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341. Learn Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
     April 01, 2013 - Culture, and others to provide complete tools to support units in improving culture   Slide … directions Change in team members Work load   Slide 27 Apply CUSP Introduce Just … Culture principles Learn how Just Culture principles can augment CUSP Review key steps of the CUSP … Toolkit A Just Culture system 6 Holds itself accountable Holds staff members accountable … Just Culture. Plano, TX: Outcome Engineering; 2011. Pronovost P, Goeschel C, Colantuoni E, et al.

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838306/psn-pdf
     October 12, 2022 - Priority practices include promoting speaking up behaviors through a just culture and psychologically … serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42984/psn-pdf
     February 26, 2014 - Suggested interventions include disclosure training and implementing a just culture. … psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

344. A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. | PSNet
     psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
     November 17, 2021 - This article describes the implementation of a high-reliability hospital framework on patient safety culture … Framework components included an annual patient safety assessment, annual safety culture survey, annual … root cause analysis (RCA) training, leadership walk arounds , and just culture training. … Three years after implementation, patient safety culture and event reporting rates improved, and the … September 30, 2020 Why accountability sharing in health care organizational cultures

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73088/psn-pdf
     March 31, 2021 - Nurses’ perspectives on the impact of management approaches on the blame culture in health-care organizations … Nurses’ perspectives on the impact of management approaches on the blame culture in health- care organizations … https://psnet.ahrq.gov/issue/nurses-perspectives-impact-management-approaches-blame-culture-health- … care-organizations A just culture must balance organizational context with appropriate accountability … The authors analyzed findings from 21 studies and found that blame culture negatively affects nurses

346. Using the AHRQ Medical Office Survey on Patient Safety Culture (SOPS) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/using-medical-office-transcript.pdf
     April 29, 2011 - On the other side of the scale, comments were that staff were just really not responsive to filling … You're just getting the feelings of the person that day. … Some, about a quarter, were just going to provide written reports only. … As noted, these are just a preview of the results and the full results including breakouts by staff … just the hospital employees but all the offices.

347. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/international/hospital/translators.html
     October 01, 2014 - Achieving a culture of safety requires an understanding of the values, beliefs, and norms about what … Safety Culture Definition The safety culture of an organization is the product of individual and group … the word "culture" in the title. … term "unit" may be replaced by an equivalent term, such as "department," if it suits the hospital (just … It is just by chance that more serious mistakes don't happen around here.

348. Cauti-Sustainability-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
     January 01, 2014 - Not using data is part of the culture of safety. … I talk about creating a culture of confidence. … of possibility, optimism, and self-belief drown out the voices of self-doubt. … This is 1 way to make sure the culture of confidence maintains that culture of optimism. … It was just part of their process.

349. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
     June 01, 2021 - use · Recognize that patient harm is largely preventable · Recognize that changes to the system, not just … Can you imagine giving an antihypertensive medication such as lisinopril “just in case” someone has high … For example, if a patient is at the end of life, clinicians may start antibiotics just to “do something … On Saturday, a nurse aide noted that a 76-year-old woman in the facility did not eat breakfast and just … been for someone from the antibiotic stewardship team to review the charts of residents on whom urine cultures

350. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
     March 01, 2017 - of Culturing: The Importance of Knowing When to Order Urine Cultures Facilitator Instructions This educational … situation-background-assessment-recommendation) to effectively communicate resident care and when to order urine cultures … Mullins, a resident of Sunny Terrace Long-Term Care, has just been transferred back from a stay in the … I think it’s just pulling on her leg. Dr. Killbug: You think she’s got leg pain? … Nurse Nohai: Catheters just aren’t good for our patients.

351. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. | PSNet
     psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
     June 28, 2023 - August 30, 2023 Association of diagnostic stewardship for blood cultures in critically … January 27, 2019 Transparency, public reporting, and a culture of change to quality and … September 30, 2020 Why accountability sharing in health care organizational cultures … About The Topic Medicine Clinical Misdiagnosis Error Reporting Continuing Education Just … Culture

352. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
     March 01, 2025 - and Its Relationship to Readmissions Culture is the learned, shared patterns of beliefs, values, attitudes … play, such as the culture of the provider, the culture of the patient, and the culture of the health … Hiring Bilingual, Bicultural Discharge Educators Staff who share the language and cultural background … Just like English-proficient patients, not all patients with LEP can read in their preferred language … backgrounds has often been debated.    

353. Tool 4: How To Deliver the Re-Engineered Discharge to Diverse Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
     March 01, 2025 - and Its Relationship to Readmissions Culture is the learned, shared patterns of beliefs, values, attitudes … play, such as the culture of the provider, the culture of the patient, and the culture of the health … Hiring Bilingual, Bicultural Discharge Educators Staff who share the language and cultural background … Just like English-proficient patients, not all patients with LEP can read in their preferred language … backgrounds has often been debated.    

354. Preventing-Cauti-Icu-Setting-Module 1-Speaker-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
     September 01, 2015 - We know that just because a patient is in the ICU, the patient may not require a urinary catheter. … SLIDE 11 SAY: In some instances, resistance to changing catheter use practices comes from the belief … Behavior-based beliefs are a challenge. … SLIDE 15 SAY: Many ICUs obtain cultures from multiple sites when a patient has a temperature spike … the temperature increase should warrant a critical evaluation of the patient rather than an automatic culture

355. Organizational Embrace of CUSP to Improve Patient Safety (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
     April 01, 2013 - interested in having areas that don’t have CUSP teams but that already do have strong, mature safety cultures … to one of a culture of safety. … Our two hospitals have very different cultures, so sometimes our delivery methods and communications … need to adapt to the different cultures. … Our organization is going through a very formalized approach to just culture and decisionmaking around

356. Module 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod1.html
     February 01, 2023 - We know that just because a patient is in the ICU, the patient may not require a urinary catheter. … In this way, you can see trends and beliefs related to catheter use. … Challenges Narration: In some instances, resistance to changing catheter use practices comes from the belief … Behavior-based beliefs are a challenge. … Slide 16: Behavioral or Cultural Factors Narration: Many ICUs obtain cultures from multiple sites

357. Identifying Safety Events in the Prehospital Setting | PSNet
     psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
     May 16, 2022 - on individual error to a Just Culture where the system is the primary focus. … Healthcare leaders have used safety culture measurement to assess and transform culture in hospital settings … it called “Just Culture.” … and a non-punitive culture. … I think as a profession we're just growing.

358. CUSP Psychological Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp-psychological-safety.html
     November 01, 2024 - (CLABSI) Prevention of Hospital-Acquired Pneumonia: VAP & NV-HAP Antibiotic Stewardship Blood Culture … CUSP encourages and thrives in a culture of open communication and trust, encouraging the sharing of … viewing this presentation, viewers will be able to: Explain how the science and art of safety compliment culture … AHRQ Core CUSP Toolkit delves deeper into psychological safety, introducing the CUSP principles of Just … Culture and accountability.

359. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
     January 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items Ambulatory Surgery … Ambulatory Surgery Center Survey on Patient Safety Culture are grouped according to the safety culture … Safe Surgery 2015: South Carolina Tool 2: Surgical Safety Culture Survey. … Just before the start of procedures, all team members stopped to discuss the overall plan of what was … Just before the start of procedures, the doctor encouraged all team members to speak up at any time if

360. Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. | PSNet
     psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
     May 29, 2014 - Download Citation Related Resources From the Same Author(s) A just … culture after Mid Staffordshire. … May 29, 2014 'Just culture': improving safety by achieving substantive, procedural and … December 9, 2014 Just culture: who gets to draw the line?