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www.ahrq.gov/sops/bibliography/index.html
January 01, 2025 - Understanding the relationship between care quality perception and patient safety culture. … Health Care Manage Rev. 2024 , 49(4): 281-290. … safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis … J Nurs Care Qual. 2023 , 38(3): 264-271. … Patient safety culture and speaking up among health care workers.
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-health-equity.html
May 01, 2024 - Appendix D: Grant Summaries
P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … To Treat Chronic Pain in Primary Care
S5: Developing a Mobile Tool to Improve Self-Care and Shared … This study is focused on a topic integral to primary care. … Quality is described in six categories in the report: patient safety, patient-centered care, care coordination … The opioid and mental health crisis have continued to worsen, including worsening suicide death rates
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www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
July 01, 2021 - healthcare encounters were identified through the following ICD-9-CM codes: 282.61 (Hb-SS disease w/o crisis … ) and 282.62 (Hb-SS disease with crisis). … state Medicaid program operations, health plan quality measurement, health informatics, and health care … The expert panel assessed whether the performance of the measure would result in improved quality of care … panel concluded that the performance of TCD as outlined in this measure would improve the quality of care
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www.ahrq.gov/es/sops/bibliography/index.html?page=1
January 01, 2025 - J Nurs Care Qual. 2022 , 38(1): 11-18. … The COVID-19 pandemic crisis and patient safety culture: A mixed-method study. … Qual Manag Health Care. 2022 , 31(3): 122-129. … Evaluation of the culture of safety and quality in pediatric primary care practices. … Health Care Manage Rev. 2021 , 46(3): 227-236.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 02, 2025 - Intensive care unit (any type)
(
m. … We use more agency/temporary staff than is best for patient care
(1
(2
(3
(4
(5
8. … We work in "crisis mode" trying to do too much, too quickly
(1
(2
(3
(4
(5
15. … Important patient care information is often lost during shift changes
(1
(2
(3
(4
(5
6. … Patient Care Asst/Hospital Aide/Care Partner
(
m.
Administration/Management
(
e.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
June 02, 2025 - Intensive care unit (any type) m. … Staff in this unit work longer hours than is best for patient care ................ … We work in "crisis mode" trying to do too much, too quickly ..................... … Important patient care information is often lost during shift changes ........ … Patient Care Asst/Hospital Aide/Care Partner m. Administration/Management
e.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
June 02, 2025 - Intensive care unit (any type) m. … Staff in this unit work longer hours than is best for patient care ................ … We work in "crisis mode" trying to do too much, too quickly ..................... … Important patient care information is often lost during shift changes ........ … Patient Care Asst/Hospital Aide/Care Partner m. Administration/Management
e.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
March 06, 2025 - Excellence in Primary Care Research
Presents
Factors that Impact Perinatal Care Experience and Outcomes … Maternal Mortality Crisis: An International Comparison
(Commonwealth Fund, June 2024). https://doi.org … Care Environment Effective, Timely, Quality Care
Safety
Communication and Accountability
Respect … Patient
experience
with care
Defining Respectful Maternity Care
1. … ~11 visits over pregnancy 1-2 visits
Prenatal Care Postpartum Care
D
ELIVERY
Lack of Care Coordination
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www.ahrq.gov/es/sops/bibliography/index.html
January 01, 2025 - Understanding the relationship between care quality perception and patient safety culture. … Health Care Manage Rev. 2024 , 49(4): 281-290. … safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis … J Nurs Care Qual. 2023 , 38(3): 264-271. … Patient safety culture and speaking up among health care workers.
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www.ahrq.gov/es/sops/bibliography/index.html?page=0
January 01, 2025 - Understanding the relationship between care quality perception and patient safety culture. … Health Care Manage Rev. 2024 , 49(4): 281-290. … safety culture and the intentions of the nursing staff to report a near-miss event during the COVID-19 crisis … J Nurs Care Qual. 2023 , 38(3): 264-271. … Patient safety culture and speaking up among health care workers.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
April 27, 2008 - events.23 Gaps in care
continuity are evidence that the health care system is unable to respond with … All four of the acute care unit’s critical care bays were filled with admitted patients on
ventilators … The crisis continued until approximately 22:00. … Woods); École des Mines de Paris,
Crisis and Risk Research Centre, Sophia-Antipolis Cedex, FR (Dr. … Some unintended
consequences of information technology in health
care: The nature of patient care
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/guide-staffing-during-COVID19.pdf
June 02, 2025 - assistance related to staffing resources. ♦
• Contact your state’s Department of Public Health for crisis … , hospice, acute care,
ambulatory care clinics, and others — for staffing resource availability. … • Identify current staff who could be cross-trained for direct care or non-direct care roles. ♦ … There are a variety of health care partners that have redesigned how they work with
direct care staff … Nursing Homes and Long-Term Care Facilities
COVID-19.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
August 31, 2015 - coordination, mobile crisis, and peer support
services for children with complex behavioral health … management entities (CMEs) and care coordination organizations provide intensive care
coordination … coordination, crisis response, and family
support for children with complex behavioral health needs … mental health professionals) or integrated care management (a course for care
managers in pediatric … for
children and youth with special health care needs.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - Advancing Diagnostic Equity through Clinician Engagement,
Community Partnerships, and Connected Care … : Incidence and
Contributing Factors (R01) and AHRQ Improving Diagnostic
Safety in Ambulatory Care … • Assessment of pharmacist-led transitions of care service using an
admissions-enhanced patient … The HRSA Bureau of Primary Health Care
(BPHC) is managing ongoing efforts to address this issue. … clinicians (in clearance)
o National Guidelines for Child and Youth Behavioral Health Crisis
Care
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-facnotes.docx
May 01, 2017 - Out of the Crisis. Cambridge, MA: MIT Press; 1986.
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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - in care. … study cost effectiveness, and to study the larger health system picture when considering the opioid crisis … , and the ongoing AHRQ effort to advance primary care and primary care research. … These surveys indicate, respectively, how care is used/covered, what providers pay for care, and what … regulatory environment (e.g., Medicaid expansion) or national medical emergencies (e.g., the opioid crisis
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - All staff involved in the delivery of care related to a defect should be present when this defect is … [enter response]
[enter response]
[enter response]
Were test results available to help make care … (Example: Oncoming care team was debriefed by outgoing staff regarding patient’s condition.) … enter response]
[enter response]
[enter response]
Was verbal or written communication during a crisis … (Example: There was a pharmacist dedicated to the intensive care unit [ICU].)
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
April 07, 2008 - make patient care safe and efficient. … common goals of quality
and safety in care. … anesthesiology over a decade ago with
the work of David Gaba and colleagues who developed Anesthesia Crisis … Simulation-
based training in anesthesia crisis resource
management (ACRM): A decade of experience. … Anesthesia
crisis resource management training: Teaching
anesthesiologists to handle critical incidents
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - Hand Hygiene in Outpatient Care, Home-Based Care, and Long-Term Care Facilities
https://apps.who.int … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management
http://www.ihi.org/ … the incredible challenge that healthcare organizations and
frontline workers face with the COVID-19 crisis … Recipes for Staffing Transformation
Leadership Response to a Sentinel Event: Respectful, Effective Crisis … Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management
4.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - Resolve workforce turnover crisis to drive safety and well-
being
4
The Workplace Change Collaborative … and the Journey to Highly Reliable Care
Allan Frankel, MD, Senior Vice President
Operational excellence … /reliable-care-delivery
https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery … The Primary Care Work-life Survey (Lenhart, PI)
measured burnout across OHSU primary care
clinics in … Questions to Run On
Share With Us
Speaker Welcome
Leadership.... and the Journey to Highly Reliable Care