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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology
January 01, 2023 - SVHC instituted a new Safety Division under the leadership of the project director, who served as Chief … Key barriers were the cultural changes required for a proactive rather than reactive safety culture, … The project goals were: 1)demonstrate an increased culture of safety that encourages and supports the … all locations of care among grant partners; and 3) Improve patient safety and quality of care for patients … A formative evaluation records changes in the safety climate, effectiveness of the e-MAR system; and
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digital.ahrq.gov/track-8-patient-and-family-centered-health-it-and-safety
January 01, 2023 - Let us know the nature of the problem, the Web address of what you want, and your contact information … Track 8: Patient and Family Centered Health IT and Safety
Featured Sessions … this session is to identify strategies for improving medication safety across different settings and … solutions to improve medication safety. … Issues discussed in this session include patient web portals, creating a culture of safety, and using
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digital.ahrq.gov/research-method/time-series
January 01, 2024 - Samantha
Project Name
Understanding CancelRX: Impact on Clinical Workflows, Medication Safety … Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes - … a novel framework to improve blood culture use in pediatric critical care. … Dissemination of a novel framework to improve blood culture use in pediatric critical care. … Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture Utilization
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digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
January 01, 2023 - on Patient Safety Culture; 4) calculation of West Virginia-specific PSIs (annually); 5) formation of … Three of the partners created the West Virginia Patient Safety Center. … But a hospital manager who read the alert saw it as an indication of a potentially far-reaching safety … flags, leaders are trying to change their organizational culture by ensuring that interns and residents … consistent, accessible, and real-time reporting of patient safety issues.
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digital.ahrq.gov/sites/default/files/docs/page/AHRQPlenary6.05.pdf
November 01, 2004 - Patient Safety in 2005:Patient Safety in 2005:
The End of the BeginningThe End of the Beginning
Robert … gas
–Awfully hard to regulate culture
–Regulation often oversteps
Reporting Systems: CReporting … – It has plenty of baggage, but not the root cause
of our safety problem
Lack of accountability: … How to promote no blame culture for innocent
slips or mistakes while holding persistent rule
violators … IT and safety culture)
Watch out for squeezed balloons
Expect unexpected consequences
– Workarounds
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digital.ahrq.gov/sites/default/files/docs/lesson/09-0023-ef-bcma.pdf
December 01, 2008 - , and evaluation of various information technologies that were intended to
improve the quality, safety … The safety benefits of a
BCMA system are lost if wristbands are lost or become unreadable. … impacts the culture of an
organization. … necessitates a change in provider culture, attitudes, and thought processes. … can improve the quality, safety, efficiency, and effectiveness of health care.
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digital.ahrq.gov/national-webinars/improving-health-it-safety-through-use-natural-language-processing
January 01, 2023 - Improving Health IT Safety through the Use Natural Language Processing to Improve Accuracy of EHR Documentation … health IT safety through improved EHR documentation. … natural language processing (NLP) technologies for improving accuracy and timeliness of EHR embedded … Discuss the challenges of introducing speech recognition technology into existing medical culture and … Professor of Medicine; Adjunct Professor
Departments of Health Services and Biomedical Informatics
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digital.ahrq.gov/principal-investigator/ferranti-jeffrey
January 01, 2023 - profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting … Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance … A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients … Project Name
Automated Adverse Drug Event Detection and Intervention
Culture … Culture counts--sustainable inpatient computerized surveillance across Duke University Health System.
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digital.ahrq.gov/sites/default/files/docs/page/2006ClancyKeyesYoung_051211comp.pdf
June 16, 2021 - organizational culture in EHR
adoption
Need to understand predictors of usage, esp. … Trust is key in developing a culture of quality.
Process
Demonstrating value at the user level … Key Insights
Culture—unequivocal leadership support and local
champions are essential for change … Health IT and Safety
Chair:
Judy Ozbolt, University of MD School of Nursing
Overview of Patient-and … Patient-centered hospital design can support a culture
of safety.
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digital.ahrq.gov/sites/default/files/docs/page/2006Glab_051711comp.pdf
June 16, 2021 - Partnerships in Implementing
Patient Safety RFA: RFA-HS-05-012
Grant No: U18 HS15830-01
A partnership … Vision:
To create a community model
of care delivery and patient
safety using ISO 9001
principles … materials to be distributed and
used by CAT Clinic staff and providers that will promote
compliance and a culture … interest in health literacy
Culture of cooperation needs to be valued, versus a
system where groups … Changes in healthcare and increasing costs
impact the entire community
To facilitate a culture
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care
January 01, 2023 - Care
Acute Care
Health Care Theme
Care Coordination
To enhance safety … culture through the development of greater "collective mind," "mindfulness," and "heedful interrelating … culture. … a safety culture. … That's because handoffs are all managed differently, depending on the type of unit, the practice culture
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digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti/annual-summary/2010
January 01, 2010 - Available data highlights significant potential for patient safety improvement by increasing rates of … of EHR quality and safety measurement efforts improved clinics’ teamwork and safety climate. … deployment of these measurement efforts will improve teamwork and safety climate at CHC. ( Achieved … Safety culture was assessed in these clinics and the staff reported that the results accurately represented … culture.
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digital.ahrq.gov/health-care-theme/sociotechnical-aspects
January 01, 2023 - Sociotechnical Aspects
Guiding the Safe and Effective Integration of … Description
This study will develop a prototype guide for the safe and effective integration of … into how this artificial intelligence-driven technology transforms workflows while addressing critical safety … a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture … Utilization
Description
This research study addressed the overuse of blood cultures to diagnose
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017018-lehmann-final-report-2010.pdf
January 01, 2010 - Further, we could not assess other events in
the clinics that may have affected safety culture (such … a lack of belief in the value of medication monitoring. (33)
System related factors may include technology … Safety culture could be assessed in these clinics and the staff
reported that the results did in fact … This is
reflected both in the safety culture results and in the face-to-face discussions with staff … The findings in safety
culture are interesting in the light of lack of system-wide performance improvement
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digital.ahrq.gov/sites/default/files/docs/behavior-change-slides-07172025.pdf
July 17, 2025 - nutrition comic tool
•
Informed by social cognitive theory and the
health belief … Differences (Affective)
+ goal setting
recommendations
+ medication change
(contact care team)
recs
+ safety … Control)
High Blood Pressure Control
Most Recent BP:
_
120___ systolic
85 diastolic + safety … Culture, Climate How do you think your organization's culture (general beliefs, values,
assumptions … Communications, Design Quality & Packaging, Peer
Pressure, External Policies & Incentives, Knowledge & Beliefs—these
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digital.ahrq.gov/location/usa-md-baltimore
January 01, 2023 - USA, MD, Baltimore
Examining the Feasibility and Effectiveness of an … the quality of chest compressions and saving lives. … Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes … a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture … Utilization
Description
This research study addressed the overuse of blood cultures to diagnose
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digital.ahrq.gov/organization/johns-hopkins-university
January 01, 2023 - Johns Hopkins University
Examining the Feasibility and Effectiveness of … the quality of chest compressions and saving lives. … Understanding CancelRX: Impact on Clinical Workflows, Medication Safety Risks, and Patient Outcomes … a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture … Utilization
Description
This research study addressed the overuse of blood cultures to diagnose
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digital.ahrq.gov/ahrq-funded-projects/automated-adverse-drug-event-detection-and-intervention
January 01, 2023 - Patient Safety
The objectives of the Adverse Drug Event Detection and Intervention project … of other interventions currently in implementation to improve medication safety (for example, computerized … Culture counts--sustainable inpatient computerized surveillance across Duke University Health System. … A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients … Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/survey
January 01, 2023 - Assessment - Part I ( PDF , 729KB)
MGMA IT Assessment - Part II ( PDF , 990KB)
Survey On Patient Safety … Culture ( DOC , 211KB)
Workflow Interview Guide ( DOC , 204KB)
Description
A survey is a … means of collecting data from a targeted group, typically key stakeholders, with the purpose of eliciting … PRINT SURVEY or list of questions for interviewer.
7. … Voice of the customer. The lean six sigma pocket toolbook. New York: McGraw - Hill; 2005. p. 55-68.
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-personal-health-record-empower-patients-hypertension/annual-summary/2010
January 01, 2010 - Organization
Georgia Health Sciences University
Funding Mechanism
RFA: HS07-007: Ambulatory Safety … design of the ePHR. … treatment with guidelines; and frequency-of-use of medical services. … The 2010 culture survey was disseminated in July 2010 (sample= 2,500) and was open until mid-August 2010 … Data are being analyzed and will be compared with the 2005 and 2008 culture surveys.