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2241. 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

2242. 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.

2243. African Partnerships for Patient Safety: Lessons Learned | PSNet
      psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
      December 01, 2014 - stood in the vast hall in Yaoundé, Cameroon, listening to the proceedings—admittedly a little nervous just … 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. … 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.

2244. 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

2245. 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.

2246. 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

2247. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
      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

2248. 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

2249. 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

2250. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33698/psn-pdf
      August 01, 2010 - Once you ingrain the process as a culture, I think it is sustainable. … exists in Pennsylvania, Penn's desire to really try to be great in this domain, and my commitment and belief … When you begin to codify them, it's just staggering.

2251. 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."

2252. 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.’”

2253. 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

2254. Final Progress Report: Regional Approach for THQIT in Rural Settings - Planning (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/walker-report.pdf
      January 01, 2024 - Just-in-time scalability (in technology and cost) from three hospitals to 53 and from hundreds of users … costs for the most basic information sharing technology backbone available (for example, to create just … Barriers to implementation of clinical systems, such as culture, cost, and expertise, are more daunting

2255. 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

2256. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846125/psn-pdf
      March 15, 2023 - i-readi-quality-and-safety-framework-strong-communications-channels-and-effective https://psnet.ahrq.gov//#1 Just … To support implementation, unit leaders provided just-in-time training, ICU dashboards facilitated a … committees Dissemination channels online, via standing conferences, and through regular meetings A culture

2257. Rethinking Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
      August 21, 2016 - Taking an overly algorithmic approach to just culture can obscure complicated relationships between individual … name emphasizes that the outcomes of the RCA—the corrective actions and resultant risk mitigation—are just

2258. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33693/psn-pdf
      February 01, 2010 - They also recommended improvements to the culture of safety through error detection, reporting, and … communication is now a required element for accreditation for all hospitals.(23) Collaborations with Others Just … Medical schools have begun to directly assess all six competencies, rather than just knowledge and patient

2259. 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

2260. 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.