Results

Total Results: 3,207 records

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

2181. 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.

2182. Final Progress Report: Infection Prevention in Emergency Care: A Systems Approach (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/schuur-report.pdf
      January 01, 2025 - Emergency Departments operate within a culture that prioritizes urgent intervention over prevention, … Attendees were provided with an overview on the culture of infection prevention which focused on the … historical culture of how medicine used to be practiced and compared it to modern day perspectives: … improving system defects • “Blame and shame” o Punitive component o Diminishes peer or self reporting • “Just … culture” o Promotes questioning attitude o Resistant to complacency o Committed to excellence o Fosters

2183. 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.

2184. 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

2185. Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium difficile Infection (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/c-diff-infections_disposition-comments.pdf
      March 01, 2012 - It may be best just to eliminate the word mild. … PCR was superior to all but culture. … Peer Reviewer #4 Introduction Page 35, Line 55: “Non-standard therapy” - Why not just say non- antibiotic … All would agree that anaerobic culture for toxigenic C. … It may be too redundant to have a summary again, but just commenting.

2186. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
      July 10, 2024 - That's one of the strengths if you're running an aviation reporting system and you're just trying to … It's a familiar safety story, but that was just one of those things that has now become unacceptable. … The clinicians can just get on the phone and say, "There's something very odd happening here," or, "I … But, ours just mushroomed and in a way tried to take on—or was pushed into—trying to do things that the … It's a little better now, but if you and I were just trying to decide how much of the patient safety

2187. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
      March 27, 2024 - In some cases, just taking that second look at a problem with this set of AI-fueled lenses leads us to … First, we have a patient who is hypotensive, tachycardic with fever, and positive blood cultures immediately … It really humbled us and made us realize that just being able to predict an outcome is not the same as … It’s not just what we did, it’s the how we care for somebody. … Annual Perspective Ensuring Patient and Workforce Safety Culture

2188. Disposition of Comments for Technical Brief 36: Strategies for Patient, Family, and Caregiver Engagement (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/technical-brief-36-patient-engagement-comments.pdf
      August 26, 2020 - Just to make sure we don't confuse "provider". … Is there a way to have it just be adults or children? … contributes positively to health outcomes, though the specificity and weight of the evidence for this belief … Just my opinion. … Providers are not just the workforce, but can be patients too.

2189. 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

2190. In Conversation With… Maureen Bisognano | PSNet
      psnet.ahrq.gov/perspective/conversation-maureen-bisognano
      February 26, 2025 - 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 concept—it's … Hence, the theory was that if you understood your culture and you had a mechanism that you could try

2191. Assess-Resident-Rti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
      June 01, 2021 - Answer 3, sending a further diagnostic workup including a urinalysis or UA and urine culture, is also … She does not complain of any urinary symptoms; therefore, sending a UA and urine culture is not indicated … Five days later, he says he feels better, but he still has a cough that just won’t go away. … Based on the information we just discussed, what is the most likely diagnosis? … Antibiotics are great at making coughs go away in just a few days.

2192. Two-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
      February 01, 2024 - participants include administrators, point out the ways administration can create an environment and culture … Defining the culture of the organization. Covering Slides 11-15 quickly is fine. … Everyone should see leadership as relevant to their job, because they may play that role at times and not just … Summary  When displaying Slide 37, “Tools and Strategies Summary,” note that the participants have just … If you have time, ask the class which team leadership tool you’ve just discussed that they are the most

2193. 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.

2194. 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.

2195. Health Information Technology and Mental Health: The Way Forward (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/health-it-and-mental-health-final-report.pdf
      January 01, 2015 - Trivedi stated that “people don’t have a lot of faith in measurements in our culture.” … • Outcomes monitoring can’t be just visit based. … The goal is not just administrative integration, but improved coordination of services. … It’s important to consider mental health as more than just mental illness. … The interaction will provide ongoing support, not just when the person has a medical issue.

2196. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
      September 03, 2014 - Just the nature of end-stage renal disease makes them immunocompromised, increasing risk. … of safety Safety culture is local and best sustained when it is accepted and maintained at the facility … Posting data can have an impact on the culture of safety.   … DO: Watch the NOTICE video “Undermining a Culture of Safety.” … DO: Select one of the defects from the “Undermining a Culture of Safety” video.

2197. Making Healthcare Safer Practices: 13. Alarm Fatigue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
      March 01, 2020 - discuss two system-level patient safety practices (PSPs) that aim to address alarm fatigue: safety culture … Addressing alarm fatigue through improving safety culture involves system-wide interventions, such as … Facilitators • Securing buy-in from staff at all levels is key to achieving culture change. … Patient Safety Primer: Culture of Safety https://psnet.ahrq.gov/primers/primer/5/Culture-of-Safety. … specifically mentioned that the multidisciplinary assessment team included representatives beyond just

2198. 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

2199. SOPS® Value and Efficiency Supplemental Items for the SOPS Hospital Survey - Spanish (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/spanish-hospital-ve-supp-item-set-2022.docx
      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

2200. Module 5: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt.pptx
      May 01, 2017 - Does the use of a visual management board result in the gains in key measures like patient safety culture … procedures Observation of Safety Work:unit lead & senior leader Problem Solving • Compliance • “Just