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2521. Patient Safety in Office-Based Care Settings | PSNet
      psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
      January 31, 2024 - harm. 5,6 Violence in healthcare settings impacts patient safety, and guidance is emerging that a culture … tools designed to increase the effectiveness of communication to improve patient safety, especially the culture … Sarah Mossburg: Could we step back from there just to touch on context? … one, and you go to an emergency room and they say, “We don’t have time to find the old CT scan, we’ll just

2522. Meeting Minutes, July 2019 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2019-07-nac/nacmtg0719-minutes.html
      November 01, 2019 - Masica raised the idea of professional culture changes as they relate to diagnostic error. Dr. … Brady noted that AHRQ has considered that area and has added supplemental items in its patient safety culture … How does culture become different? How is it assessed? … Gupta encouraged AHRQ to address specific conditions and to state goals (not just request proposals).

2523. Methods (continued, 3) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
      July 01, 2018 - Each unit has its own culture, language, and traditions, and it is difficult for an outsider (the patient … provide systemic support to administrative leaders, departmental managers, opinion leaders in hospital cultures … medication safety focused on questions to ask providers about medications across settings (i.e., not just … TeamSTEPPS and SBAR are just two examples of techniques designed to standardize and improve communication … Several tools stressed the importance of sharing different religious and cultural beliefs with providers

2524. Patient as a Team Member in Clinical Care | PSNet
      psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
      March 15, 2025 - Library Organization Custom - This library is organized by custom section header names. … A cross-sectional survey of patient perceptions and beliefs. … empowering patients to ensure safe care, and emphasizing patient involvement as a means of improving the culture … Just under 10% of respondents reported an incident, and 62% of these were confirmed by the study team

2525. Appendix A. Teleconferences with AHRQ & CDC | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapa.html
      April 01, 2018 - Culture Type Map to Procedure Types Appendix F. Algorithms Appendix G. … dictionary The CDC/AHRQ team had concerns regarding the algorithm being driven off of positive cultures … healing Anemia-follow-up on collection of value-the collection of the value is possible instead of just … dictionary The CDC/AHRQ team had concerns regarding the algorithm being driven off of positive cultures … Sandra asked if burden estimates can be evaluated to look at the algorithm with all SSI inclusions vs just

2526. Understanding and Honoring Patients with Multiple Chronic Conditions - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs022364-ralston-final-report-2018.pdf
      January 01, 2018 - prototype testing of Aim 2, patient participants with different chronic conditions or socioeconomic or cultural … backgrounds may also have given different results. … “It Just Seems Outside My Health”: How Patients with Chronic Conditions Perceive Communication Boundaries … Testing and potentially disseminating this approach will require not just new processes but developing … "It just seems outside my health": How Patients with Chronic Conditions Perceive Communication Boundaries

2527. Safety Considerations in Building a Point-of-Care Ultrasound Program | PSNet
      psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
      June 01, 2018 - While this form factor and price arguably brings disruption to a new level, it represents just the latest … These are just two examples of decreasing ionizing radiation exposure, which is especially important … I just finished your book, The Digital Doctor , and I loved it. RW : Thank you. … One will be using the ultrasound and capture an image just below the liver edge. … August 1, 2012 Perspectives on Safety Safety Culture

2528. Implementing a Low-Literacy, Multimedia IT System to Enhance Patient-Centered Cancer Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017300-hahn-final-report-2012.pdf
      January 01, 2012 - , whereas the intervention group showed an increase in both beliefs and knowledge. … One of our co-investigators (Sofia Garcia, PhD) just received a grant from the American Cancer Society-Illinois … , whereas the intervention group showed an increase in both beliefs and knowledge. … Implementing a Multimedia Talking Touchscreen in Clinical Practice. 8th Biennial Cancer, Culture & … Implementing a Multimedia Talking Touchscreen in Clinical Practice. 8th Biennial Cancer, Culture &

2529. Final Progress Report: Care and Safety Practices During the COVID-19 Pandemic in Home-Based Long-Term Services and Supports (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
      January 01, 2024 - organizational environment, community environment, and equipment/supplies); worker and consumer attitudes, belief … equipped for meeting their needs, and home care agencies are also insufficiently prepared.5-8 Household culture … She would come back over, just a very good person…. … There is just not enough of them. … It is just an exercise in futility, really.... You don’t know who to talk to anymore.

2530. In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet
      psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
      March 29, 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

2531. One Toxic Drug Is Not Like Another | PSNet
      psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
      October 02, 2019 - Currently, renewal of a medical license mostly involves just passing a criminal background check and … Impeding this change in culture is the lack of robust, systematic assessment approaches, fear of retribution … The Culture Code: An Ingenious Way to Understand Why People Around the World Live and Buy as They Do.

2532. Qi-Strategies-Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/qi-strategies-practices.pdf
      March 01, 2015 - efforts for a variety of reasons, including a lack of the following: financial resources, time, a culture … • Practice culture: Regardless of whether there are financial incentives in place, sustained QI and … is, when the practice team views QI efforts as a way to provide better care to their patients, not just … Maintenance: successful attainment and maintenance of new behavior Just as individuals progress through … Although patients and families typically are not involved in planning for QI when practices are just

2533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49584/psn-pdf
      April 01, 2009 - could also create a river of information that would flood clinicians with massive amounts of data, not just … Ross Koppel, PhD Principal Investigator Study of Hospital Workplace Culture and Medication Errors Center

2534. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
      January 29, 2021 - associated with physician burnout. 26,27 Attending physicians are frequently expected to work long shifts, just … Encourage an institutional culture that values rest A culture of taking deliberate breaks during long … Expanding the pool of clinicians available to staff hospitals, and improving the culture to support shorter

2535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852807/psn-pdf
      August 30, 2023 - associated with physician burnout.26,27 Attending physicians are frequently expected to work long shifts, just … Encourage an institutional culture that values rest A culture of taking deliberate breaks during long … Expanding the pool of clinicians available to staff hospitals, and improving the culture to support

2536. Optimizing Environmental Cleaning (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
      October 01, 2024 - strategy means using a sporicidal disinfectant product for every type of room and for every cleaning, not just

2537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49579/psn-pdf
      March 21, 2009 - The paramedics had just arrived in the ED with a critically ill patient.

2538. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
      June 01, 2015 - While cultures are changing to reflect the increased urgency, it is still a challenge in some cases … He is unrelenting in pushing the hospital to become a market leader rather than just a safety-net hospital … Staff at several study sites also emphasized “just culture” frameworks that simultaneously promote transparency … Such strongly held beliefs create impetus for process improvement because improving quality and efficiency …  Strategy and culture.

2539. Pf-Engagement-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
      May 01, 2017 - Hospitals can present a very unfamiliar setting, system, and culture for patients. … provides continuous physical, emotional, and informational support to the mother before, during, and just

2540. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33629/psn-pdf
      March 01, 2006 - any chance of developing new and optimal teamwork patterns that become deeply ingrained in the work culture … is very important that participants have a chance to actually "deploy" the skills being taught, not just