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2401. Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - many healthcare workers noted an overall downward shift in the results of surveys of patient safety culture … and items related to workplace culture of safety . … 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

2402. Accreditation and Regulation: Can They Help Improve Patient Safety? | PSNet
      psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
      April 01, 2009 - It is not surprising, therefore, to find a certain tension between the culture of medicine and the demands … 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

2403. Final Progress Report: Risk-Informed Clinical Network for Safe Pediatric Emergency Transfers (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
      January 01, 2025 - Just half of these hospitals had written transfer agreements with facilities that offer the necessary … because medical transactions are complicated along with the complexity of the behavioral aspect of the culture … Extend the universal protocol, not just the surgical time out. … Electronic health records: just around the corner? Or over the cliff? … Boys in White: Student Culture in Medical School.

2404. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - Huddles may require attendance from more than just the bedside nurse and attending. … Debrief after events to support patients, families, and staff Debrief regularly to establish a culture … Regular debrief sessions after such events help to establish and sustain a culture of continuous learning … Just to briefly recap, Ms. … Just to briefly recap, Ms.

2405. Antibiotic Stewardship Program Development: Part 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
      November 01, 2019 - With this approach, the ASP can also advise about obtaining the correct cultures. … that it can be difficult for the ASP to identify cases of some syndromes, particularly those in which cultures … around implementation of rapid diagnostic tests is the impact is on a limited number of patients (often just

2406. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
      May 01, 2016 - Grantees who sought to improve communication learned that the beliefs, preferences, and behaviors of … Observations As a group, these grantees learned that the beliefs, preferences, and behaviors of physicians … The grantee identified numerous barriers to adoption (e.g., the belief that new patient materials would … to implement an intervention process that promotes professional self-governance, fosters a fair and just … One barrier identified by the survey is the belief, on the part of patients (38%) and clinicians (51%

2407. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
      May 01, 2016 - Grantees who sought to improve communication learned that the beliefs, preferences, and behaviors of … Observations As a group, these grantees learned that the beliefs, preferences, and behaviors of physicians … The grantee identified numerous barriers to adoption (e.g., the belief that new patient materials would … to implement an intervention process that promotes professional self-governance, fosters a fair and just … One barrier identified by the survey is the belief, on the part of patients (38%) and clinicians (51%

2408. How Community Engagement Can Support Whole-Person Primary Care | The Academy
      integrationacademy.ahrq.gov/products/topic-briefs/community-engagement-for-whole-person-care
      February 01, 2025 - of allied health services, it is difficult to translate American medicine to people from different cultural … backgrounds. … The Foundation also supported a flexible funding account to help with just-in-time needs, such as transportation … Results Over 3,000 newborns and children have access to this program, with the ECSS interacting with just

2409. Clinicwide Orientation to Treating Patients with OUD | The Academy
      integrationacademy.ahrq.gov/products/playbooks/moud-playbook/obtain-training-and-support/clinicwide-orientation
      January 01, 2021 - Building staff buy-in may require intentional efforts to shift organizational culture and promote understanding … Exposure to and stories about people in recovery can help overcome these inaccurate negative beliefs. … treatment; Expressing empathy and compassion; Using reflective listening to summarize what you have just … Just giving the patient a list of resources is unlikely to result in solutions to the problems they face … Shatterproof Addiction Stigma Index (SASI) survey, which evaluates the public's attitudes, knowledge, and beliefs

2410. FRN 29: Future Research Needs on Procalcitonin-Guided Antibiotic Therapy (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/procalcitonin-future_research.pdf
      August 01, 2014 - Legal mandates or clinical culture may impede randomization to new interventions or supersede trial … This is just ripe for clinical study because we have two markers that can be correlated for supporting … EDs where differences in medical culture, regulation and practice exist. …  This is just ‘ripe’ for clinical study because we have two markers that can be correlated for … Just started.

2411. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
      January 12, 2022 - Deaths, however, are just the “tip of the iceberg.” … reinforces high‐reliability concepts and leverages the unique importance of teamwork to enhance safety culture … four competency areas that lead to improved team performance, safer practices, and high‐ reliability culture … The most useful reflection involves the conscious consideration and analysis of beliefs and actions … Did your perspective change once you read that the two images are the same, just presented in a different

2412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49828/psn-pdf
      May 01, 2018 - Although a variety of approaches might be effective depending on local practice culture and EHR capabilities … However, patients desire more than just access to test results—they also want to know their clinicians … Improving test result follow-up through electronic health records requires more than just an alert.

2413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73300/psn-pdf
      July 01, 2022 - can tailor components to align with their organizational needs, priorities, available resources, and culture … root-cause-analysis https://psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name … https://psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name https

2414. Healthteamworks (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/healthteamworks.pdf
      August 01, 2014 - relationship building, complex adaptive change (adapting to multiple changes occurring at the same time), and culture … management and relationship-building skills needed to successfully facilitate transformation to a culture … “[Coaching] is not something [that just] anyone can do. … relationship building, complex adaptive change (adapting to multiple changes occurring at the same time), and culture … buy-in to an idea or process, and motivating people to achieve practice transformation goals are just

2415. Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
      July 01, 2023 - Continually improve patient safety in women’s healthcare through multidisciplinary collaboration that drives culture … continually improve patient safety in women's healthcare through multidisciplinary collaboration that drives culture … Technical Elements Clinical knowledge Clinical expertise Evidence-based best practices Adaptive Elements Culture … These areas of systems improvement are: establishing a culture of huddles and debriefs, multidisciplinary … The remaining modules will draw from and build on the case scenario that we just walked through in order

2416. Signout Fallout | PSNet
      psnet.ahrq.gov/web-mm/signout-fallout
      November 16, 2022 - 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.

2417. Final Progress Report: (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
      January 01, 2024 - Our primary clinician outcome of interest was safety, specifically actions consistent with a safety culture … safety scores, with registered nurses reporting higher use of behaviors consistent with a safety culture … In a linear regression model examining factors associated with actions consistent with a safety culture … infusion floor caring for their patients: “I know that [prescribers are] very busy…But if they would just … that in their note…their progress note has not been typed up yet, or some of the progress notes are just

2418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846975/psn-pdf
      March 28, 2023 - Can you please tell us just a little bit about yourself and your current role? … Celebrities have spoken about it, and the culture of social media has normalized talking about mental … I experienced a perinatal mental health condition myself, and I remember thinking that I must just not

2419. Measurement of Patient Safety | PSNet
      psnet.ahrq.gov/primer/measurement-patient-safety
      September 15, 2024 - May 31, 2023 The barriers and enhancers to trust in a just culture in hospital

2420. Prescribing Safety in Ambulatory Care: Physician Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
      January 01, 2003 - detailing messages and ensures the messages are consistent with the physicians’ values, attitudes, and beliefs … initiatives like hypertension control … and we’re treating 85-year-olds with drugs that will knock them out just … One respondent said, “You probably haven’t seen a patient in a while and you just automatically refill … guidelines and other decision support tools, establishing common monitoring practices, and changing the culture … magnitude of medical errors.11–13 One explanation for this difference is that we framed the issues not just