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2441. Microsoft Word - PSI report-revised to AHRQ_031208_rev.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2008_02.pdf
      January 01, 2008 - associations, suggesting that higher PSI rates sometimes may reflect greater attention to coding, not just … When many correlations are being analyzed, just by chance, a relationship may be statistically significant … of hospitals complying with JCAHO goal for hand hygiene 0 NS NS NS NS NS NS NS NS NS Institutional Culture … Just under half of the significant associations in this category are with obstetric trauma PSIs (PSI … responses regarding teamwork across units that were positive in Hospital Survey on Patient Safety Culture

2442. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
      February 01, 2010 - They also recommended improvements to the culture of safety through error detection, reporting, and monitoring … is now a required element for accreditation for all hospitals.( 23 ) Collaborations with Others Just … We are just now graduating our first group of general surgeons under these standards. … We need to begin to talk about those issues because it may not just be duty hours. … And we need to get at all of those issues, not just the duty hours.

2443. In Conversation with…Thomas J. Nasca, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
      February 01, 2010 - But what it does mean is that the issue is much more complex than just giving them enough time to sleep … We are just now graduating our first group of general surgeons under these standards. … We need to begin to talk about those issues because it may not just be duty hours. … And we need to get at all of those issues, not just the duty hours. … They also recommended improvements to the culture of safety through error detection, reporting, and monitoring

2444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49849/psn-pdf
      January 01, 2019 - in the availability of resources to recognize and treat acute medical problems; to appreciate this, just … a growth area.(22) Additional ways to improve patient safety in psychiatry would be to enhance the culture … and mortality conferences are uncommon in psychiatry.(23) Moreover, error reporting systems—and the culture … Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use

2445. Improving Patient Safety by Engaging Patients and Families (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
      April 30, 2025 - Patient Advocacy Reporting System (PARS) promoted professional self-governance, fostered a fair and just … and knowledge needed to effectively incorporate patient and family engagement approaches into their cultures … are conceptualized as a multidimensional construct consisting of pragmatics, health knowledge and beliefs … implement an intervention process that promotes professional self-governance, fosters a fair and just … culture of safety and kindness, and reduces avoidable lawsuit risk.

2446. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html
      January 01, 2025 - Sick-Samuels AC , Kelly DP , Woods-Hill CZ Diagnostic stewardship of endotracheal aspirate cultures … develop consensus statements that clinicians can apply to standardize and optimize endotracheal aspirate culture … Diagnostic stewardship of endotracheal aspirate cultures in hospitalized children with artificial airways … This retrospective study of children treated at two emergency departments found that just 57% of those

2447. TeamSTEPPS for Improving Diagnosis Participant Workbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
      February 04, 2022 - Patient Stories, Blogs, Registries Patient Satisfaction Surveys, Complaints Employee Satisfaction, Culture … They are exactly the same, just a different view. … Did your perspective change once you read that the two images are the same, just presented in a different … � Lab data (culture data, respiratory viral panel, COVID testing, beta natriuretic peptide, D-dimer, … accident, a patient receives a call that says to contact an orthopedic physician; a wrist fracture was just

2448. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867651/psn-pdf
      February 26, 2025 - on Normal Accidents and HROs 1990s and on Swiss Cheese and Safety Management 2000s and on Safety Culture … viewed, as well as the utility of the concept of human error.1, 13-15 This questioning of long held beliefs … enables the incorrect assumption that observations in this limited subset of cases demonstrate not just … Hollnagel terms this the causality credo, which he defines as “the belief that adverse outcomes happen … and early adoption.23 Work as Done and Work as Imagined “Work-as-Done” and “Work-as-Imagined” are just

2449. Understanding Health-Systems’ Use of and Need for Evidence To Inform Decisionmaking (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-systems-research.pdf
      October 01, 2017 - knowledge, digital capture of the care experience, engaged and empowered patients, leadership-instilled culture … For any measure, we’ll nearly always have some members… that are just absolutely nailing them. … KIs felt that knowing the balance of efficacy and safety of active treatments, rather than just the … efficacy or just the effects versus placebo, and understanding the applicability of the evidence is … Remember that the way it works is, we don’t just come and search the list just looking for something

2450. Florida Final Report
      hcup-us.ahrq.gov/datainnovations/clinicaldata/FL4AHRQProjectFinalReportMar2010_v2.jsp
      July 01, 2016 - The hospitals extracted three quarters of laboratory and blood culture data, based on admissions from … the Chief Quality Officer at BayCare Health System, she suggested that instead of collecting data of just … thousands of laboratory records and that coding the data into HL7 would consume more resources than just … Miami Children’s Hospital blood cultures have fractured specimen types – because the epidemiologist is … in LOINC mapping, because some sites break out the venous, arterial and capillary specimens, versus just

2451. Maternal Morbidity and Mortality (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/mmm-draft-protocol-amendment.pdf
      February 02, 2022 - PECOTS KQ1 KQ2 Population Pregnant persons potential entry into prenatal care Birthing persons just … birthing setting across the 1-year postpartum period Outcomes of interest will be from the time just … KQ2: Birthing persons just prior to, during, or immediately following delivery (before release from

2452. 025-Assessing-Evc-Webinar-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
      October 01, 2024 - improvement is effective performance assessment and constructive feedback in a non-blame, empowering culture … crucial that this is implemented in a supportive environment, so that feedback can be given in a fair and just … conducting effective performance assessments and providing constructive feedback in a non-blame, supportive culture

2453. Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs018912-mcconnochie-final-report-2014.pdf
      January 01, 2014 - stethoscope sounds of lung and heart, and to obtain specimens for rapid streptococcal antigen tests, throat cultures … , and fungal cultures of skip or scalp. … Parent  B     I  was  just  getting  out  of  work  and  you  guys  had   … Parent  B     The  doctor  told  me  everything,  that  he  just  needed  to … Skype  on  their  end,  the  connection  was  slow  …  I  just  ended  up  

2454. Medical Office Survey on Patient Safety (doc file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/SurveyOnPatientSafetyCulture.doc
      January 01, 2008 - It is just by chance that we don’t make more mistakes that affect our patients (1 (2 (3 (4 (5 … Medical Office Survey on Patient Safety Culture. 2008. p. 1-7. PAGE 1

2455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49447/psn-pdf
      June 01, 2004 - Beyond these considerations, communication and culture may have played an additional, subtler role in … communication to be one of the most common contributing factors to medical mishaps.(12) Communication is not just

2456. Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/empowerment-slides-spanish.pptx
      January 01, 2014 - Just Culture, Healthcare Services Overview.

2457. Chronic Pain | The Academy
      integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/chronic-pain
      January 01, 2019 - Whenever possible, use structured approaches and standardized tools to evaluate not just pain intensity … treat or manage your patient's pain, including other clinicians recommendations, the patient's cultural beliefs

2458. Out of Sight, Out of Mind: Out-of-Office Test Result Management | PSNet
      psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
      September 01, 2007 - 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.

2459. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
      January 01, 2003 - that reduce the potential for reporting medication errors are management practices and professional cultures … they are good friends and coworkers, or because the reporting clinician recognizes that she/he is just … • Assess the patient safety culture in combination with other measures, e.g., extent of implementation … Without open and supportive organizational, professional and work group cultures—each of which encourages … Organizational culture, continuous quality improvement and medication administration error reporting

2460. National Healthcare Quality And Disparities Report Patient Safety Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
      October 01, 2018 - New baselines were just established using 2015 data. … Medical Office Survey on Patient Safety Culture • The AHRQ Medical Office Survey on Patient Safety Culture …  Examine trends in patient safety culture change over time. … Hospital Survey on Patient Safety Culture • The 2018 AHRQ Hospital Survey on Patient Safety Culture … • PSOs help providers:  Assess patient safety culture.