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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - knowledge and experience to answer relevant questions
■ Familiarity with the organization’s risk, safety … harm
■ Genuine professional commitment to the principles of just culture and the CANDOR process
Most … Think of their habits, their beliefs, their mannerisms, their relations to others, any
characteristics … Pay particular attention to habits, beliefs, ways of treating others, mannerisms, and similar
attributes … Pay particular attention to habits, beliefs, ways of treating others, mannerisms, and similar
attributes
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www.ahrq.gov/faqs/index.html?page=2
October 17, 2014 - Disparities Reports (QDR) Newsletters/Subscriptions Other (Category not listed) Partnerships Patient Safety … Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … Health) Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveys on Patient Safety … Culture TalkingQuality TeamSTEPPS Technology Assessments U.S. … the safety net to meet the health care needs of the uninsured and other vulnerable populations."
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www.ahrq.gov/news/newsletters/e-newsletter/969.html
August 01, 2025 - Join AHRQ’s Safety Program To Help Hospitals Improve CAUTI Rates . … Join AHRQ’s Safety Program To Help Hospitals Improve CAUTI Rates AHRQ is recruiting adult intensive care … culture. … AHRQ Safety Program for HAI Prevention: CAUTI Informational Webinar : August 13, 2:30–3 p.m. ET. … Preventing and managing tracheostomy-related emergencies in the radiology suite: best practices for safety
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www.ahrq.gov/topics/access-care.html
Topic: Access to Care
Access to health care means having "the timely use of personal health services … Access to health care consists of four components:
Coverage: facilitates entry into the health … Services: Having a usual source of care is associated with adults receiving recommended screening and … For more information on Access to Care, you may want to visit Patient Safety Net (PSNet) .
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-ve-supp-item-set-08-2022.pdf
January 01, 2022 - same
area of culture related to value and efficiency. … the survey item text and response options.
• No reordering of survey items … Development and pilot
testing of survey items to assess the culture of value and efficiency in hospitals … BMJ Quality and Safety. … https://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/index.html
https
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www.ahrq.gov/patient-safety/reports/engage/appf.html
March 01, 2017 - Patient safety culture in primary care: developing a theoretical framework for practical use
Yes … No
Moderate
Evidence synthesis with recommendations for improving safety culture. … use patient complaints as part of a patient safety program. … Building a culture of engagement for Medicare/Medicaid enrollees: health plan approaches
Yes … field of ambulatory patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief.pptx
June 01, 2015 - of the checklist is the completion of a debrief after each case
The debrief provides an opportunity … each case
Target: of intervention>
Example: All of Dr. … consistent performance of the debrief
Conclusions
QI Study Debrief Example
| ‹#›
AHRQ Safety … the surgical safety checklist will be explored
Completion of preop briefing
Completion of the timeout … Consistent use of each component on the checklist will help improve the safety culture in our center
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-COPD.pdf
June 02, 2021 - Sputum culture should be obtained for residents with this risk
factor.1,8,9
Treatment
• In additional … Efficacy and
safety of 3-day azithromycin versus 5-day moxifloxacin for
the treatment of acute bacterial … FDA Drug Safety Communication: Azithromycin
(Zithromax or Zmax) and the risk of potentially fatal
heart … February 2018. https://www.fda.gov/drugs/drug-safety-
and-availability/fda-drug-safety-communication- … //www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-azithromycin-zithromax-or-zmax-and-risk-potentially-fatal-heart
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
January 10, 2022 - • Provide a safety net for
work overload situations
that may increase the risk
of error. … In support of diagnostic safety, however, offering and
seeking task assistance should be standard. … This
requires a culture of safety, fostered by team leadership, in which all team members
feel their … they see a risk to patient safety, including diagnostic safety … This option is authoritative and does not promote a culture of communication and
support.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
January 10, 2022 - Provide a safety net for work overload situations that may increase the risk of error. … It is important that leaders empower team members to ask for assistance and foster a culture where asking … In support of diagnostic safety, however, offering and seeking task assistance should be standard.
… This requires a culture of safety, fostered by team leadership, in which all team members feel their … This option is authoritative and does not promote a culture of communication and support.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
March 01, 2017 - CAUTI Prevention in Long-Term Care: Frequently Asked Questions
AHRQ Safety Program … Per the Centers for Disease Control and Prevention's (CDC) National Healthcare Safety Network (NHSN) … A urine specimen for culture should be obtained prior to initiating antimicrobial therapy for presumed … The urine culture should be obtained from the freshly placed catheter prior to the initiation of antimicrobial … If use of the catheter can be discontinued, a culture of a voided midstream urine specimen should be
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits … included in them must be in the nursing home’s electronic medical record (EMR) to generate all components of … It provides a high-level summary of the reasons for transfer and what treatments (if any) were provided … breathing
|___| COPD
|___| Cough or wheezing
|___| Hypoxia
|___| Shortness of breath … fluids
Labs Obtained
|___| Electrolytes
|___| Cardiac workup
|___| CBC
|___| Blood cultures
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www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - Widely reporting the
results of multi-unit and department initiatives helps create a culture of transparency … The Institute of Medicine’s (IOM’s) six dimensions of quality (safety, effectiveness,
patient-centeredness … In UMLN II, some proposed strategies ran
counter to the culture of the department, and many of the patient … Impact of the Comprehensive Unit-Based Safety Program (CUSP) on
safety culture in a surgical inpatient … The entire process reflects the establishment, growth, and
reinforcement of a culture of quality.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
October 01, 2024 - the Compendium of Strategies to Prevent HAIs
| 7
AHRQ Safety Program for MRSA Prevention | ICU … culture
Patient Reports
Staff hand hygiene adherence
Patient satisfaction
| 23
AHRQ Safety Program … How can we do it with our resources and culture?
Analyze the data. … skin health
Improvement of safety climate
Enhancement of self-efficacy
Management of staffing and workload … Diseases Society of America.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/016-contact-precautions-webinar-slides.pptx
October 01, 2024 - Evidence Regarding the Use of Contact Precautions
| 7
AHRQ Safety Program for MRSA Prevention … MRSA, hand hygiene, and an institutional culture change that placed the responsibility for infection … )16
The Infectious Disease Society of American (IDSA)17
| 11
AHRQ Safety Program for MRSA Prevention … | 18
Importance of Proper PPE Use
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Contact … How can we do it with our resources and culture?
Analyze the data.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
May 01, 2023 - , High Reliability
Sustainability: Enduring Culture of Safety
Framework and Competencies Page 2
TeamSTEPPS … When he arrives, would you like us to get labs,
including blood cultures, to check for infection?” … y Effective teams place all offers and requests
for assistance in the context of patient safety. … y If the safety issue still hasn’t been
addressed:
� Take a stronger course of action. … and prevent errors
Monitors the environment for safety and availability of resources (e.g.,
equipment
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
December 01, 2017 - A few days later, he developed fever and his blood pressure dropped and blood cultures are done and the … care for these patients, by making clinical decisions that are going to affect patient safety and efficacy … the culture of your department. … What is it – what is the general environment of care? What is the culture? … What is your nursing culture? What is your physician culture?
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www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
January 01, 2025 - Understand and improve workspace design and safety culture to influence anesthesia medication selection … Anaesthesia provider perceptions of system safety and critical incidents in non-operating theatre anaesthesia … Using flow disruptions to understand healthcare system safety: a systematic review of observational studies … Systems safety in nonoperating room anesthesia locations . … Patient safety learning labs: effective collaborations for enhanced patient safety .
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www.ahrq.gov/research/findings/final-reports/ptflow/section6.html
July 01, 2018 - Anticipating and Addressing Staff Resistance and Culture Change Through Education
More often than not … In UMLN II, some proposed strategies ran counter to the culture of the department, and many of the patient … Culture trumps strategy, and as one respondent put it, "You have to change how people think." … successfully overcome staff resistance and facilitate culture change ( Figure 3 ). … Overcoming Staff Resistance and Culture Change at Hahnemann University Hospital
As part of its participation
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/gap-analysis.docx
June 01, 2021 - The ASP areas addressed in this document are addressed throughout the AHRQ Safety Program Toolkit. … prescribing practices
☐ Review approaches employed by the contracted microbiology lab for reporting culture … ☐ Yes
☐ No
☐ N/A
Does your microbiology lab blind any culture or susceptibility results as a … (National Healthcare Safety Network denominator – preferred)
☐ Defined daily doses
☐ Other:
☐ N/A … ☐ Yes
☐ No
☐ N/A
Do you report antibiotic use data to the National Healthcare Safety Network