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  1. 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
  2. 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
  3. 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.
  4. 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
  5. 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
  6. psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
    October 01, 2004 - any chance of developing new and optimal teamwork patterns that become deeply ingrained in the work culture … is very important that participants have a chance to actually "deploy" the skills being taught, not just … June 16, 2011 How does patient safety culture in the operating room and post-anesthesia … Providers Health Care Executives and Administrators Educators Communication between Providers Culture
  7. 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
  8. digital.ahrq.gov/sites/default/files/docs/page/Crandall.ppt
    September 01, 2005 - DEVICES, TECHNOLOGY COST CONCERNS RESPOND TO SOCIETY’S EXPECTATIONS EMPHASIZE THAT THIS IS NOT JUST … and post-go-live support Increased depreciation Transformation: 1 Part Technology + 2 Parts Culture … there: Implementation Readiness Implementation Readiness Process Requires 20-24 Months People Culture … 22.39 16.67 20.29 26.23 15.38 22.5 27.69 19.7 25.37 525.75 22.86 Sheet2 Sheet3 Culture
  9. 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.
  10. 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 beliefJust my opinion. … Providers are not just the workforce, but can be patients too.
  11. 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
  12. 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
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
    January 01, 2002 - Open access scheduling was present in just under half of the practices, for an average of 16 months. … Assessing the culture of medical group practices. Medical Care 1996 34:377-388. … Organizational cultures, strategies, and commitments in health care organizations. … Organizational culture and medication error reporting. … Assessing the culture of medical group practices. Med Care 1996;34:377–88. 21.
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-slides.pptx
    January 01, 2017 - The connection between surgical safety teamwork and safety culture work as structured in the Comprehensive … ADAPTIVE WORK COMMON PROBLEMS LOCAL PROBLEMS Prework: Measure clinician and staff perceptions of safety culture … with Hospital Survey on Patient Safety Culture Comprehensive Unit-based Safety Program (CUSP) 1. … So you will just need to define a data collection process at your organization and begin to collect baseline … workflow with potential to transform care in large and small ways 21 Reasons To Test Change4 Increase belief
  15. psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
    February 26, 2025 - Just over a week after the identification of the first safety incidents, the team disseminated the … To support implementation , unit leaders provided just-in-time training, ICU dashboards facilitated … committees Dissemination channels online, via standing conferences, and through regular meetings A culture
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
    December 01, 2017 - For example, there’s purulent drainage from the wound, redness, and swelling, and wound cultures are … The selections were based on the culture evaluations and sensitivity of different bacteria from wound … That is how you change the culture and get the buy-in required for system success. 25 Interventions … You can pick just that post-op day one glucose and just check all those post-op day one glucoses on 20 … You can monitor progress in skin prep by reviewing the cultures from your wound infections with your
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
    April 01, 2022 - s view of the importance of managing catheter use and removal practices are often based on the unit culture … to remove all urinary catheters that do not meet criteria, meaning that they are empowered, and the culture … Slide 6 The literature strongly supports team strategies for communication, and creating a culture … However, this is just one method of reminder. … that may affect the success of reminders and stop orders, such as: Communication patterns and unit culture
  18. www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
    January 01, 2024 - It was our belief that a multimodal intervention for improving nursing home pain practices needed to … These included religious traditions and beliefs about pain and suffering, beliefs about gender and cultural … and administrators, intermittent physician presence, a low-technology environment, and regulatory culture … We also created a binder just for CNA use. … It is important, however, that data be collected related to the management of pain, not just the assessment
  19. psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
    August 01, 2005 - Is it that there's not enough money, or that the culture is not one that promotes recruiting and retaining … We just believe that the people who are best able to determine what each unit needs are those who are … Finally, we need a culture in which safety is considered a problem-solving situation and not a punishment … of the American Nurses Credentialing Center is the best example of a successful blueprint to guide culture … April 9, 2008 Navigating the perfect storm: balancing a culture of safety with workforce
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english-2023.docx
    January 01, 2023 - · For the survey items grouped according to the safety culture composite measures they are intended … and Composite Measures document. · To participate in the AHRQ Medical Office Survey on Patient Safety Culture … It is just by chance that we don’t make more mistakes that affect our patients 1 2 3 4 5 9 5