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2301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33717/psn-pdf
      September 01, 2011 - electronic reporting interfaces, excluding reported information from performance reviews, improving safety culture … directors.(1) Anecdotally, hospitals with particularly strong commitments to safety use reporting as just … The senior leadership defines what the safety culture should look like, seeks out new safety technologies

2302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49737/psn-pdf
      June 01, 2015 - Just prior to insertion of the catheter by a registered nurse (RN), the patient voided but the amount … Since the patient had just voided, the RN assumed the patient's bladder was empty. … focused competency-based approach to review the microbiology of CAUTI, urinalysis collection, and urine culture … As a means of obtaining urine for culture or other diagnostic tests when the patient can voluntarily

2303. Making Healthcare Safer III Report | PSNet
      psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
      March 30, 2020 - The included cross-cutting topics/practices are: improving safety culture; teamwork and team training … 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

2304. Vascular Access Device (VAD) Policy, Adult (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
      March 01, 2008 - infection is suspected, a 5 cm segment (about 2 inches) of catheter that includes the intradermal portion just … Concomitant peripheral blood cultures shall be sent along with the catheter culture. … Central lines shall be used for blood cultures only if adequate blood cultures cannot be obtained peripherally … (see Obtaining a Blood Culture protocol) d. … Concomitant peripheral blood culture shall be sent along with the catheter culture.

2305. Guide for Developing a Community-Based Patient Safety Advisory Council (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/advisorycouncil/advisorycouncil.pdf
      April 01, 2008 - Embodied by a collaborative consumer-provider relationship, these providers are transforming their culture … • Transforming their culture toward patient-centered care. … Unfamiliarity with health care systems and the medical world; belief that they do not have enough medical … Beliefs, Attitude, Intention and Behavior. Reading, MA: Addison-Wesley; 1975. … Beliefs, social normative influences and compliance with antihypertensive medication.

2306. Promoting Best Practice and Safety Through Preprinted Physician Orders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
      February 08, 2008 - , and reduce variation by combining pertinent reminders, safety alerts, and “best practice” into a just-in-time … • Just as patients are identified in two ways, so should medications. … Are medication doses written in MILLIgram (mg) when possible and not just in tablets or milliLITER … Collect and submit specimen for urinalysis with culture and sensitivity, if indicated. … designed, these orders integrate pertinent reminders, safety measures, and “best practice” into a just-in-time

2307. Medical Office SOPS: 2016 User Comparative Database Report, Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-2.pdf
      January 01, 2016 - It is just by chance that we don’t make more mistakes that affect our patients. … It is just by chance that we don’t make more mistakes that affect our patients. … It is just by chance that we don’t make more mistakes that affect our patients. … It is just by chance that we don’t make more mistakes that affect our patients. … It is just by chance that we don’t make more mistakes that affect our patients.

2308. Screening for Gonorrhea: Update of the Evidence (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/Wezro6zTSfAWxCrneF-nxB
      May 01, 2005 - , Specificity = 100% 2 Culture (Cosentino, 2003): Sensitivity = 76.9%, Specificity = 100% 3 Culture … Women with an STD were just as likely to have a pelvic exam as women without an significant difference … and Gen-Probe was 97.5% with 3/4 discrepancies due to negative cultures. … negative cultures. … Gen-Probe was significantly more sensitive than throat culture (p<0.05) but not rectal culture (p>0.2

2309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60329/psn-pdf
      May 14, 2020 - Joel Willis: This is Joel Willis and I am a family medicine trained physician and I just completed residency … So it’s not that you are working to establish GW’s infrastructure, you are just using it in new and … stroke telemedicine in much the same way they would from outside the hospital, but in this case from just … NS: Just last night we were recording a video showing how a clinician can walk a patient through an … I think you should have a quality assurance plan as well, just like we have M&M [morbidity & mortality

2310. Referrals and Care Coordination | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/referrals-and-care-coordination
      December 01, 2023 - Providers cannot assume patients understand the benefits just because they told them once and the patients … Started Understanding the Components of MAT Addressing Organizational Readiness and Culture

2311. AHRQ Safety Program for MRSA Prevention
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/101-how-integrate-cusp-approach.pptx
      June 26, 2024 - Engage staff by asking them to share their concerns specifically related to MRSA, or just in general. … Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient

2312. AHRQ Research Priorities and Compliance Guidance | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/policies/nofoguidance/index.html
      January 01, 2025 - Establishment of strategies to sustain patient safety improvements such as just culture, incident/event

2313. Human Factors Engineering | PSNet
      psnet.ahrq.gov/primer/human-factors-engineering
      December 15, 2024 - Cause Analysis June 15, 2024 Alert Fatigue December 15, 2024 Editor's Picks Just … October 4, 2017 Changing our culture: adopting the military aviation safety system.

2314. Health Care Delivery and Pharmacists During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
      June 29, 2020 - Just linking back to what I said previously, it’s all thanks to hearing from those members that are on … I credit the culture shift over the last 20 years to make sure that patient safety remains front and … Has that changed at all or are we just doing it differently? … We’re really pleased that we are able to open up all of these resources, not just for our members but … On that website, there is a page dedicated just for patients related to COVID-19.

2315. AHRQ’s 30th Anniversary Primary Care Research Conference: Proceedings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
      January 01, 2023 - Have data systems that can help improve care, not just document and bill for care. … • With the culture of consumerism and induced demand, how can we improve decision making? … • How are we defining culture (and who is defining culture) and does that align with the patient … • How do we help practices see the benefit and value (to patients, not just the cost)? … So, just like we need to update typography of primary care and the sense of what services are being

2316. Archived: Final Evidence Review: Gonorrhea: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review40/gonorrhea-screening-2005
      May 15, 2005 - = 76.9%, Specificity = 100% Culture (Moncada, 2004): Sensitivity = 85.9%, Specificity = 100% Culture … Women with an STD were just as likely to have a pelvic exam as women without an STD, no significant difference … and Gen-Probe was 97.5% with 3/4 discrepancies due to negative cultures. … negative cultures. … Gen-Probe was significantly more sensitive than throat culture (p<0.05) but not rectal culture (p>0.2

2317. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
      July 01, 2017 - are counterproductive and that beg the question of how we can make law work better for medicine—not just … But we ask them to do so in the context of a system that has shifted the standard of care from just imposing … unsurprising given the number of legislators who are lawyers themselves and who are steeped in the culture … It is a massive culture shift for institutions to move from a traditional "deny-and-defend" posture to … a culture in which not only do health care providers feel supported in disclosing error, but the insurance

2318. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
      psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
      July 01, 2017 - are counterproductive and that beg the question of how we can make law work better for medicine—not just … But we ask them to do so in the context of a system that has shifted the standard of care from just imposing … unsurprising given the number of legislators who are lawyers themselves and who are steeped in the culture … It is a massive culture shift for institutions to move from a traditional "deny-and-defend" posture to … a culture in which not only do health care providers feel supported in disclosing error, but the insurance

2319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49588/psn-pdf
      August 01, 2009 - Since the patient with COPD just admitted appeared to be improving rapidly, and the other nurses were … The solutions are multifaceted, and all solutions begin with the nursing culture of the organization … This commentary has expressed both proactive and just-in-time approaches to making patients safe.

2320. National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
      August 18, 2011 - morning because I’ve always been that way . . . “ – “Because I was taking so much medicine, and I was just … overwhelmed, and I just said, “Oh, I’ll drop that one.” … Readability (English and Spanish) – To use vignettes – To use testimonials – To use actors from different cultures … • 95% said DVD lengths were just right.