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  1. 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.
  2. 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
  3. 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.
  4. 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.
  5. 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.
  6. 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
  7. 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.
  8. 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
  9. 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. 
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
    October 01, 2024 - CUSP) encourages them to expand their skills by engaging with peers, leading meetings, and fostering a culture … taking time to enter events, which motivates continued reporting and fosters a healthier reporting culture … Pulling directly from event reports can support and encourage this culture. … Discussions during meetings can lead to significant insights related to problems, provided the culture … This would allow all staff, not just EVS, to dispose of the curtains between patients and easily replace
  11. 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
  12. 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.
  13. 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
  14. 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.
  15. 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
  16. 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 “justculture”; support from hospital/health enterprise leadership. … Several of the pilot sites implemented "just in time" communication coaching.
  17. pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
    December 21, 2021 - A well-functioning safety culture, including a clear and just process for distinguishing between unintentional … The resources listed in the following sections include just a few examples. … executive and clinical) committed to and communicated the goal (in this case, zero CLABSIs) and their belief … - based nursing homes that participated, along with decreases in the number of inappropriate urine cultures … more empowered to speak with physicians and senior leadership about not requesting unneeded urine cultures
  18. 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.,
  19. 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.,
  20. 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