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2261. 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.

2262. 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

2263. 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

2264. Appendix F. CAUTI Prevention in Long-Term Care: Frequently Asked Questions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
      March 01, 2017 - except for fever or new-onset hypotension due to a noninfectious cause; and (4) the resident has a urine culture … indwelling urinary catheter, should the frontline staff member put on a gown at the beginning of the bath or just … A urine specimen for culture should be obtained prior to initiating antimicrobial therapy for presumed … The urine culture should be obtained from the freshly placed catheter prior to the initiation of antimicrobial … If use of the catheter can be discontinued, a culture of a voided midstream urine specimen should be

2265. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
      March 01, 2017 - except for fever or new-onset hypotension due to a noninfectious cause; and (4) the resident has a urine culture … indwelling urinary catheter, should the frontline staff member put on a gown at the beginning of the bath or just … A urine specimen for culture should be obtained prior to initiating antimicrobial therapy for presumed … The urine culture should be obtained from the freshly placed catheter prior to the initiation of antimicrobial … If use of the catheter can be discontinued, a culture of a voided midstream urine specimen should be

2266. SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
      January 01, 2025 - Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I Surveys on Patient Safety Culture … Surveys on Patient Safety Culture® and SOPS® are registered trademarks of the U.S. … Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Nursing Homes: 2025 … provides step-by-step guidance on how to develop an action plan to improve patient safety culture, … supplemental items were designed to be administered toward the end of the SOPS Nursing Home Survey, just

2267. SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
      January 01, 2025 - Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I Surveys on Patient Safety Culture … Surveys on Patient Safety Culture® and SOPS® are registered trademarks of the U.S. … Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Items for Nursing Homes: 2025 … provides step-by-step guidance on how to develop an action plan to improve patient safety culture, … supplemental items were designed to be administered toward the end of the SOPS Nursing Home Survey, just

2268. 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.

2269. 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

2270. Hyperglycemia and Switching to Subcutaneous Insulin | PSNet
      psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
      May 19, 2021 - organizations can use to prevent these errors include teamwork training and efforts to improve the culture … An organizational culture of safety promotes teamwork and standard practice using the Glucommander and … assess glycemic control and monitor the processes that support good outcomes, including those related to culture … Glucommander use Lack of an institutional standard of care for inpatient glycemic control Routine and just-in-time

2271. How Do Providers Recover From Errors? | PSNet
      psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
      May 22, 2024 - The resident then realized that the effusion was on the contralateral side, not the left side she had just … conferences at many institutions.( 10,14,20,21 ) These conferences historically have been extensions of the culture … A culture shift will be necessary to create a productive process for the provider sharing the medical … New culture for coping: turning to peer support after medical errors. American Medical News.

2272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49552/psn-pdf
      January 01, 2008 - resident then realized that the effusion was on the contralateral side, not the left side she had just … conferences at many institutions.(10,14,20,21) These conferences historically have been extensions of the culture … A culture shift will be necessary to create a productive process for the provider sharing the medical … New culture for coping: turning to peer support after medical errors. American Medical News.

2273. 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

2274. 050-Dec-Implementation-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
      October 01, 2024 - : Percentage of patients on the unit with any positive MRSA clinical culture over the past year Knowing … MRSA cultures than iodophor. … Just like soap, avoid getting CHG into the eyes or ear canals. … Additionally, some patients might not realize that the bath is not just for their comfort, but for their … Slide 57 Key Takeaways SAY: We’ve just reviewed the components of the decolonization process and

2275. Accessible Health Information Technology (IT) for Populations with Limited Literacy: A Guide for Developers and Purchasers of Health IT (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/LiteracyGuide_0.pdf
      October 01, 2007 - groups, immigrants, and English-as-a-second-language speakers, it is important to pay attention to culture … It is just as important, however, that the health IT is tested repeatedly throughout the design process

2276. Accessible Health Information Technology (IT) for Populations with Limited Literacy: A Guide for Developers and Purchasers of Health IT
      digital.ahrq.gov/sites/default/files/docs/page/literacy_guide.html
      October 01, 2007 - groups, immigrants, and English -as-a-second-language speakers, it is important to pay attention to culture … It is just as important, however, that the health IT is tested repeatedly throughout the design process

2277. Critical Access Hospital Partnership Health Information Technology Implementation | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/critical-access-hospital-partnership-health-information-technology
      January 01, 2023 - health care settings, the lessons learned from addressing technological and cultural challenges can be just

2278. Six Tips for Making a Quality Report Appealing and Easy To Skim | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/resources/design/general-tips/index.html
      October 01, 2019 - Use images to reinforce main content or messages, not just to decorate the report.

2279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49501/psn-pdf
      February 03, 2006 - The outgoing ED physician had just completed the shift and signed the patient out to the oncoming colleague … dependent outcomes invariably rely on many individual processes and interactions; the transition phase is just … Culture and high reliability organizations: the case of the nuclear submarine. J Manage.

2280. The Four Es of Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
      February 01, 2017 - You cannot just decide in the morning during rounds to mobilize a mechanically ventilated patient. … Ask the question, "How will we implement early mobility at our hospital, change the culture, and provide … The execute step will help to improve the culture of safety in your unit.