Results

Total Results: 3,207 records

Showing results for "just culture".
Users also searched for: just culture

2161. Partnering to Improve Patient Safety in Rural WV - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014920-bellamy-final-report-2007.pdf
      January 01, 2007 - Patient Safety Culture Survey: The AHRQ Hospital Survey on Patient Safety Culture was distributed … Critical Access Hospitals represented just over half (~56%) of the participating hospitals and half … Getting the Most Out of the AHRQ Hospital Survey on Patient Safety Culture. … Using the AHRQ Hospital Survey on Patient Safety Culture – Lessons Learned. … “Patient Safety Culture in CAHs: How CAHs Compared to AHRQ Benchmarks.”

2162. Patient and Family Roles in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-and-family-roles-safety
      June 14, 2023 - My work, beliefs, and commitment have been shaped by early life experiences. … These partnerships need to be foundational to the culture of the organization. … That type of list just makes so much sense. … Hospitals are beginning to change the concept of families as “visitors,” returning to the belief that … Some places just shut down their PFACs.

2163. Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization and Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
      September 01, 2015 - but it is important for PFs to recognize that the enterprise of primary care is a “team sport”—not just … As mentioned earlier, primary care is a team effort—not just among clinical care team members but across … Organizational culture is the foundation for all practice activities. … Every practice has its own unique culture, and this culture will be an important factor in any work … Practices can receive reimbursements in just a few weeks or wait months or sometimes years to receive

2164. CRP Certification: Promoting Accountability and Learning After Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
      January 01, 2024 - CRPs have their origins partly in principles of Just Culture, which recognize that most medical errors … BETA has defined five domains – culture of safety, rapid event response and analysis, communication … Part of the challenge is integrating the application process into existing workflows: “It just includes … I don’t really have any suggestions other than we just have to do it.” … come back at the end of that and talk to the patient and family and say, well how did that go; it just

2165. Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
      January 01, 2017 - definition focuses on the broader set of preventable harms associated with mechanical ventilation, and not just … convince them that improving the care of mechanically ventilated patients and VAE prevention are not just … We are just beginning to develop independent redundancies in health care. … Adapt your intervention to the local culture and context. … Intervention success is dependent on organizational culture.

2166. Improving Patient Safety in Long-Term Care Facilities: Training Modules (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
      June 01, 2012 - Try to get them to talk with each other, not just to you. … Try to get them to talk with each other, not just to you. … Pamela had just begun telling him about Mrs. C. … o Culture. … Try to get them to talk with each other, not just to you.

2167. Difficult Encounters: A CMO and CNO Respond | PSNet
      psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
      March 01, 2018 - Describe characteristics of a culture that encourages open communication, respect, and opportunities … Organizations that aspire to create cultures of safety must address the pervasive behavioral patterns … Development of a culture such as this, however, requires more than role-modeling. … Just as the staff nurse needs to learn to speak up to defend patient safety, so too does the effective … Behaviors that undermine a culture of safety. Sentinel Event Alert. July 9, 2008.

2168. A Frontline Management System To Sustain Improvement in Safety Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
      June 01, 2017 - level to the executive suite—was crucial to sustaining standardized practices over time and promoting a culture … Results of these preliminary tests were promising, including increases in staff satisfaction and safety culture … (1) conformance with established protocols and procedures; (2) simple issues that have an obvious “just

2169. Topics | PSNet
      psnet.ahrq.gov/topics-0
      March 03, 2025 - to this topic Informed Consent Go to this topic Culture … Safety Go to this topic Institutional Patient Safety Plan Go to this topic Just … Culture Go to this topic Learning Organization Go to this topic Red Rules

2170. What We Learned: Five Key Lessons | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal4.html
      January 01, 2013 - from the MHA Keystone: ICU project and had well-defined interventions—the CUSP model to address safety culture … 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. 

2171. Module 16: Academic Detailing as a Quality Improvement Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-16-academic-detailing.pdf
      September 01, 2015 - Can you get by with just 5 or 10 minutes? If you don’t meet now will you get another chance? … To be effective as an academic detailer you need to understand the clinician, his/her practice, beliefs … Note: Just because something is not a key message does not mean it should not be mentioned or shared. … It just means that the delivery of that message is not the ultimate goal. … If you are not sure if something is a feature or a benefit, just ask yourself the question, “So what

2172. Team Structure and Assembly (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_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                                                   … This philosophy serves to define a culture of safety; however, as examples in aviation and other high‐risk … incorrect perceptions of what they stand to lose, and even though these losses are not real, they are just

2173. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
      March 03, 2008 - The consensus was that this project was of such importance that a day-long training program, not just … The four objectives that drove the agenda were: (1) describing elements of a safe culture and the internal … Change Theory In large or complex institutions, implementing change to the culture can be difficult. … For purposes of this training program, change equated to a shift in the patient safety culture on the … The previous culture provided for complete privacy while the patient was using the toilet, so that even

2174. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
      December 23, 2020 - errors led to considerable soul searching and, ultimately, a major change in institutional practices and culture … We have adopted and promulgated model error disclosure practices and fair and just culture principles

2175. Using the Opportunity Estimator (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/estimator.html
      April 01, 2013 - If you advance down to the next slide, slide five, this is just the conceptual framework for how the … Once they're engaged, senior executives are just like the rest of us, and they're just like many of you … So, operator, why don't you just go to the next person that's on the line? Operator: Okay. … This is all just based upon best estimates from the literature. … I think, I know we're closing in on the hour, but in that regard just an FYI.

2176. SOPS® Value and Efficiency Supplemental Items for the SOPS Hospital Survey - Spanish (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/spanish-hospital-ve-supp-item-set-2022.pdf
      January 01, 2022 - item set should be added to the end of the SOPS Hospital Survey 2.0, after Section F: Your Hospital, just … Measures: A composite measure is a grouping of two or more survey items that assess the same area of culture … Development and pilot testing of survey items to assess the culture of value and efficiency in hospitals

2177. Transcript: Senior Leadership Podcast – Implementing Strategies and Tools (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module3-transcript.pdf
      June 01, 2017 - Michael: I think it goes beyond just having positive attitude towards it. … That's a great way to build the culture, because you're talking about the things that are important. … I think it is just that constant going back to the teams and highlighting their work. … probably 10 years ago, we moved away from reporting rates of infections internally and started reporting just

2178. Risk Management and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/risk-management-and-patient-safety
      December 01, 2010 - I think we have a whole group of physicians who grew up with that belief system and who trained the next … 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

2179. 105-What-Are-The-4-Es-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
      April 01, 2025 - Adaptive challenges are more complex and involve peoples’ beliefs, behaviors, feelings, values, and preferences … CUSP team champions can assist with assessments of culture, determining future education needs, updating … The goal is for leadership to support and have an active stake in the outcome—not just sign off on the … When identifying the important stakeholders for this project, it is OK to start small just like a CUSP … The aim of execution is not just to implement improvements, but to ensure the improvements are sustainable

2180. Best Practices in the Diagnosis and Treatment of Cellulitis and Skin and Soft Tissue Abscesses – Slides (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
      September 01, 2022 - Slide 10 Moment 2: Microbiologic Diagnosis SAY: Wound cultures should be considered if purulence … immunocompromise or foreign material in place, or who are being admitted to the hospital should have wound cultures … a Gram stain can be performed and to optimize the likelihood of recovering a microorganism from the cultures … Slide 18 Non-Antibiotic Therapy SAY: Successful treatment of cellulitis requires more than just