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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
    June 16, 2017 - evidence-based, and effective risk assessments that call for: Critical thinking and clinical judgment—not just … Create an organizational culture that focuses on safety; they are constantly aware of the possibility
  2. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
    December 01, 2017 - Positive wound culture. Pain, redness, swelling. Diagnosis by surgeon. … Temperature (°C) at or just prior to time of incision.
  3. 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
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
    July 01, 2023 - Huddles may require attendance from more than just the bedside nurse and attending. … Smith, your labs just returned and are notable for an elevated protein/creatinine ratio and elevated … • How do we prepare now so that we are ready to handle the next event in the way we have just discussed … 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
  5. effectivehealthcare.ahrq.gov/sites/default/files/c-difficile-update_disposition-comments.pdf
    March 29, 2016 - Studies that looked at microbiologic end points such as environmental cultures, etc., seem to be excluded … While such surrogate markers may be unreliable since data are meager relating environmental culture … We have added environmental swabbing and culture to the exclusion criteria for KQ2. … Since we were primarily evaluating test analytics we opted to use toxigenic culture and/or CCNA as … Perhaps this is just an area for future research. Thank you for the comment.
  6. effectivehealthcare.ahrq.gov/sites/default/files/related_files/transitions-care-pediatric-to-adult-services-disposition-comments.pdf
    May 31, 2022 - Could you just say "adolescents and young adults with a chronic physical or mental illness or physical … It says this in one location, but just to be consistent. … This may just be me. But a more detailed description could be useful. … Just for space, could combine these Thank you for the suggestion. … I was looking for very concrete recommendations – not just generalities.
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
    December 01, 2017 - In the Compendium, it’s not just about the right antibiotic, the right timing, and the right choice, … Program for Surgery – Implementation SAY: The driving force behind the TRiP methodology is the core belief … Task Tools and technology Administrative support Performance monitoring and feedback Perioperative culture … Perioperative culture How does the perioperative culture affect adherence? … inexpensive yet effective ways to show staff what their leaders value and, ultimately, improve safety culture
  8. www.ahrq.gov/patient-safety/reports/hotline/implement3.html
    May 01, 2016 - organizations’ policies and training materials related to patient safety to confirm that they upheld “justculture” principles, emphasized opportunities for learning rather than blaming individuals, and recognized
  9. digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-evaluation-report.pdf
    July 01, 2015 - Over time, quality improvement changes the culture as well as the processes so that quality improvement … comprehensive program gives us a practice-wide view of care needed for all of our patients, rather than just … For example, glycemic control (at the 9 percent level) was just 62 percent for Medicaid patients but … Over time, quality improvement changes the culture as well as the processes so that quality improvement … For example, glycemic control (at the 9 percent level) was just 62 percent for Medicaid patients but
  10. psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
    September 01, 2016 - Let me just first say that you are making an observation of how medical care is being practiced today … However, the level of physician participation and leadership in telehealth encourages me, just as we … But it just can't work that way. … diastolic numbers into the physician's office so they can be tracking you instantaneously—it would just
  11. psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
    September 01, 2016 - Let me just first say that you are making an observation of how medical care is being practiced today … However, the level of physician participation and leadership in telehealth encourages me, just as we … But it just can't work that way. … diastolic numbers into the physician's office so they can be tracking you instantaneously—it would just
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
    March 06, 2013 - This includes people of all cultures and backgrounds. … hospital staff ask about and respect each patient’s and family’s values, preferences, goals, and culturalbackgrounds o Clinicians and hospital staff communicate clearly and share complete, unbiased, and … should work together as partners to create health care systems that are safe, compassionate, and just
  13. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/survey-methods-research/summary-research-meeting.pdf
    January 01, 2019 - Most importantly, the speakers addressed the importance of not just using multiple survey modes, but … for the language around them to be engaging; those administering these surveys can’t assume that a “just … discharge period was too brief; in others, the parent was not available to answer the survey until just … Noting that 7 www.ahrq.gov/cahps | the use of telephones is no longer a strong part of our culture
  14. www.ahrq.gov/news/newsroom/ahrq-stats.html
    July 01, 2025 - Just 6.8 percent of non-Hispanic White patients experienced the same communication gaps. … In-hospital delivery stays for Asian/Pacific Islander women included the lowest diagnosis rate, at just … both private insurance and dental coverage visited both a medical and dental provider, compared with just … Patient Safety Culture in Nursing Homes Nursing home staff completing AHRQ's Nursing Home Survey on Patient … Safety Culture in 2019 gave the highest positive response— 85 percent—to "overall perceptions of nursing
  15. psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
    April 24, 2024 - : A Patient Verification Process is Needed Everywhere, Not Just at the Bedside.
  16. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap2.html
    August 01, 2022 - I will be able to let you see her in just a few moments."
  17. digital.ahrq.gov/sites/default/files/docs/citation/healthitandlabordersimplementationhandbook.pdf
    November 01, 2011 - Just implementing an EHR system gives a clinical practice the opportunity to improve the care delivered … Just as the development of clinical content for end-user templates requires consensus from clinicians
  18. 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
  19. psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
    July 08, 2022 - July 28, 2021 Just culture: the foundation of staff safety in the perioperative … to the Hospital July 8, 2022 WebM&M Cases Culture
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
    March 13, 2013 - This means telling patients’ stories, not just sharing statistics, when discussing successes and failures … clinicians and staff.(12) By sharing quality and safety data about the organization, leaders help create a culture … and support clinicians and hospital staff in patient and family engagement initiatives Creating a culture