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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Assessing Environmental Cleaning Effectiveness
ICU & Non-ICU … assessment and constructive feedback in a non-blame, empowering culture. … strong and collaborative team effort based on trust, where everyone works towards the same patient safety … as nursing staff, providers, patient safety personnel, and other Comprehensive Unit-based Safety Program … constructive feedback in a non-blame, supportive culture.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/008-ss-contact-precautions.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting … equipment and disinfection of any reusable equipment between patients
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AHRQ Safety Program for … culture
VA pilot study in surgical inpatients13
Implemented MRSA infection control program in a surgical … Part of the MRSA Prevention Toolkit for ICU & Non-ICU
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AHRQ Safety Program for MRSA Prevention … Types of MRSA Surveillance Strategies
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AHRQ Safety Program for MRSA Prevention: Targeting SSI
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
April 01, 2022 - Used with permission of Journal of Hospital Medicine. … AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
CVC Insertion ׀ 10
10
Examples of Central … Safety first! Using a checklist for intrafacility transport of intensive care patients. … Checklists to improve patient safety. … The journey to zero central catheter-associated bloodstream infections: culture change in an intensive
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www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
January 01, 2025 - of Study:
Aim 1: Optimize reporting of medical errors and patient safety events. … Evaluate methods for the timely identification of safety events.
2c. … Status of Project: “Patient safety and reporting of medical errors – A comparison
of knowledge, attitudes … survey addressing healthcare workers’
attitudes toward 1) medical errors in general, 2) the medical culture … Journal of Patient Safety.
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Abstracts
1.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-intro.pdf
January 24, 2024 - Director, User Network for CAHPS and SOPS
Westat Vice President
3
Agenda
• AHRQ’s Surveys on Patient Safety … Culture® (SOPS®) Program
• Best Practices for Administering SOPS Surveys
► Action Planning for Improvement
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - hospital works and how to achieve results Are strangers in this environment
Don’t understand the system or culture … , families, clinicians, and hospital staff all work together as partners to improve the quality and safety … hospital and who want to help improve experiences for others
They help our hospital improve quality and safety … Communication
The Link Between Communication
and Patient Safety1
Patient outcomes
Patient safety … Responding to patient safety incidents: the ‘seven pillars.’ Qual Saf Health Care 2010;19:e11.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4c.html
August 01, 2021 - Barriers beyond words: Cancer, culture, and translation in a community of Russian speakers. … A survey of North Carolina safety-net dental clinics' methods for communicating with patients of limited … ISMP medication safety alert! … Measure of race, ethnicity and culture: Population science isn't science unless you know the population … 8, 2003).
14 California Health and Safety Code § 1259 (January 12, 2009).
15 California Code of
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www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
January 01, 2024 - their culture or unique circumstances. … culture, teamwork, and burnout using standard instruments. … (e.g., readmission reduction) and with
stakeholders’ belief in the potential for these efforts to reduce … was an effective campaign to change the culture of medication reconciliation from regulatory
compliance … Safety: Final Results of the MARQUIS Study*
3.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - They are implemented within a culture that fosters teamwork and communication. … Four tools are available as part of the AHRQ Safety Program for Perinatal Care (SPPC) in support of this … When Possible (CUSP Science of Safety). … Create Independent Checks (CUSP Science of Safety). … Physician-Patient Alliance for Health & Safety. 5 Benefits of Adopting Patient Safety Checklists. 2013
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www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
January 01, 2025 - Implications
The implementation of a robust process improvement program helps create a culture of continuous … participants
associated with the NICU and Parent Advisory Council (PAC) to examine perceptions, attitudes, beliefs … Use of parent-centered safety culture tool (PCSCT) assessment. … A parent-centered safety culture
assessment was conducted with parents in the NICU from August to September … The unit culture improved as well to include verbal report of UPEs in different forums.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - needs and cultures. … Validation of AHRQ’s Patient Safety Indicator for accidental
puncture and laceration. … safety? … X
PDI 10 Postoperative Sepsis X Negative or inconclusive blood cultures
do not preclude a diagnosis … PSI 13 Postoperative Sepsis X Negative or inconclusive blood cultures
do not preclude a diagnosis of
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-improving-patient-experience.pdf
July 01, 2021 - modifiable provider behaviors
• July 2012:
► Administered Clinician and Group CAHPS survey
► Included custom … every 6 months
• 2015—2016: Shadow coaching pilot
• Shadow coaching included:
► Half-to full-day of … ► Planned for 2021
• Recommend coaching “boosters”
34
Similar Analysis to Evaluate Influence of … Ganey items:
• Concern provider shows
• Received instruction for
follow-up care
• Protecting patient safety … specific enough for tangible behavior
change recommendations
• Focus on incrementally improving culture
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/063-ssi-investigation-tool-cusp.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Surgical Site Infection Investigation Tool
Surgical … Admission:
Insert answer here
Date of Surgical Site Infection:
Insert answer here
Site of Infection … ______
Did patient do CHG bathing the night before and morning of surgery? … standard)
List allergies:
Question
Data
Does the patient have a recent positive surveillance culture … No. 25-0029
April 2025
SSI Investigation Tool
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AHRQ Safety Program for MRSA Prevention | Surgical
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - actions designed to:
Improve safety and quality and prevent patient harm. … impacted by harm and to address many of the quality and safety priorities identified by health care … In the CANDOR process, event analysis incorporates Just Culture and system and human factors causes of … Typically, CANDOR events can be identified via verbal communication to risk management/patient safety … Detailed explanations of each component of the CANDOR process.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.docx
June 27, 2014 - While not part of this toolkit, AHRQ’s Hospital Survey on Patient Safety Culture may help you assess … Once the individual reviews of the checklist are finished, schedule a meeting of the hospital’s key leaders … Quality and safety as priorities
· We have a shared sense of purpose that quality and safety … open communication among providers, staff, patients, and caregivers about quality and patient safety … in our existing set of quality and safety performance measures.
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· We review trend
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … The composite measure Overall Perceptions of Patient Safety
was dropped because the single Patient Safety … the AHRQ Hospital Survey on Patient Safety
Culture Version 2.0 User’s Guide. … Culture
Version 2.0 User’s Guide. … culture.
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www.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
January 01, 2024 - safety for hospitals across the country. … A component of
improving safety involves accurately and completely reconciling medications for patients … Before implementation of this project, medication
errors were the leading patient safety event within … be viewed as a barometer of a system’s safety culture. … A component of improving safety involves accurately and completely reconciling medications for patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
January 01, 2003 - We asked about current safety practices,
perceptions of ambulatory prescribing safety, and recommended … detailing
messages and ensures the messages are consistent with the physicians’ values,
attitudes, and beliefs … your perceptions of outpatient medication safety. … guidelines and other decision support tools, establishing common
monitoring practices, and changing the culture … , despite a number of safety strategies currently in
use.
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www.ahrq.gov/sdoh/about.html
February 01, 2020 - networks and supports; social cohesion; racial, ethnic, religious, and gender discrimination; community safety … Physical infrastructure (e.g., housing, transportation, workplace safety, food availability, parks and … services; attitudes towards healthcare; and use of services). … An integral part of delivering high-quality healthcare is understanding the social determinants of health … (SDOH) of patients and of communities in which healthcare is provided.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - use of aseptic insertion technique. … Develop a culture where evidence-based practice is recognized and rewarded. … Think in terms of nursing practice components rather than a set of tasks to be completed. … Slide 23
Other Strategies to Improve Execution
A non-punitive culture
Visible and supportive … Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated Urinary Tract Infection