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2241. 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.

2242. AHRQ Safety Program for Surgery: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
      December 01, 2017 - Hospital-level analysis of safety culture data also showed improvement in multiple safety culture domains … HSOPS Readministration and Culture Debriefing 22. … Just over 50 percent of participating hospitals voluntarily submitted data at baseline (some used other … Things “just seemed to come together.” The story of success is, of course, never that simple. … Nonetheless, narratives of success have an “everything just came together” quality about them.

2243. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinical-care/clinicalcare_slides.pptx
      September 03, 2014 - — Culture of Safety A culture of safety is effective in reducing adverse events Organizations with a … Maintaining a culture of safety in your dialysis facility is effective in reducing adverse events. … Organizations with a strong culture of safety do the following:   Implement safe practices Foster a … is covered in other modules, including the Culture of Safety module. … fistulas to encourage catheter patients to switch8 30 Clinical Care SAY: Patients should be educated just

2244. 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

2245. Using Barcode Medication Administration to Improve Quality and Safety (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
      December 01, 2008 - simultaneously would prevent the staff from having to learn “a series of new processes, instead of just … Organizational Considerations Culture As with other health technologies, introducing BCMA and eMAR … impacts the culture of an organization. … promoting a cultural shift: “The nursing teams have started a transition to focus more on a data culture … Implementation Considerations Need to Repackage Medications Training Organizational Considerations Culture

2246. 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

2247. Telemedicine for Pediatric Primary Care: Satisfaction Survey (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/telemedicine-pediatric-primary-care-satisfaction-survey.pdf
      June 16, 2021 - It’s just a quick interview and our goal is to improve the quality of care wherever you get it. … They also do throat and fungal cultures. … They also do throat and fungal cultures.

2248. Hand Hygiene
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene.pptx
      March 01, 2017 - Just think, if you place dirty hands into clean gloves, do you think the gloves would get contaminated … How can I help support a culture of safety around improving hand hygiene in our facility? … How can each of us help support a culture of safety around improving hand hygiene in our facility? … Just Clean Your Hands educational resources.

2249. February 2022 CDS Connect Work Group Call (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_Work_Group_February_2022_slides.pdf
      January 01, 2022 - providers with digital experience • Technology and equipment in the clinic • Programs adapted to culture … classes and then I met Adolfo and Rosa, and then they put it all together in perspective to me… it just

2250. 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.  

2251. 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.  

2252. Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Summit Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
      September 01, 2025 - Investing in primary care goes beyond just funding; it requires support for interprofessional teams … burden and streamline documentation requirements; (5) ensure that AI tools are patient-centered and not just … Changing the primary care business model requires multi-payer coordination, not just Medicare adjustments … Because you know you’re just adding, adding, adding, something’s going to give. … Identify leadership strategies that foster a culture of person-centered care.

2253. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
      January 12, 2022 - Deaths, however, are just the “tip of the iceberg.” … Blogs, Registries X X X Patient Satisfaction Surveys, Complaints X X Employee Satisfaction, Culture … They are exactly the same, just a different view. … The most useful reflection involves the conscious consideration and analysis of beliefs and actions for … Did your perspective change once you read that the two images are the same, just presented in a different

2254. AHRQ Releases New MRSA Prevention Toolkit for Intensive and Non-Intensive Care Units | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/934.html
      October 01, 2024 - compared with private, for-profit urban hospitals, ranging from nearly $30,000 at public hospitals to just … determined that successful adoption of patient-centered care planning will require aligning payment, policy, culture

2255. EvidenceNOW: Northwest Cooperative | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/northwest.html
      March 01, 2021 - We have observed many practices consumed with just creating and reporting clinical quality measures, … The impact was larger than the cardiovascular measures; it changed the culture of the clinic."

2256. EvidenceNow Executive Summary - Northwest Cooperative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-northwest.pdf
      November 01, 2017 - We have observed many practices consumed with just creating and reporting clinical quality measures … The impact was larger than the cardiovascular measures; it changed the culture of the clinic.’”

2257. Advancing the Impact of Consumer Experience of Care Measurement: What’s Next? | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/consumer-experience-measurement.html
      September 01, 2023 - We are in a profoundly better place in understanding patients’ perceptions than we were just a few years

2258. Snac-Final-Report-Mar2023 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
      January 01, 2025 - Action Plan to Advance Patient Safety (National Steering Committee for Patient Safety, 2020)—(1) Culture … issues of patient and workplace safety; and (2) inclusive of all settings across the care continuum—not just … harm, inspires continuous improvement in the delivery of care across the continuum, and promotes a culture … through assessing and addressing the four foundational areas outlined in the National Action Plan (culture … ***We stand for a healthcare delivery system that is free from preventable harm and promotes a culture

2259. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
      January 01, 2017 - What is the impact of culture? … diagnoses is probably wrong. 36,000 deaths in the ICU alone • Ambulatory care clinics Its NOT just

2260. 3. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
      January 01, 2024 - , Workflow, and Work System Issues Culture: Behavioral Norms Work System Work System: Process … Burden The burden of diagnostic errors exists beyond just health outcomes. … the detection of breakdowns in the diagnostic process. 65 Conceptual models have been developed not just … Culture: Behavioral Norms Behavioral norms in the workplace may affect diagnostic safety. … System-related aspects of diagnosis (e.g., human factors, safety culture). 243 3.9.2.