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2201. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
      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

2202. Strategy 3: Bedside Shift Report (Tool 3)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
      July 23, 2010 - to and honoring patient and family ideas and choices and using patient and family knowledge, values, beliefs … and cultural backgrounds to improve care planning and delivery. • Information sharing, which means communicating … works and how to get things done Are strangers in this environment Do n0t understand the system or culture … You’re not just a patient in the bed.” “It makes you feel like you’re involved.” … Just point to it or cover it at the station.

2203. 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%

2204. 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

2205. 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.

2206. Final Progress Report: Improving Pain Management in Nursing Homes (pdf file)
      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

2207. Presentation: Program Overview
      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

2208. 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

2209. 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

2210. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49798/psn-pdf
      July 01, 2017 - ACPO should be suspected in patients who have acute illness or have just had surgery who develop abdominal … A gastroenterologist who had just finished her fellowship training performed a decompression colonoscopy … It is unclear if the gastroenterologist, who had just recently completed her training, was experienced … An institutional culture that encourages communication among all members of the health care team can

2211. Presentation: Building Your SSI Prevention Bundle
      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

2212. 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

2213. 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

2214. What Does Simulation Add to Teamwork Training? | PSNet
      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

2215. PowerPoint Presentation (ppt file)
      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

2216. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73905/psn-pdf
      October 06, 2021 - In many ways, this viewpoint may be just as important to patients when it comes to defining safe maternal … The goals of this work are to advance just, effective perinatal care by identifying underlying factors

2217. Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
      April 24, 2024 - assemble the Nurse Staffing Think Tank, a diverse group of stakeholders from around the country—not just … It’s not just the hourly rate, but health systems must also pay a stipend, in some cases upfront, to … It’s key to create a culture where everyone is welcome. We all depend on each other. … Instilling a culture that says, “We’re all a team, no matter who’s here,” is the way to move forward. … We can’t just leapfrog over those who are delivering care and then say we care about patient care.

2218. Health Information Exchange Policy Issues | Digital Healthcare Research
      digital.ahrq.gov/health-information-exchange-policy-issues
      January 01, 2023 - The results from the AHRQ health IT projects are only just beginning to be made available, but two points … about technology, as one of the grantees says, "it's one part technology and two parts systems and culture … The process of solving the policy questions is just as important as the solution. 

2219. How Does Health Care Simulation Affect Patient Care? | PSNet
      psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
      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.

2220. In Conversation With… Edward Kelley, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
      December 01, 2014 - Or is this higher on Maslow's triangle, in that they're just not ready for it yet? … You have that times 200 given all the countries and variations in resources and culture and history. … To just give an example from one of our close colleagues, Peter Pronovost , WHO has a special Patient … I just saw an excellent presentation from Estonia about patients having access to their own radiology … It's just not going to happen, or not going to happen easily.