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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
March 14, 2023 - This article presents best practices in six areas that can influence the success of incident reporting … Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
October 29, 2017 - Study
Suicide and suicide attempts on hospital grounds and clinic areas. … Suicide and suicide attempts on hospital grounds and clinic areas. … Suicide and suicide attempts on hospital grounds and clinic areas.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/056-nursing-protocol-bathing-cloths.docx
October 01, 2024 - Use the six cloths for bathing all body areas:
· Cloth 1: Face,* neck, and chest. … Ensure thorough cleaning, with special attention to commonly soiled areas such as the neck, skin folds … , and perineal areas. … CHG is safe to use on perineal areas, including external mucosa.
5. … Pay special attention to cleaning skin areas surrounding lines and other devices to ensure removal of
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/057-nursing-protocol-bathing-liquid.docx
October 01, 2024 - Use the six wipes for bathing all body areas:
· Cloth 1: Face*, neck, and chest. … Ensure thorough cleaning, with special attention to commonly soiled areas such as the neck, skin folds … , and perineal areas. … CHG is safe to use on perineal areas, including external mucosa.
10. … Pay special attention to cleaning skin areas surrounding lines and other devices to ensure removal of
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/073-dec-patient-instructions-chg-showering.docx
October 01, 2024 - Patients With Devices”
https://www.ahrq.gov/hai/tools/abate/index.html
Make sure you get all of these areas … neck
· In your armpits and groin
· Between fingers & toes
· Between and under all skin folds
· Skin areas … around all lines, tubes, and drains
Your nurse can help with hard-to-reach areas.
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www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - optional supplemental item sets that can be added to the core surveys to assess additional content areas … Areas of Patient Safety Culture Assessed by the SOPS Surveys The areas of patient safety culture assessed … Each of these areas is assessed by multiple survey items to enable reliable measurement and facilitate
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Are there other areas where you probably agree with someone who holds an opposing view? … Areas of Agreement About Zero Harm Proponents and critics disagree on the likely effect of setting
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psnet.ahrq.gov/node/50886/psn-pdf
February 12, 2020 - Identifying risks areas related to medication
administrations - text mining analysis using free-text … Identifying risks areas related to medication administrations -
text mining analysis using free-text … https://psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis … https://psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free … https://psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
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integrationacademy.ahrq.gov/bhi-directory
September 08, 2025 - Areas of BHI Support
Accredits
Establishes care … Areas of BHI Support:
Advises
Advocates
Convenes … Areas of BHI Support:
Advises
Advocates
Convenes … Areas of BHI Support:
Advises
Educates … Areas of BHI Support:
Advises
Educates
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
January 01, 2022 - Home
2008
Medical
Office
2009
Community
Pharmacy
2012
Ambulatory
Surgery
Center
2015
14
Areas … Technical Expert
Panel (TEP)
Interview experts,
providers, and
staff
Identify key
thematic areas … Raise staff awareness about patient safety
• Assess patient safety culture;
• Identify strengths and areas … Areas of Patient Safety Culture Assessed Across SOPS Surveys
Optional Supplemental Items
SOPS Supplemental
-
www.ahrq.gov/sops/about/faq/index.html
June 01, 2022 - Identify strengths and areas for patient safety culture improvement. … identify specific areas of strength and areas for improvement. … so they crosswalk back to the original survey's units/work areas or staff positions. … Revising the staff positions and units/work areas. … Revising the staff positions and units/work areas. Removing negatively worded items.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - and evaluate progress of the US health
care system.
8
AHRQ Patient Safety Priorities
• Focus on areas … Home
2008
Medical
Office
2009
Community
Pharmacy
2012
Ambulatory
Surgery
Center
2015
12
Areas … staff awareness about patient
safety culture
Assess patient safety culture to
identify strengths and areas … National Action Plan to Advance Patient Safety
• Identifies four foundational and
interdependent areas … Areas of Patient Safety Culture Assessed Across SOPS Surveys
How are SOPS surveys used?
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www.ahrq.gov/ncepcr/reports/2024-annual-report/index.html
July 01, 2025 - Health Equity
Primary Care Workforce
Public Health and Community Integration
Additional Topic Areas … Much of the report is organized into Key Topic Areas and Additional Topic Areas of interest for primary … Navigate directly to AHRQ's Recent Primary Care Grants and Resources to read about the topic areas.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-showering-poster.docx
March 01, 2022 - Use 4% liquid CHG for all areas of the body.
1. Use CHG as shampoo. Avoid eyes and ear canals. … head to toe.
· Reapply CHG generously to the sponge or cloth to keep foamy, and apply to the following areas … Lathering all body areas twice before rinsing takes about 2 minutes.
1. Rinse body well.
1.
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meps.ahrq.gov/data_files/publications/cb13/cb13.shtml
January 01, 2010 - Chartbook #13: Health Care in Urban and Rural Areas, Combined Years 1998-2000 … limitations than residents of metro areas. … and 69.5% of those in near-metro areas … , compared to 49.8%-59.0% in the other areas. … , with the proportion ranging from 48.3% in metro areas to 28.7% in rural counties
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-3-gray-2018.pdf
January 01, 2018 - (2008)
Medical
Office
(2009)
Community
Pharmacy
(2012)
Ambulatory
Surgery
Center
(2015)
Areas … Raise staff awareness about patient safety;
• Assess patient safety culture;
• Identify strengths and areas … Test new items with new areas of focus, such
as Just Culture
4. … Revise and expand staff position and work
areas
Update of the Hospital SOPS Survey:
HSOPS 2.0 … AHRQ Surveys on Patient Safety Culture
Areas of Patient Safety Culture Assessed Across SOPS Surveys
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/summary.html
July 01, 2021 - Federal Agency Portfolios in HSR and PCR Have Distinct Focus Areas Based on Their Individual Congressional … These agencies have developed research portfolios of HSR and PCR around focus areas that address the … At the same time, the scan results showed other agency portfolios to include projects in these areas, … Individual study participants also noted research areas they considered to lack sufficient coordination … Recommendations
The findings above document the distinct focus areas of federal agency HSR and PCR
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
October 20, 2021 - Technical
Expert Panel (TEP)
Interviewed experts,
providers, and staff
Identified key
thematic areas … Panel Members
Kelly Gleason Mark Graber David Newman-
Toker
Gordy Schiff Hardeep Singh
42
What areas … List of patient safety and quality issues
• Overall ratings on quality and patient safety
43
What areas … Three composite measures, or groups of items assessing specific
areas of diagnostic safety:
► Time … What areas of diagnostic safety are assessed?
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digital.ahrq.gov/sites/default/files/docs/page/Information%20Technology,%20Finance%20and%20Quantitative%20Decision%20Making%20Group%20Report.pdf
September 21, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Information … Quantitative Decision Making Group Report
Industrial and Systems Engineering and Health Care: Critical Areas … Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop
CHALLENGES: … Finance and Quantitative
Decision Making
Industrial and Systems Engineering and Health Care: Critical Areas … Finance and Quantitative
Decision Making
Industrial and Systems Engineering and Health Care: Critical Areas
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apd.html
September 01, 2013 - Use the six cloths for bathing all body areas below the jawline:
Cloth 1: Neck, shoulders and chest … Ensure thorough cleaning, with special attention to commonly soiled areas such as the neck, skin folds … , and perineal areas. … CHG is safe to use on perineal areas, including external mucosa. … Pay special attention to cleaning skin areas surrounding lines and other devices to ensure removal of