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www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - /29/20
Description: The goal of the Institute for the Design of Environments Aligned for Patient Safety … leading to enhanced safety and quality of patient care. … Guidance for custom alarm design: you don’t have to “crank it up to 11” . … Assessing the relationship between patient safety culture and EHR strategy . … Guidance for custom alarm design: you don’t have to “crank it up to 11” .
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-items-composite-measures-spanish-2.0.pdf
June 05, 2025 - • In this document, the items in the SOPS Nursing Home Survey 2.0 are grouped according to the
safety … culture composite measures they are intended to assess. … whom served as a
reviewer of the draft translations) and three patient safety team members who understood … the intent and
purpose of the survey (one of whom served as the team coordinator). … The
team met to discuss the translation goals and the intent of the overall survey and each of the survey
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www.ahrq.gov/hai/cusp/modules/apply/alt-text.html
March 01, 2013 - a system of safety
Go to Slide Content
Slide 11
Leadership Team's Role in Applying Just … Slide 16
Keys to Assembling the Team
Understands that patient safety culture is local
Composed … of engaged frontline providers who take ownership of patient safety
Includes staff members who have … Slide 19
Understand the Science of Safety
Describe the historical and contemporary context … of the science of safety
Explain how system design affects system results
List the principles of
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2-ginsberg-sops-hospital-survey-2-0-webcast.pdf
June 01, 2020 - Culture™
(SOPS™) Program
Caren Ginsberg, PhD
Center for Quality Improvement and Patient Safety, AHRQ … the US health care system.
7
AHRQ Patient Safety Priorities
• Focus on areas of greatest impact … patient safety culture within healthcare settings
• Conducts research to further…
► the measurement … and understanding of patient safety culture
► the collection of data and informative reporting of patient … safety culture data
► patient safety improvement involving SOPS
9
Background to Revising HSOPS 1.0
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Management of a Resident With a Suspected Respiratory … A negative sputum culture does not exclude the possibility of pneumonia. … Blood cultures are recommended for residents with persistent fevers or those who are ill appearing but … Should we obtain a sputum culture, urine Legionella antigen, and urine pneumococcal antigen? … No. 17(21)-0029
June 2021
2
Management RTI
AHRQ Safety Program for Improving Antibiotic Use – Long-Term
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-4-famolaro-2018.pdf
January 01, 2018 - of
patient safety education and training programs con isting of a robust collection of infonnation … surveys
• Patient safety culture improvement
• Psychometrics
• Linkage analyses
• Review of instruments … Identify patient safety culture areas for
improvement
2. … Exploring relationships between patient safety culture and patients’
assessments of hospital care. … Is Patient Safety Culture Related to Nursing Home Quality?
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www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage-slides.html
May 01, 2017 - Describe the role and value of the Medication Management strategy in improving patient safety. … Four Case Studies of Exemplar Practices.
Four Interventions to Improve Safety by PFE. … The figure also shows that external factors such as the health care system, culture, community, and environment … Back of card to remind patients of their next appointment.
Slide 23: Step 5. … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
October 01, 2016 - “Cherokee tries to be the fabric of the local Appalachian culture.”
–Dr. … Programmers use just-in-time data to create custom reports. … Interviewees said that the culture of care at Cherokee enables innovation. … This culture allows individuals to work on problems. … Interviewees
said that the culture is the substrate of the organization that permits them to collaborate
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www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
January 01, 2024 - were incorporated: environment,
food and dining, staff-resident-family relationships, quality care, safety … Care; Safety and Security; Family Involvement in Care;
and Business and Administrative Issues. … features, participants wanted to make certain that the environment was
compatible with their preferences, culture … The quality of care received by residents (e.g., nursing services, medications,
safety, rehabilitation … related to the environment, safety, family involvement, and staff relationship aspects of
NH care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - tools
Prework: Measure frontline perceptions of safety culture with HSOPS survey
ADAPTIVE WORK
Comprehensive … for Surgery – Implementation
SAY:
This safety program focuses on two types of work: technical components … With technical and adaptive efforts and an understanding of the science of safety, quality improvement … A structured process provides a concrete way to improve your safety culture.
3
Why Briefings and Debriefings … Program for Surgery – Implementation
SAY:
Debriefing uncovered many examples of defects and safety
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www.ahrq.gov/patient-safety/reports/engage/interventions/teachback-slides.html
May 01, 2017 - to engage patients and families to improve safety. … Describe the role and value of teach-back in improving patient safety. … Four Case Studies of Exemplar Practices.
Four Interventions to Improve Safety by PFE. … The figure also shows that external factors such as the health care system, culture, community, and environment … Front of job aid to remind clinicians of tips for successful teach-back.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - the importance of both quality and safety in the RP’s learning environment. … The seven pathways of the safety components include education on patient safety, promotion of a culture … of safety, resident and fellow experience in patient safety investigations, and monitoring of resident … patient safety and disease management into the daily workflow of clinical care. … greater risk of safety events in that environment.
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www.ahrq.gov/faqs/index.html?page=21
Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … Culture TalkingQuality TeamSTEPPS Technology Assessments U.S. … What are Community-Based Patient Safety Advisory Councils? … care and community organizations that encourage patient safety through education, collaboration, and … What are Community-Based Patient Safety Advisory Councils?
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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-Hurley_55.pdf
March 07, 2008 - The features of such a clinic would also improve the culture of
safety within the community, reduce … Creation of a health care culture of safety; and Item 18. … On March 29, 2006, “Tommy” had an INR determination of 4.80, which violated one of
the out-of-control … Implementing Patient Safety grant project Award No: 5 U18 HS015830-02.
10
Author Affiliations … Out of the crisis.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
December 01, 2017 - With technical and adaptive efforts and an understanding of the science of safety, quality improvement … teams can reinforce a systems approach to safety. … A structured process provides a concrete way to improve your safety culture. … Slide 26
Examples of Debriefing Comments
SAY:
Debriefing uncovered many examples of defects and safety … Debriefing uncovered safety issues regarding staff scheduling.
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www.ahrq.gov/cahps/news-and-events/research-meetings/index.html
September 01, 2025 - Research Meeting Summaries (2023–2016) Date Summary October 2023 Patient Experience, Patient Safety, … The relationship between patient safety culture and patient experience. … How better communication with patients can improve patient safety and lower malpractice risks. … What patient narratives tell us about opportunities for improving patient safety. … on patient experience, patient safety, and provider-well-being (PDF, 549 KB).
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-sops-deidentified-research-datasets.pdf
January 01, 2024 - for researchers interested in requesting de-identified SOPS data from the AHRQ
Surveys on Patient Safety … Culture® (SOPS®) Database and shows the contents of the de-identified
research datasets. … )
• Numerator
(number of survey
respondents)
• Denominator (total
number of surveys
distributed … Supplemental Item Set Research Datasets
Hospital Health Information Technology
Patient Safety Hospital … Workplace Safety Medical Office Diagnostic Safety
Survey items • Staff position
• Unit/work area
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/hsrguide/hsrguide.pdf
October 01, 2011 - Background and Purpose of the Guide
AHRQ’s mission is to improve the quality, safety, efficiency, and … Step 2 Fostering a Research
Culture
Moving an organization toward a culture of
research requires … these additional
aspects of your organizational culture. … o Content specific areas (e.g., access, cost and financing of care, quality of care,
patient safety … Partnering organizations are likely to have different
goals, priorities and cultures.
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www.ahrq.gov/sites/default/files/publications/files/hsrguide.pdf
October 01, 2011 - Background and Purpose of the Guide
AHRQ’s mission is to improve the quality, safety, efficiency, and … Step 2 Fostering a Research
Culture
Moving an organization toward a culture of
research requires … these additional
aspects of your organizational culture. … o Content specific areas (e.g., access, cost and financing of care, quality of care,
patient safety … Partnering organizations are likely to have different
goals, priorities and cultures.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - culture supports
workplace safety for nursing home staff
32
Survey Development Process
Reviewed … • Six composite measures assessing specific areas of nursing
home workplace safety:
1. … Average % Positive Response
The actions of management show that the safety of staff is a top
priority … 64
Management provides adequate resources to ensure the safety
of staff 69
Management takes action … Development Process
What areas of workplace safety are assessed?