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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn-final-synthesis-report.pdf
September 01, 2025 - and patient safety. … Tools to Enhance
Performance and Patient Safety (TeamSTEPPS) and culture surveys. … and patient safety. … ,
Teamwork, and Communication
organizational culture, teamwork, communication, TeamSTEPPS,
culture … survey
Patient Safety safety, medication safety, patient fall, diagnostic error, medication
error
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www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
January 01, 2024 - claims, and how
both disclosure and mediation can improve patient safety. … Key Words: Apology, mediation, medical malpractice claims, patient safety, disclosure
of medical error … patient safety provided an engaging and inspiring introduction
to the day. … regarding medical error and liability,
possible legislative initiatives, changing the blame and shame culture … safety.
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguide1.html
October 01, 2014 - Introduction
Step 1: Assessing Your Organization's Needs and Capabilities
Step 2: Fostering a Research Culture … Organizational research culture.
Partnerships within and outside the organization. … Organizational Research Culture
In assessing your needs and capabilities, it is important to address … these additional aspects of your organizational culture. … Example of a summary
Health Services Research Infrastructure Assessment
Research Culture
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www.ahrq.gov/teamstepps-program/curriculum/implement/index.html
January 01, 2024 - Implementing TeamSTEPPS 3.0 in an Organization or Unit
The primary users of this Implementation … section will be individuals or teams responsible for implementing and sustaining the use of TeamSTEPPS … The first part of this section includes guidance for how to assess the short- and long-term impact of … If TeamSTEPPS is being implemented on a smaller scale (e.g., only a small number of TeamSTEPPS tools … However, TeamSTEPPS can be a valuable part of an overall strategy to enhance patient safety and employee
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www.ahrq.gov/research/findings/final-reports/ssi/ssiaps.html
April 01, 2018 - Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome … Culture Type Map to Procedure Types
Appendix F. Algorithms
Appendix G. … models were designed to predict the expected risk of SSI in different groups of patients. … The surgeons represented multiple health system types, including academic (4), private (2), safety net … with research interests in SSI, representing multiple health system types (4 academic, 2 private, 2 safety
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - Establishing a Program of In Situ Simulations: Facilitator Guide
AHRQ Safety Program for Perinatal … Situ Simulations is a pillar of the AHRQ Safety Program for Perinatal Care. … It allows for experiential learning related to teamwork and communication that fosters a culture of patient … safety. … Consider using data from safety culture surveys to evaluate impact.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
December 01, 2017 - , one of
the identified areas of safety concern as outlined in Figure 1 on page 15- Matrix of Key Informant … care/patient safety
■ Improved patient experiences of care
■ More efficient use of resources
■ Improved … audiences
Patient and family knowledge,
attitudes, beliefs, skills, and
self-efficacy
Health care … professional
knowledge, attitudes, beliefs,
skills, and self-efficacy
Organizational context within … hospitals
Organizational culture, resources, facilitators, and constraints
Environmental Context
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Any area of risk should have a corresponding plan of care regardless of the overall risk assessment … of a healed sacral pressure ulcer. … place of instruction. … Documentation of care planning is essential to ensure continuity of care and staff knowledge of what … This is a unit or facility culture issue that needs to be addressed systemwide.
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www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-slides.html
February 01, 2017 - The Four Es of Early Mobility: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated … Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
The Four Es of Early … Safety:
Screen daily for PT/OT safety before initiating therapy. … implement early mobility at our hospital give local culture and resources? … Laminate cues and write custom goals when appropriate.
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www.ahrq.gov/faqs/index.html?page=7
June 12, 2025 - 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. … Summary of minority recruitment plans.
Summary of training in the ethical conduct of research.
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www.ahrq.gov/faqs/index.html?page=18
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 Notice of Award will indicate the anticipated number of predoctoral and postdoctoral T32 trainee
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www.ahrq.gov/sites/default/files/2025-03/hinson-levin-report.pdf
January 01, 2025 - Final Progress Report: Connected Emergency Care (CEC) Patient Safety Learning Lab
• Title of Project … Purpose
The objective of the Connected Emergency Care (CEC) Patient Safety Learning Lab was to reduce … Individual measures such as serum lactate
collection, blood culture collection, and intravenous fluid … ADDITIONAL WORK: This AHRQ Patient Safety Learning Lab led to the creation of data infrastructure
and … Title of Project: Connected Emergency Care (CEC) Patient Safety Learning Lab
Abstract
Purpose
Scope
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/impact-stories/research-careers.pdf
June 01, 2025 - For example, I have worked with clinicians and CEOs of
health centers, both of which hold a wealth of … The grant allowed me to
move my research forward and helped
me translate my expertise in quality,
safety … Our team includes
researchers, patients and families,
human factor engineers, patient safety
Principal … It helped me foster a culture
around diagnostic excellence
that extends well beyond one
research study … participate in diagnostic safety work to discuss
diagnostic improvement in pediatrics.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
March 01, 2017 - The guide also can be used as a resource to
promote teamwork and communication within a culture of safety … ▪ Talk to the lab or clinical supervisor about questions concerning culture results. … Good teamwork and good communication are crucial to preventing infection and building a
culture of safety … Staff members should feel comfortable reporting safety concerns without
fear of discipline. … Good teams and a culture of safety can
reduce the chance of clinical errors, reduce staff turnover,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
January 01, 1993 - to the Pediatric Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety … Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … to the Pediatric Toolkit for Using the AHRQ Quality
Indicators: How To Improve Hospital Quality and Safety … However,
there are also important differences in the culture of care for children and adults, as well … Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Establishing a Program of In Situ Simulations
Establishing a Program … of In Situ Simulations
SAY:
Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety … It allows for experiential learning related to teamwork and communication that fosters a culture of patient … safety. … Consider using data from safety culture surveys to evaluate impact.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.docx
March 13, 2013 - safety. … patient and family engagement for improving the safety and quality of hospital care. … data about the organization, leaders help create a culture of transparency and improvement. … and support clinicians and hospital staff
in patient and family engagement initiatives
Creating a culture … Sanford-Ring, Susan, Director of Quality and Patient Safety at the University of Wisconsin Hospital and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.pdf
May 12, 2016 - While not part of this toolkit, AHRQ’s
Hospital Survey on Patient Safety Culture may help you assess … Quality and safety as priorities
• We have a shared sense of purpose that quality and safety are … • Quality and patient safety are included in our hospital’s main goals
or pillars of performance … Overall, we have a sense of collaboration among all staff to improve
patient safety. … Quality Indicators in our
existing set of quality and safety performance measures
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.pdf
May 12, 2016 - While not part of this toolkit, AHRQ’s Hospital
Survey on Patient Safety Culture may be help you assess … Quality and safety as priorities
• We have a shared sense of purpose that quality and safety are … • Quality and patient safety are included in our hospital’s main goals
or pillars of performance … Overall, we have a sense of collaboration among all staff to improve
patient safety. … our existing set
of quality and safety performance measures
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www.ahrq.gov/faqs/index.html?page=22
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. … Patient Safety Indicators (PSI 21-PSI 27).
Inpatient Quality Indicators (IQI 26-IQI 29).