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2861. The Relationship Between Hospital Workload and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
      January 01, 2024 - However, seven of those infections had positive microbiology culture results that could have been used … The specimen codes used by those cultures were not codes used by the computer logic to identify wound … Thus, seven wounds were missed by computerized surveillance when study patients had positive culture … terms used for specimen and body site screening by computer surveillance were not included in those culture

2862. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
      January 01, 2004 - including: (1) using distinct drug names; (2) standardization; (3) encouraging the development of a culture … Skill System Design Workload External Checks Weighted value Weight 0.7 0.1 0.1 0.8 0.9 Culture … The two most prioritized error-reduction practices, culture of safety and human factors (HF) principles

2863. Final Progress Report: Health Journalism 2010, national conference on healthcare journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/bruzzese2-report.pdf
      January 01, 2024 - continues to cripple and kill Minnesota Spokesman‐ Recorder Charles Hallman The Checklist and Future Culture … ReportingOnHealth.org • Study: Missouri is a tobacco-friendly state, The Kansas City Star • The Checklist and Future Culture … Using his system of checklist, culture change and measurement, he virtually eliminated the infection

2864. Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
      January 01, 2025 - to EDs, as high-stakes patients must be managed alongside those with less pressing pathology in a culture … We asked whether these alerts could decrease the time needed for blood culture collection, serum lactate … Individual measures such as serum lactate collection, blood culture collection, and intravenous fluid

2865. Module-10-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-implementation-guide.pdf
      April 16, 2022 - Even more importantly, you'll need to determine if your organization has the culture and capacity to … • Assess Your organization's culture and willingness to make a change such as introducing a new hybrid

2866. PS Grantee | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/index.html?page=18
      January 01, 2024 - Grantee Final Reports: Patient Safety Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety. The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…

2867. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
      December 01, 2017 - Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others Slide Presentation Slide 1 Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others Susan M. Hohenhaus, LPD, RN, CEN, FAEN Executive Director Emergency Nurses Association Slide 2 Learni…

2868. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
      May 01, 2025 - Making Healthcare Safer IV A Continuous Updating of Patient Safety Harms and Practices Making Healthcare Safer reports I, II, and III have shown a positive impact of patient safety practices on the reduction of medical errors. However, threats to patient safety are still emerging and evolving in a dynamic wor…

2869. Cross-Cutting Strategies To Advance PCORTF Priorities | Agency for Healthcare Research and Quality
      www.ahrq.gov/pcor/strategic-framework/cross-cutting-strategies.html
      July 01, 2023 - Cross-Cutting Strategies To Advance PCORTF Priorities Previous Page AHRQ tackles healthcare delivery challenges in myriad ways. Cross-cutting strategies are built on AHRQ’s core competencies and evidence-based methodologies and aligned with the PCORTF authorizations . The cross-cutting strategies will …

2870. Information to Help Hospitals Get Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
      February 08, 2018 - To be effective, patient and family engagement must be integrated into the organizational culture.

2871. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
      March 01, 2020 - of training materials 6 weeks and 1 year after the time of the initial training.14 Resistance to culture … that, despite being educated on the use of standardized pump programming, nurses were resistant to a culture … on promoting compliance, partnering with pharmacists, and supporting manual audits to help create a culture … education provided were highlighted as facilitators, while limited knowledge transfer and resistance to culture … Nurse managers created a culture of safety and coached staff who were not compliant with smart pump

2872. New Models of Primary Care Workforce - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
      October 01, 2016 - Quality Methodist Healthcare Ministries has focused on developing a culture of quality care by spurring … currently receive individual reports, but Methodist Healthcare Ministries is working toward a provider culture … Methodist Healthcare Ministries has begun to build a culture of quality improvement among all staff,

2873. AHRQ Strategic Plan for Health System Transformation To Optimize Health, Functional Status, and Well-Being Among Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/aging-well-strategic-plan.pdf
      August 01, 2024 - • AHRQ’s Surveys on Patient Safety Culture (SOPS®), which ask healthcare providers and other staff … The surveys can be used to raise awareness of and improve an organization’s patient safety culture.

2874. Final Progress Report: How Do Consumers View the Risks of Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
      January 01, 2024 - Final Progress Report: How Do Consumers View the Risks of Medical Errors? FINAL REPORT Title of Project: How Do Consumers View the Risks of Medical Errors? Principal Investigator: Ellen Peters Team Member: Paul Slovic Organization: Decision Research Inclusive Dates of Project: 09/01/2001 – 08/31/2003 Federal …

2875. Final Progress Report: The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
      January 01, 2024 - care team members, our findings suggest that inpatient portals may facilitate shifts in organizational culture … Assessing the relationship between patient safety culture and EHR strategy. … Building a Culture of Wellness: An Interdisciplinary Panel Discussion With Q&A. … Custom Alarm Design: You Don’t Have to “Crank it up to 11.”

2876. Timely Antibiotics for Children With Severe Sepsis or Septic Shock (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
      April 02, 2018 - be started within the first hour of recognition of severe sepsis or septic shock after appropriate cultures … , 2013), though the administration of antibiotics should not be delayed in order to obtain a blood culture … Efforts to diagnose the source of infection should include obtaining a blood culture, followed by immediate … When possible, blood cultures should be obtained before administering 7 antibiotics, but this test … Use of a shock protocol also helped to change pharmacy culture by prioritizing and streamlining antibiotics

2877. Participating in the SOPS Ambulatory Surgery Center Database | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/databases/asc/databases/submission.html
      September 01, 2024 - Participating in the SOPS Ambulatory Surgery Center Database The SOPS ® Ambulatory Surgery Center Database is a central repository for survey data from ambulatory surgery centers (ASCs) in the United States or in a U.S. territory that administer the AHRQ survey and choose to submit their data. The SOPS ASC D…

2878. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
      February 01, 2005 - Cultures of the OR and CMS demonstrated the efficacy of our efforts.

2879. External-Stakeholder-Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
      June 23, 2023 - Some recommended creating messaging around values and beliefs to increase resonance with target audiences

2880. Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
      January 01, 2024 - Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism Final Grant Report for Agency for Healthcare Research and Quality Title: Health Journalism 2007, National Conference On Health Care Journalism Principal Investigator: Leonard J. Bruzzese Organization: Center for Excellenc…