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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
January 01, 2006 - successfully include changing the perspectives to Quality and
Patient Safety, Customer, Finance and Work Culture … patient safety data from internal safety reporting systems, patient satisfaction
survey data, and work culture … The majority of relevant data in the work culture perspective will be covered under team
training. … industry are translatable to medicine but require “personalization” to each institution’s specific
culture … Fair and just
culture, team behavior, and leadership engagement:
The tools to achieve high reliability
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - It is important for institutions to maintain good patient safety culture and ensure that providers have … 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
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - The report recommended
transitioning to a “Just Culture” in nursing school programs. … nurses-perceived-causes-medication-administration-errors-qualitative-systematic-review
https://psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
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psnet.ahrq.gov/web-mm/lost-transition
November 17, 2010 - The outgoing ED physician had just completed the shift and signed the patient out to the oncoming colleague … time-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.
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www.ahrq.gov/sites/default/files/2024-01/barnsteiner-report.pdf
January 01, 2024 - Significant Barriers to Safe Medication Administration
and Strategies to Address Them
Lack of a “just … culture of safety”
• Partner with professional and educational groups and organizations to ensure that … teams for collaborative learning from errors
• Use inter- and intradisciplinary models to change team cultures … to Safe Medication Administration
Research
Education
Practice
Policy
Administration
Lack of a “just … culture of safety”
Lack of interdisciplinary collaboration and communication
Nurses’ working environment
-
psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - Especially in patients with prolonged hospitalizations, there often is just a need to "get some fresh … Suction Tip
November 1, 2003
Association of diagnostic stewardship for blood cultures … in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-workplace-safety-report-ptI.pdf
January 01, 2024 - 2024 Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items … for Hospitals Part I
2024 Results for the AHRQ
Surveys on Patient Safety Culture® (SOPS®)
Workplace … Surveys on Patient Safety Culture® and SOPS® are registered trademarks of the U.S. … 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 Hospital Survey 2.0, just
-
www.ahrq.gov/ncepcr/tools/public-reporting/guide3.html
June 01, 2017 - People from different ethnic groups have different beliefs and values about health care that will significantly … not mean that blunters are not motivated to get good health care for themselves and their families, just … These organizations' expertise is different, but just as necessary for successful reporting. … Just looking: consumer use of the Internet to manage care. … It isn't just about choice: the potential of a public performance report to affect the public image of
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-3-public-reporting.pdf
June 01, 2010 - People from different ethnic groups have different beliefs
and values about health care that will significantly … These organizations’ expertise is different, but just as
necessary for successful reporting. … Educational institutions are natural partners; this does not just mean elementary and high
schools, … Just looking: consumer use of the Internet to manage care. … It isn’t just about choice: the potential of a public performance report to
affect the public image
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/healthcare-infections_disposition-comments.pdf
August 10, 2015 - Thus, we included all
controlled study designs in our brief, not just
RCTs. … US FDA in regards to
environmental disinfection, alongside OSHA (Guiding
Question 2, bullet 5) is just … ,
PCR, or ATPase), Rodac plates, or slide cultures. … Thus, we included all
controlled study designs in our brief, not just
RCTs. … Just might be useful sidebar or
call out to include in this report.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
March 01, 2020 - hospitals were using smart infusion pumps, compared with just 44 percent in 2007.2 Along with this
increase … Just 1 month after it was implemented,
the adherence rate had increased from 25 percent at baseline … of training materials 6 weeks and 1 year
after the time of the initial training.14
Resistance to culture … on promoting compliance, partnering with pharmacists,
and supporting manual audits to help create a culture … Nurse managers
created a culture of
safety and coached
staff who were not
compliant with
smart pump
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
November 01, 2019 - Representatives from
each of the essential partner groups we just discussed
and that are listed on … responses to antibiotic shortages
Review approaches employed by the
microbiology lab for reporting culture … diagnostic
criteria to determine if a patient has an infection,
common causative organisms and what cultures
-
www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6.html
May 01, 2018 - For example, at least a 100 million of the 300 million people in the country are served by just three … of the language needs of people with limited English proficiency within the service population, not just
-
psnet.ahrq.gov/perspective/suicide-prevention
March 24, 2025 - It used to be three days, and it was just recently increased to seven days. … This is important because it emphasizes the healthcare system's role in preventing suicide, not just … It is not just positive or negative, it is not just a binary outcome. … Screening is just the beginning. … Annual Perspective
Ensuring Patient and Workforce Safety Culture
-
psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - It used to be three days, and it was just recently increased to seven days. … This is important because it emphasizes the healthcare system's role in preventing suicide, not just … It is not just positive or negative, it is not just a binary outcome. … Screening is just the beginning. … Annual Perspective
Ensuring Patient and Workforce Safety Culture
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdf
March 18, 2008 - processes, integrating technology at key points to enhance and optimize ordering
1
• Creating a culture … rates prior to CPOE installation; the study compiled impressions and perceptions about problems
with just … Leveraging
information technology towards enhancing patient
care and a culture of safety in the US.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
January 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.
-
www.ahrq.gov/prevention/resources/vision/resources/vision4.html
October 01, 2002 - Outcomes would include not just an improvement in ADL skill levels, but also some measure of how improved
-
integrationacademy.ahrq.gov/news-and-events/news/workforce-innovation-behavioral-health-integration-insights-idaho-health
October 28, 2024 - involve the behavioral health provider for patients in crisis, struggling with anxiety or depression, or just
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - toward
the end of the SOPS Nursing Home Survey
• Assesses the extent to which the organizational culture … Violent residents are just [accepted]
as a part of being a nurse.