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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
October 01, 2024 - Don’t assume that just because you’ve incorporated all the best practices into your policy that the staff … Slide 37
Culture and Safety Climate
SAY:
An organization or unit's culture can play a role in the … If recent safety culture assessments have been conducted, review unit-level data related to psychological … Training staff to use this technique makes it easier for them to speak up, while also establishing a culture
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - loose ends left at the time of discharge, therefore, must be clearly defined in the discharge summary just … WebM&M Cases
Delayed Recognition of a Positive Blood Culture
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - 1, 2003
Second victims need emotional support after adverse events: even in a just … safety culture.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental … Surveys on Patient Safety Culture™ and SOPS® are trademarks of AHRQ. … supplemental item set was designed to be
administered toward the end of the SOPS Hospital Survey 2.0, just … (a composite measure consists of 2 to 3 survey items that
assess the same area of workplace safety culture … Composite Measure Percent Positive Response
The six workplace safety culture composite measures are
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017261-schillinger-final-report-2011.pdf
January 01, 2011 - created and maintained a unique SFHP- ATSM ID number separate from the
patient’s SFHP ID, but is created just … Developed with extensive input from patients to be sensitive to
literacy, language, and culture in the … such as confusion
frequency of medications, forgetfulness, concerns about side effects, or health beliefs … Is ambulatory patient safety just like
hospital safety, only without the "stat"?
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www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
February 01, 2017 - Former:
Broad range of agents for healthcare-associated infections, not just respiratory infections … Establish objective diagnosis by histology or quantitative bronchoscopy cultures.
32% of patients diagnosed … might be able to tell who does and does not have pneumonia, the evaluation studies do not support that belief
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - will help ensure there is a budget allocated for patient safety activities and help create a hospital culture … Slide 18
Say: The process analysis we just heard about is the flow of what and how pressure … This hospital team completed the assessment tools from the Toolkit, just as you did.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - will help ensure there is a budget allocated for patient safety activities and help create a hospital culture … Slide 18
SAY: The process analysis we just heard about is the flow of what and how pressure injury … This hospital team completed the assessment tools from the Toolkit, just as you did.
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www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/breastfeeding-interventions
October 22, 2024 - messaged to Black communities that use of their product was associated with feelings of status. 9 , 10 A belief … and formula gives infants twice the benefits. 11-13 These historical actions may influence current beliefs … postpartum periods) tend to have greater effects compared with those that occur over a single period (just … Attitudes and beliefs about breastfeeding. Breastfeed Med . 2021;16(6):501-505. 6.
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psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - The
trainee informed the attending that he had just reviewed the chart and learned that the positive
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effectivehealthcare.ahrq.gov/sites/default/files/infectious-disease-horizon-scan-high-impact-1506.pdf
December 01, 2015 - preliminary efficacy data in the target population are available) in the United
States or that have just … Agreement between Xpert and culture was 98.5%. Sensitivity of microscopy was 17.6%. … Costs for testing the 7,000 specimens, with 2.7% of specimen cultures positive for M. tuberculosis, … , and 30
days for solid culture. … Samples were analyzed by a
combination of acid-fast smear, solid culture, liquid culture, and Xpert
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - Culture and Professionalism
Clinicians, governing boards, executive leaders, and middle managers of … This required a culture change to one that refrained from assigning “sharp-end”
blame for mistakes; … It depends on a culture of openness to all relevant perspectives in which those
involved in adverse … reporting of adverse events or near misses, dissemination
of lessons learned, and the establishment of cultures … to be just patient safety, patient safety
pioneers have pushed for a much deeper understanding of the
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
September 01, 2024 - , and reduce diagnostic errors and near misses in clinical
practice
• Establish a work system and culture … from a fear of negative consequences if they do not follow instructions, rather than from trust or belief … Just as the patient’s voice is essential in their own medical decisions, it is essential in planning … simple steps that have been studied to help reduce disparities include:
■ Concordance of race and culture … If all
else fails, just listen to the patient; they are telling you the diagnosis.10
Work remains
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
September 01, 2024 - , and reduce diagnostic errors and near misses in clinical
practice
• Establish a work system and culture … from a fear of negative consequences if they do not follow instructions, rather than from trust or belief … Just as the patient’s voice is essential in their own medical decisions, it is essential in planning … simple steps that have been studied to help reduce disparities include:
■ Concordance of race and culture … If all
else fails, just listen to the patient; they are telling you the diagnosis.10
Work remains
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Usually occurs just superior to the internal stoma site on the anterior tracheal wall. … Suprastomal collapse:
Pressure on tracheal cartilage just superior to the stoma may cause chondritis … Send swab for culture and treat with appropriate topical or systemic antibiotics. … Obtain stool sample for culture.
Ask dietician to review feed and rate.
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Usually occurs just superior to the internal stoma site on the anterior tracheal wall. … Suprastomal collapse:
Pressure on tracheal cartilage just superior to the stoma may cause chondritis … Send swab for culture and treat with appropriate topical or systemic antibiotics. … Obtain stool sample for culture.
Ask dietician to review feed and rate.
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
April 01, 2025 - informs new understanding, as categorization of diagnosis is refined or
further specified (e.g., not just … The goal is not just to prevent
harm, but to achieve success. … Just as seen with the implementation of electronic health records and computer physician order
entry … professionals committed to excellence should be celebrated,
encouraged, and supported in medical culture … Instead, the shifted language allows an open, growth-minded culture that invites a focus on
continuous
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psnet.ahrq.gov/node/49472/psn-pdf
March 01, 2005 - Just as important,
given a potentially transmissible disease, the case provides an opportunity to examine … system that flags a positive lab result (eg, a high titer syphilis serology, or a positive
gonococcal culture
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - 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
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www.ahrq.gov/sites/default/files/2024-01/zimring-report.pdf
January 01, 2024 - Study how design issues (e.g., family zones,
decentralized nursing stations) affect the hospital culture … participants and
allows them to narrow down the more extensive list of identified research
needs into just