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2181. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
      May 01, 2017 - used on L&D units, but administration procedures vary greatly due to lack of standardization, local culture … induction TeamSTEPPS® Teamwork training provides staff with language and skills to— “Speak up” Have “just … used on L&D units, but administration procedures vary greatly due to lack of standardization, local culture

2182. 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

2183. 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

2184. The "Customer" Is Always Right | PSNet
      psnet.ahrq.gov/web-mm/customer-always-right
      January 22, 2014 - After discussion and counseling, the patient responds with, "I'm reassured that you think my ankle is just … 2014 Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture … July 2, 2014 AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses.

2185. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
      August 01, 2022 - This initial set of trainings was complemented with follow-up training, “just-in-time” training, and … It contains four scales: error disclosure general culture, error disclosure trust culture, safety, and … For those having received training, minor error disclosure culture, serious error disclosure culture, … The Error Disclosure Culture Survey and its implications for organizational culture. … a group of disclosure coaches at each site who could provide frontline clinicians with guidance and just-in-time

2186. Managing Ascites: Hazards of Fluid Removal | PSNet
      psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
      June 01, 2018 - The case prompted a formal review since the entire hospitalization was deemed preventable given the belief … Therefore, the threshold for performing a diagnostic paracentesis and sending the fluid for culture should … receive a thorough evaluation for other evidence of systemic infection, including a urinalysis, blood cultures … I would regard it as potentially predictable and just treat the complication as needed.

2187. 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
      January 01, 2022 - Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … ™ (SOPS®) Diagnostic Safety Supplemental Items assess the extent to which the organizational culture … supplemental items were designed to be administered toward the end of the SOPS Medical Office Survey, just … The items are grouped by the patient safety culture composite measure they are intended to measure. … Composite Measure Percent Positive Response The three patient safety culture composite measures are

2188. 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.

2189. 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

2190. Safety I, Safety II, and the New Views of Safety | PSNet
      psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
      October 02, 2024 - and on Normal Accidents and HROs 1990s and on Swiss Cheese and Safety Management 2000s and on Safety Culture … viewed, as well as the utility of the concept of human error. 1 , 13-15 This questioning of long held beliefs … enables the incorrect assumption that observations in this limited subset of cases demonstrate not just … Hollnagel terms this the causality credo , which he defines as “the belief that adverse outcomes happen … and early adoption. 23 Work as Done and Work as Imagined “Work-as-Done” and “Work-as-Imagined” are just

2191. 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

2192. Evidence- and Consensus-Based Digital Healthcare Equity Framework (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/health-equity-practical-guide.pdf
      February 15, 2024 - Understand the cultural characteristics and beliefs of the communities for which a digital healthcare … Just as other demographic factors impact beliefs and attitudes toward healthcare solutions that involve … Culture of Equity. https://www.michiganshield.org/ culture-of-equity. … org/Files/Health-Equity/QIRN345_HealthEquityChampions_062822_508.aspx https://www.michiganshield.org/culture-of-equity … https://www.michiganshield.org/culture-of-equity https://healthforce.ucsf.edu/blog-article/healthforce-research

2193. 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

2194. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool5.html
      March 01, 2025 - The script is just a guide. The phone calls will require flexibility and creativity. … The Case of Hypertension Beliefs Background: The patient, an African American woman, has been prescribed … The caller alerts the PCP to the patient's health beliefs.

2195. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
      March 01, 2025 - The script is just a guide. The phone calls will require flexibility and creativity. … The Case of Hypertension Beliefs Background: The patient, an African American woman, has been prescribed … The caller alerts the PCP to the patient's health beliefs.

2196. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
      August 01, 2022 - The grantee identified numerous barriers to adoption (e.g., the belief that new patient materials would … presentations; Webcast disclosure symposia; self-paced Web-learning modules and refresher courses; and “just-in-time … to implement an intervention process that promotes professional self-governance, fosters a fair and just … culture of safety and kindness, and reduces avoidable lawsuit risk” (Pichert et al., 2013). … One barrier identified by the survey is the belief, on the part of patients (38%) and clinicians (51%

2197. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
      February 01, 2014 - Appendix C presents a long list of research topics organized by the categories in the conceptual model just … have very little understanding of how and why some delivery system organizations develop effective cultures … , and external incentives also influence outcomes directly and not just through their impact on care … Suggested Key Areas for Delivery System Research Even with criteria as specific as those I have just … the delivery system to high-performing organizations that focus continually on improving value (not just

2198. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
      February 01, 2014 - Appendix C presents a long list of research topics organized by the categories in the conceptual model just … have very little understanding of how and why some delivery system organizations develop effective cultures … , and external incentives also influence outcomes directly and not just through their impact on care … Suggested Key Areas for Delivery System Research Even with criteria as specific as those I have just … the delivery system to high-performing organizations that focus continually on improving value (not just

2199. Innovations in Promoting Hand Hygiene Compliance | PSNet
      psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
      May 01, 2014 - Whether to build in incentives or just use pride and shame and some level of public reporting? … According to your institutional level of hand hygiene culture, you may be pushed today to make sure that … You will realize that from performance monitoring, that education and institutional safety culture have … An important point is to realize that we need to adapt this strategy to different cultures and different … Sometimes people look at hand hygiene and say, it should just be required.

2200. Medication Management | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage-slides.html
      May 01, 2017 - Project Goals Meaningful engagement with patients and families in ways that impact safety, not just … The figure also shows that external factors such as the health care system, culture, community, and environment