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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast2-brady.pdf
August 06, 2018 - Public Health Service
AHRQ Patient Safety Priorities
• Focus on areas of greatest impact
• Extend
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-keytakeaways.pdf
August 01, 2018 - patient safety
It is administered to hospital providers and staff to address the
following topic areas
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/agenda-lesson1.pdf
November 30, 2015 - Communication Discussion
What areas of communication has your team identified for improvement?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-improving-patient-experience.pdf
July 01, 2021 - specific clinic settings
− Urgent care clinic
− Obesity clinic
38
Providers Pointed to Several Other
Areas … Captured in Patient Experience Surveys
Providers Wanted More Support
Providers Pointed to Several Other Areas
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - And as you can see when you look at this slide, there’s a big disconnect across a variety of care areas … It helps in the development of shares mental models in the providers who work in clinical areas where … communication, and by changing the values, attitudes, and behaviors of the clinicians who work in our areas … And then adapt and spread it out to other clinical areas in your hospital. … of that wisdom of crowds is realizing that if you have a concern, it’s important that our clinical areas
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
December 01, 2017 - and mortality and morbidity conferences when we want to identify defects that occur in our clinical areas … Some clinical areas use an ongoing process in which forms are readily available so staff members can
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
October 01, 2014 - Moreover, program champions can provide feedback on the program by identifying areas for program refinement … the Secretary of Health, and the Governor's office might have specific program goals or might have areas … Program staff should communicate regularly about program successes and areas for improvement with senior … involved during the evaluation stage to provide feedback on preliminary results, offer suggestions on areas … standing committees or focus groups, program staff can plan the care management program and identify areas
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - .
7
OB Hemorrhage: Readiness
8
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Readiness includes five areas … Prevention
9
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Recognition and prevention includes three areas … These three areas include: assessment of hemorrhage risk, measurement of cumulative blood loss, and active … 11
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Reporting and systems learning includes three focused areas … These areas of systems improvement are: establishing a culture of huddles and debriefs, multidisciplinary
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - and mortality and morbidity conferences when we want to identify defects that occur in our clinical areas … Wisdom of Frontline Providers
Frontline providers–
Understand the patient safety risks in their clinical areas … Some clinical areas use an ongoing process in which forms are readily available so staff members can
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-English-05.18.21.docx
June 09, 2016 - Hospital Survey on Patient Safety Culture Version 2.0
SOPS® Hospital Survey
Version: 2.0
Language: English
For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and pro…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
January 01, 2023 - Outside of Inpatient care areas, incidents mostly occurred in Special care areas (13.1%; 166,412 / … Over one half of Falls occurred in Inpatient care areas (51.5%; 92,861 / 180,345). … care areas (6.4%; 11,592 / 180,345) were also a source of falls. … About half (49.0%; 29,384 / 60,021) of Pressure ulcers were reported in Inpatient care areas. … Special care areas (36.1%; 21,692 / 60,021) and Operating rooms or procedure areas (5.7%; 3,439
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
January 01, 2022 - Safety Culture 2.0 Database.
400
participating
hospital
206,410 providers and
staff respondents
Areas … Registered nurse (RN)
10% Technologist, Technician
(EKG, Lab, Radiology)
Largest Two Unit/Work Areas … of
strength and areas on which to focus efforts to improve patient safety culture. … Identifying Areas To Improve:
a. What areas do you want to focus on for improvement?
b. … Identifying Areas To Improve:
2. Planning Your Improvement Initiative:
3.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/AHRQ-Hospital-Survey-2.0-Users-Guide-5.26.2021.pdf
January 01, 2021 - Your hospital can modify the staff positions and units/work areas so
they better match the names and … so they crosswalk back to the original 2.0 survey’s staff positions or
units/work areas … The list below presents
three examples of ways staff can be selected from units/work areas, listed in … (most representative)
• All staff from some units/work areas
• A subset of staff from some units/work … areas (least representative)
Determine Your Sample Size
The size of your sample will depend on whom
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
December 01, 2017 - and mortality and morbidity conferences when we want to identify defects that occur in our clinical areas … Some clinical areas use an ongoing process in which forms are readily available so staff members can
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
April 01, 2018 - Where are they used in the sterile surgical areas? How are they applied? … Where are they used in the sterile surgical areas? How are they applied?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Branding_Your_Quality_Report_2011_05_15_Transcript.pdf
January 01, 2011 - And we’re a multi-stakeholder collaborative and our leadership
comes from all different areas of health
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/culture-checkup.html
December 01, 2012 - Patient care areas that first assess culture before starting an intervention use feedback from frontline
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-ASC_Webcast_2021-Ginsberg.pdf
January 01, 2021 - and evaluate progress of the US health care system.
7
AHRQ Patient Safety Priorities
• Focus on areas
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-05-edgman-levitan.pdf
February 25, 2019 - performance to peers
- Detect trends
- Deeper focus on item-level results
Identify strengths and
areas
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-sops101-webcast-2023-ginsberg.pdf
January 01, 2023 - and evaluate progress of the US health
care system.
8
AHRQ Patient Safety Priorities
• Focus on areas