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2461. 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

2462. 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

2463. 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

2464. 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.

2465. 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  

2466. 030-Hand-Hygiene-Webinar-Slides-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/030-hand-hygiene-webinar-slides-notes.docx
      October 01, 2024 - products and availability, knowledge levels, opportunities for additional education, as well as the safety culture … When deciding the best way to disseminate data, consider the hospital and unit culture. … Slide 27 Engage SAY: Whether just starting out or working to revitalize an existing program, it is … improvement and promotion strategies by identifying and addressing barriers specific to the workflows and culture … safety climate or lack of accountability · Measurement, including issues like distrust in data, lack of belief

2467. Research Protocol: Clostridium difficile Infection Update (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/c-difficile-update_research-protocol.pdf
      December 23, 2014 - States use enzyme immunoassay because it is fast, inexpensive, and technically easy to perform.17 Just … Toxigenic culture and cell cytotoxicity neutralization assay are no longer clinical standard practice … • Positive environmental cultures. … difficile Infection Intermediate outcomes § Appropriate antibiotic usage § Positive environmental cultures … , toxigenic culture, and cell cytotoxicity neutralization assay, we will use toxigenic culture as the

2468. 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.

2469. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - July 19, 2023 Rooting an error review process in just culture: lessons learned. … WebM&M Cases Delayed Recognition of a Positive Blood Culture

2470. 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

2471. Final Progress Report: A Novel Debriefing Strategy for Interprofessional Simulation-Based Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
      January 01, 2024 - We collected baseline and post-implementation data on measures attitudes to teamwork, safety culture … To measure safety culture, we used a modified version of the Safety Attitudes Questionnaire (SAQ).34 … between ideal and real is not unique to education; in the clinical environment, policy makers often have beliefs … , and, as evident from our qualitative data, such culture change takes time for people to adapt to. … they will take away from this session back to the bedside regarding teamwork TAKE NOTES: EVEN IF JUST

2472. 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

2473. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html?page=3
      December 20, 2012 - Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveys on Patient Safety Culture … Can I modify the Surveys on Patient Safety Culture? … changing the order of items or response options, deleting one or more items, and adding supplemental or custom … supplemental items or additional items from other surveys must be added to the end of the SOPS survey, just

2474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49651/psn-pdf
      May 01, 2012 - Blood cultures were positive for E. coli, and appropriate antibiotic therapy was initiated. … of intraventricular gentamycin with resolution of ventriculitis as documented by negative E. coli cultures … they do.(11) Therefore, in handoffs, senders underestimate how much information receivers need, not just

2475. Peripheral IV in Too Long | PSNet
      psnet.ahrq.gov/web-mm/peripheral-iv-too-long
      September 15, 2011 - While most cases of phlebitis are noninfectious (just inflammation of the vein), this can progress to … Blood cultures drawn at the time grew methicillin-resistant Staphylococcus aureus (MRSA), most likely … phlebitis.( 1,2 ) In a prospective study of 3165 patients, however, the majority of phlebitis cases were culture-negative

2476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49699/psn-pdf
      February 01, 2014 - identifying, reporting, and analyzing medication errors, all organizations should actively cultivate a culture … identifying, reporting, analyzing, and reducing the risk of medication errors • Cultivation of a just … culture of safety Table 2.

2477. All in the History | PSNet
      psnet.ahrq.gov/web-mm/all-history
      February 28, 2011 - The paramedics had just arrived in the ED with a critically ill patient.

2478. A Partnership for Clinician EHR Use and Quality of Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
      January 01, 2011 - Furthermore, the partnership model placed a particular emphasis on fostering a collaborative culture … Lab results communicated to pt. in timely manner 2 5 5 (n=2) 1 center improved Practice Management/Culture … Had high level o f responses. “… just knowing that the medications are correct, the doses … The only frustration is just the IT issues and they are getting better. … In just a few weeks you know we were all being thrown off and that was a huge concern but you know they

2479. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33660/psn-pdf
      December 01, 2007 - coming in for follow-up, only for them to berate me about the terrible episode of care that they had just … Then there's a series of two or three phone calls after that, just to see how things went and whether

2480. Maternal Safety and Perinatal Mental Health | PSNet
      psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
      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