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2221. SOPS Medical Office Survey (doc file)
      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

2222. Appendix D. Site Visit Process Comparison | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapd.html
      April 01, 2018 - Exceptions made for elderly, children, often just give instructions to person with them during post-op … Deal-breakers: NPO (this may just delay a few hours if the surgeon has time)(usually doesn't apply with … No screening in pre-op assessment questions or cheek swab culture for MRSA etc.  … Often can just be sent upstairs to cardeo dept and checked to see if benign, if is then the patient is

2223. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49734/psn-pdf
      May 01, 2015 - Just then, another trauma patient arrived, and the supervising attending physician left the room. … Here, the safety culture of the operating room (OR) provides us some ideas. … simulation training, these extra eyes may safely be borrowed from the nursing staff—assuming that a culture

2224. Surveys on Patient Safety Culture (SOPS) Hospital 1.0 Survey: 2021 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
      March 01, 2021 - Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … refers to the beliefs, values, and norms shared by staff throughout the organization that influence … Patient safety culture is the extent to which these beliefs, values, and norms support and promote patient … (Item A18) 74% 9.03% 44% 62% 69% 75% 80% 85% 100% % Disagree/Strongly Disagree It is just by chance … (Item A18) 75% 75% 0% 17% -20% 6% -6% % Disagree/Strongly Disagree It is just by chance that more

2225. Prompting Removal of Unnecessary Indwelling Urinary Catheters Facilitator Notes (doc file)
      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

2226. Appendix V: Tested Measures by DRA Domain (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv2a.html
      June 01, 2010 - National Core Indicators Consumer Survey Measure includes choices in several areas, not just providers … National Core Indicators Consumer Survey Measure includes choices in several areas, not just

2227. Organizational Climate, Stress, and Error in Primary Care: The MEMO Study (pdf file)
      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.

2228. The Dangerous Detour | PSNet
      psnet.ahrq.gov/web-mm/dangerous-detour
      November 28, 2018 - We also propose that, just as signs such as “Fall Risk” or “Seizure Precautions” are posted in and outside … Suicidality should be assessed regularly, as a vital sign , in such patients, just as pain assessment

2229. In Conversation with…Barbara A. Blakeney, MS, RN | PSNet
      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

2230. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - We are aware that the information we have is just a small part of the total. … diagnostic terms.( 19 ) Clearly, though, the greatest hurdle is to establish a robust patient safety culture … in the dental ecosystem.( 20 ) As challenging as it has been to establish a safety culture in medicine … Is ambulatory patient safety just like hospital safety, only without the "stat"? … Open wide: looking into the safety culture of dental school clinics. J Dent Educ. 2014;78:745-756.

2231. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
      January 01, 2025 - At the institutional level—hospital, group, ambulatory care center, nursing home—we have achieved a culture … An outside observer is struck by three characteristics that are very different from the culture of the … be understood as simply the “right thing to do” and as the cornerstone of patient-centeredness, not just … The detailed study of technical work in health care is just beginning, but an early surprising result … to fulfill the ethical obligation to “first, do no harm,” they must invest in systems change, not just

2232. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
      October 28, 2020 - LP : Not just comparisons between providers, but also between facilities. … KH : Let’s talk about the culture in these nursing homes. … You just learn to deal with it. … LP : This actually leads on nicely from what we were just talking about. … People just didn’t want to go there.  

2233. Long-Term Care and the Response to COVID-19 | PSNet
      psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
      October 28, 2020 - LP : Not just comparisons between providers, but also between facilities. … KH : Let’s talk about the culture in these nursing homes. … You just learn to deal with it. … LP : This actually leads on nicely from what we were just talking about. … People just didn’t want to go there.  

2234. Designing Consumer Health IT: A Guide for Developers and Systems Designers (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/designing-consumer-health-it-a-guide-for-developers-and-systems-designers.pdf
      September 01, 2012 - standards, regulations, and customer expectations • Those with expertise in understanding diverse cultures … To understand health environments and patient or health consumer experiences, use “just-in-time” education … • Collect data on how customers accomplish tasks with a product (not just their “opinions) to … Special Considerations for Health Products Diversity in customers can span not only culture (i.e.,

2235. Designing Consumer Health IT: A Guide for Developers and Systems Designers (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/developmentmethodsguide.pdf
      September 01, 2012 - standards, regulations, and customer expectations • Those with expertise in understanding diverse cultures … To understand health environments and patient or health consumer experiences, use “just-in-time” education … • Collect data on how customers accomplish tasks with a product (not just their “opinions) to … Special Considerations for Health Products Diversity in customers can span not only culture (i.e.,

2236. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-slides.pptx
      January 01, 2017 - $2,300 per day6 After fourth day, cost rises to over $3,900 per day7 If ventilator days were reduced by just … ventilation, length of stay, and mortality To achieve significant improvements in teamwork and safety culture … that lends itself to standardization (e.g., checklists and protocols) Work that shapes the attitudes, beliefs … CUSP—Stop BSI program13 Initiative to implement Comprehensive Unit-based Safety Program (CUSP), a proven culture

2237. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
      January 01, 2003 - Powers Abstract Objective: A key tenet of patient safety programs is the elimination of the “culture … To achieve a culture of safety, we all must become personally accountable for safety.18 In order to … Creating a just safety culture. AORN J. 2004;79(2):412–14. 17. … Culture of safety: results of an organization-wide survey in 15 California hospitals. … Ten leadership qualities for a total safety culture. Prof Safety 2000;45(5):38–41. 19.

2238. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.html
      August 01, 2017 - Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery Patient Safety Culture … Measurement, Analysis, and Interpretation: A Commentary Error Disclosure Training and Organizational Culture … discomfort with disclosure : physician education and training, including peer mentors; establishment of a “just … culture”; support from hospital/health enterprise leadership. … Several of the pilot sites implemented "just in time" communication coaching.

2239. Comprehensive Information Technology Solution for Quality and Patient Safety - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015236-jose-final-report-2008.pdf
      January 01, 2008 - anywhere in the process from ordering to administering regardless of whether it resulted in an injury or just … It changes the culture of the organization over time. … Safety Culture Survey. … Table 2 shows the sample size and response rate for each safety culture survey data set. … Scores on each safety culture dimension were calculated for each data set.

2240. In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
      March 30, 2020 - The new cross-cutting topics, such as Safety Culture, Teamwork and Communication, etc. also help to highlight … Just putting sepsis early detection systems in your EHR doesn’t necessarily save lives. … This is something that we are just starting to get our arms around, and we should spend more time on … The included cross-cutting topics/practices are: improving safety culture; teamwork and team training