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2321. Appendix C. Site Visit Protocol | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
      April 01, 2018 - tell me a bit about your role in patient safety and quality improvement activities in general, not just … How often are air sampling and cultures performed? … tell me a bit about your role in patient safety and quality improvement activities in general, not just … tell me a bit about your role in patient safety and quality improvement activities in general, not just

2322. Disposition of Comments for Technical Brief 27 Patient Safety (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/ambulatory-safety_disposition-comments.pdf
      October 19, 2016 - It just simply didn't feel like "saturation" had been fully reached in this qualitative exercise, although … limiter about "community" to be a reasonable one given the focus on outpatient care, and that using just … etc) we included it, but we did not include studies about these generic methods as a general topic, just … more here We have added more detail about safety culture in the findings. … Mostly just general calls for research Thanks for this- we have added more specific recs into the

2323. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
      March 01, 2013 - important to conduct a thorough analysis of established responsibilities and processes so that you are not just … Hospital culture is well ingrained, so it will be important for leadership to communicate that following … education to patients with limited English proficiency, limited health literacy, or non-Western health beliefs

2324. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2.html
      March 01, 2013 - important to conduct a thorough analysis of established responsibilities and processes so that you are not just … Hospital culture is well ingrained, so it will be important for leadership to communicate that following … education to patients with limited English proficiency, limited health literacy, or non-Western health beliefs

2325. Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
      January 01, 2024 - “We know reform efforts of the past failed because they put the entire burden on just government or … Schwarzenegger’s news briefing was just one highlight of the conference, which drew more than 400 attendees … ANGELES, May 25 (Reuters) - That young mother with breast cancer on "Grey's Anatomy" may do more than just

2326. In Conversation with...Mark Chassin, MD, MPP, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
      April 01, 2009 - RW: Do you have any sympathy for the hospital that says, "We just can't afford to continue to do this … The challenge for hospitals is to develop ways to credential physicians that meet not just The Joint … If you think back just 10 years ago, when hospitals were not measuring anything on any sort of national … It is not surprising, therefore, to find a certain tension between the culture of medicine and the demands

2327. Patient Safety in Home Dialysis | PSNet
      psnet.ahrq.gov/perspective/patient-safety-home-dialysis
      April 28, 2021 - it comes to some more involved therapies, it really allows for more sustainability than relying on just … I think that you’ve answered just about all of our questions. … away, and I think when we are looking at treatment options, we have to know that there is more than just … JAM : I just want to thank you for taking time and for taking interest in this program. … Resources From the Same Author(s) Perspectives on Safety Safety Culture

2328. 4. Assessment of the Intervention | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4.html
      April 01, 2018 - the preintervention practice surveys, we learned some additional information about the organizational culture … We were able to gather information regarding the patient's knowledge and beliefs about CRC screening … This program was launched just prior to our SATIS-PHI/CRC intervention and likely increased demand for … an implementation infrastructure, interventions such as SATIS-PHI/CRC benefit from a public health culture … priority on these activities than they appeared willing or able to do without a strong public health culture

2329. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/baker.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 … several limitations—including small sample size, the use of qualitative information, and application in just … Clinician does not verbally communicate plan of care to nursing (not just electronically). … 3.20 3.53 3.78 2.70 Clinician does not verbally communicate plan of care to nursing (not just

2330. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
      October 01, 2017 - You need to use critical thinking and practical clinical judgment—not just memorize how to conduct assessments … The mindset is that we develop a culture of safety for our patients, and prevention processes are ongoing … We create a culture that focuses on safety, and we are constantly aware of the possibility of failure … These are all important issues for a positive safety culture. … The Team continues to have goals that are aligned with the organization’s culture and goals of preventing

2331. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
      May 01, 2011 - The CANDOR process embraces Just Culture principles, which recognize that “active” errors represent predictable … Statements include: “I was questioning myself over and over again… but then I thought… I’ve just had … what to do, interrogating or questioning another person, judging another person, imposing one’s own beliefs … incident in perspective, and focusing on the second-victim’s feelings and reactions to the event, not just

2332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49819/psn-pdf
      February 01, 2018 - to teach faculty supervisors the I-PASS Method and to do assessment observations; A process- and culture-change … Because handoff processes become entrenched in institutional culture, efforts to improve them require … more than just training, assessment, and feedback.

2333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73153/psn-pdf
      April 28, 2021 - The physician came by to see the patient just before discharge and asked the patient, using the patient … The hospital’s culture should support nurses to raise scope of practice questions when they are asked … Organizational culture should encourage health care providers to communicate and collaborate with each

2334. Making Healthcare Safer IV Rapid Response_Active Surveillance Culturing of Clostridioides difficile and Multidrug-Resistant Organisms: Methicillin-Resistant Staphylococcus aureus, Carbapenem-Resistant Enterobacterales, and Candida auris (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-active-infection-rapid-response.pdf
      May 01, 2024 - methods for obtaining and processing ASC specimens, optimizing the timing and frequency of collecting cultures … cultures improves sensitivity. … Only 18 percent of hospitals had a C. auris surveillance policy, and just 14 percent tested patients … Cultures were collected from each patient’s nose, axilla, and groin. … The study also found that inexperienced staff did not need significantly more time to collect cultures

2335. Module 1: Preventing Pressure Injuries in Hospitals (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
      July 12, 2017 - You need to use critical thinking and practical clinical judgment—not just memorize how to conduct assessments … The mindset is that we develop a culture of safety for our patients, and prevention processes are ongoing … We create a culture that focuses on safety, and we are constantly aware of the possibility of failure … These are all important issues for a positive safety culture. … The Team continues to have goals that are aligned with the organization’s culture and goals of preventing

2336. Affinity-Details-Improving-Support-Women (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-improving-support-women.pdf
      May 01, 2021 - persons registering for the event were from programs that don’t do anything different to support women; just

2337. In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
      May 14, 2020 - Joel Willis: This is Joel Willis and I am a family medicine trained physician and I just completed residency … 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 … It is important for institutions to maintain good patient safety culture and ensure that providers have

2338. Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
      January 01, 2017 - As a result, they have limited exposure to physical rehabilitation.9,11,12 In addition to this culture … Execute: How will we implement early mobility given local culture and resources? 4. … You may need to convince them that early mobilization is not just a “flavor of the month” and illustrate … The health care industry is just beginning to develop independent redundancies. … Transforming ICU culture to facilitate early mobility. Crit Care Clin. 2007 Jan;23(1):81-96.

2339. Disposition of Comments Report for Breathing Exercises and/or Retraining Techniques in the Treatment of Asthma: Comparative Effectiveness (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/asthma-treatment_disposition-comments.pdf
      September 10, 2012 - It's just great...75% control is about as good as anyone has got in any study of asthma. … Due to the short notice for public comment [I just found out about this an hour ago] I am unable to … Results For clarity, would suggest putting a box around and bold your key questions - rather than just … it would be useful to get the authors input on what they do think is translatable across countries/cultures … - rather than just the more blanket statement or evaluation that these studies may not be applicable

2340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - We’ve seen setbacks in safety culture scores, engagement, and feeling valued, as well as  attrition … It’s about ensuring that the work environment, cultures of safety and equity, safety systems, competencies … The first foundational area is culture, leadership, and governance—ensuring that there is a core value … support and reflect healthcare workers’ workflow, and the conditions in which they work, and people are just … This means that if organizations focus only on one foundational area, such as culture, leadership, and