson Valley Implemented in 2002 (just

2112. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide2.html
      February 01, 2016 - And while medical staff in many hospitals embrace a culture of teamwork and standardization, this is … It is often just as important to figure out what parts of the guidelines not to address as it is to

2113. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
      February 01, 2016 - And while medical staff in many hospitals embrace a culture of teamwork and standardization, this is … It is often just as important to figure out what parts of the guidelines not to address as it is to

2114. Session 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
      October 01, 2014 - Often, changes can be detected just because you notice something out of the ordinary. … Cultural differences —These can be our beliefs about other groups of people, our values, or what we think … Culture. Status. Interpersonal issues. Environmental or system barriers.

2115. CCHS-East Huron Hospital CPOE Project | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/cchs-east-huron-hospital-cpoe-project
      January 01, 2023 - principal investigator for the AHRQ project, another key to success involves understanding physician culture … Or the computer might remind the physician that the patient is allergic to a drug that's just been ordered … In addition, AHRQ funding is helping to further imbed health IT into the workplace culture by supporting

2116. The Mobile Mock Operating Room: Bringing Team Training to the Point of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
      January 24, 2008 - Thus, the MMOR was assigned to an OR, just as actual cases were assigned. … Participants scheduled for training were then assigned to the OR where the MMOR was located, just as … In addition, the ECS was attached via specialized tubing to an air compressor placed just outside the … In this location, the scrubbed OR team members could assemble around the OR table to operate, just as … training on actual transfer of learning and skill development to everyday practice and to the overall culture

2117. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
      December 18, 2024 - You cannot just stick something new in the clinical workflow and expect it to work. … It is not enough just to say we are engaging the patient; we must be able to measure that. … prevention strategies integrated into the day-to-day workflow, leadership support and an organizational culture … One study examined the association between nursing unit safety culture, quality of care, nurse staffing … levels, and inpatient falls; the researchers found that nursing units with strong safety culture and

2118. The Ongoing Journey to Prevent Patient Falls | PSNet
      psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
      December 18, 2024 - prevention strategies integrated into the day-to-day workflow, leadership support and an organizational culture … One study examined the association between nursing unit safety culture, quality of care, nurse staffing … levels, and inpatient falls; the researchers found that nursing units with strong safety culture and … You cannot just stick something new in the clinical workflow and expect it to work. … It is not enough just to say we are engaging the patient; we must be able to measure that.

2119. In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA | PSNet
      psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
      June 30, 2021 - COVID-19 is going to be just another scenario that we are going to have to look at when we do these … And it may not be just the hospital itself. … KH: With all this attention paid to sinks, surfaces, etc., now I'm just wondering has anybody been … Not just for COVID-19, there are so many applications. … Culture and Redesign. Agency for Healthcare Research and Quality; 2008.

2120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49415/psn-pdf
      September 01, 2003 - It´s Not Just What You Say. … communication style and understanding of what others mean by what they say.(8) Communication is not just … are even more susceptible to misinterpretation, due to changing context or differences in gender and culture … could limit staff training time) B Goals, policies, and standards Probably not a factor - Safety culture … and priorities Reactive culture (eg, address problems only when they occur) - Proactive approach would