Results

Total Results: 3,234 records

Showing results for "just culture".
Users also searched for: just culture

2361. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD (pdf file)
      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.

2362. Unseen Perils of Urinary Catheters | PSNet
      psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
      January 31, 2024 - 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

2363. Best Practices in Public Reporting No. 3: How to Maximize Public Awareness and Use of Comparative Quality Reports Through Effective Promotion and Dissemination Strategies | Agency for Healthcare Research and Quality
      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

2364. Best Practices in Public Reporting No. 3: How to Maximize Public Awareness and Use of Comparative Quality Reports Through Effective Promotion and Dissemination Strategies (pdf file)
      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

2365. Implications for Practice Improvement, Research, and Policy | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
      August 01, 2024 - of geriatric syndromes, the reported diagnostic errors pertaining to geriatric syndromes are likely just … In addition, healthcare systems need to develop a nonpunitive culture that encourages active surveillance

2366. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
      January 01, 2024 - A regional survey to evaluate the patient safety culture at each participating hospital was administered … addressing patient safety as well as how influential the Initiative was in each hospital’s patient safety culture … essential, serving as the common foundation to continuously improve work processes, change industry culture … Patient safety must be assessed using multiple metrics that capture not just a few outcomes and that

2367. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
      January 01, 2024 - Formulary Culture Survey 1.C.1. … toward formulary (five items: α = 0.82); credibility of the formulary committee (six items: α = 0.78); beliefs … Note that higher scores are associated with greater support for and belief in restrictive formularies … effort to quantify formulary culture. … to improve their own formulary culture, and we believe that, just as with patient safety culture, these

2368. Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
      April 01, 2021 - Guidance for custom alarm design: you don’t have to “crank it up to 11” . … A roundtable discussion: improving the "alarm problem" will require much more than just reducing the … Assessing the relationship between patient safety culture and EHR strategy . … Guidance for custom alarm design: you don’t have to “crank it up to 11” .

2369. Inadvertent Use of More Potent Acid Leads to Burn | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
      November 01, 2023 - The physical exam revealed a raised lesion on the perineum, midline, just outside of the introitus. … November 12, 2008 WebM&M Cases Culture Clash No More:

2370. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49548/psn-pdf
      October 01, 2007 - Clues to the development of thyroid storm (beyond just thyrotoxicosis) could include tachycardia, atrial … When both infection and thyrotoxicosis are present, routine cultures and early initiation of broad-spectrum

2371. The Sometimes Antibiotics” Diagnoses: Sinusitis – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
      September 01, 2022 - discharge are not accurate predictors of a bacterial etiology in patients who do not meet the criteria just … Cultures or swabs of nasal discharge are not indicated in acute sinusitis, and the majority of patients

2372. Dying in the Hospital With Advanced Dementia | PSNet
      psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
      November 01, 2016 - , and another study of 178 EMTs noted that POLST forms were often hard to locate when needed.( 15 ) Just … family had thought their doctor had been informed of their mother's death and assumed that the PCP was "just … Medicare coverage for advance care planning: just the first step. … March 31, 2022 WebM&M Cases Culture Clash No More

2373. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet
      psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
      January 23, 2017 - Workplace culture and human resource availability are common barriers to best practices To understand … Numerous barriers to reporting exist including fear of consequences, a culture of blame, perception … errors in a user-friendly and non-punitive manner are needed, as are clear reporting guidelines and cultures … The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors … October 30, 2024 WebM&M Cases Premature Closure: Was It Just

2374. Presentation: Auditing Your Briefings and Debriefings
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
      December 01, 2017 - Just as you can audit clinical processes, you can audit briefing and debriefing processes. … defects Improve teamwork and communication tools Prework: Measure frontline perceptions of safety culture … A structured process provides a concrete way to improve your safety culture. 3 Why Briefings and Debriefings … We have a lot of work to do on just the basics.

2375. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
      June 01, 2021 - Send a urinalysis and a urine culture, and obtain a chest x ray. 4. … Case 2: Jonas, 5 Days Later Five days later Jonas says he feels better… but he still has a cough that just

2376. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73387/psn-pdf
      March 17, 2021 - modifications are necessary moving forward to continue to improve the safety of healthcare facilities, not just … Culture and Redesign. Agency for Healthcare Research and Quality; 2008.

2377. Shortcuts to Acetaminophen-induced Liver Failure | PSNet
      psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
      July 01, 2017 - Although limited data exist, the prevailing culture of medicine is toward nonintervention during pregnancy … and interventions in pregnancy is laudable, medical or surgical risks need to be balanced against not just … simulation training, morbidity and mortality reviews, critical thinking training, and an organizational culture

2378. April 2022 CDS Connect Work Group Summary (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/143366/CDS_Connect_WG_April_2022_Summary.pdf
      January 01, 2022 - must recognize and establish onboarding—especially for patient partners—as an integral part of the culture … lessons from organizations excelling at patient partnering; and unearthing examples of how to transform “just

2379. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49667/psn-pdf
      October 01, 2012 - to be helpful, the instinct of all clinicians has to change from one of "this is unusual, but I'll just … Subsequently, the environmental culture needs to support and encourage clinicians to report medication

2380. Medication Handling and Compounding Errors in the Operating Room. | PSNet
      psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
      May 16, 2022 - medication dispensing machine should be used, an example of confirmation bias (evidence that confirms a belief … studied to address this concern. 13-15 The usage of D5W as a solvent for ICG has been shown to be just … Rethinking surgical safety: more than just a checklist.