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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
November 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 … the target audiences Patient and family
knowledge, attitudes, beliefs, skills, and self-efficacy
Health … care professional knowledge, attitudes, beliefs, skills, and self-efficacy
Organizational and individual … Organizational culture, resources, facilitators, and constraints
Environmental Context
Table 1.
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - A number of best practices have been shown to be effective in reducing the occurrence of pressure ulcers … To accomplish this coordination, high-quality prevention requires an organizational culture and operational … the Department of Veterans Affairs. … Sections of the Guide
These questions make up the major sections of the implementation guide. … 1.4 Who will take ownership of this effort?
1.5 What kinds of resources are needed?
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi/slides.html
July 01, 2013 - Challenge #2: Improving Patient Safety Using TCT Data: CUSP Work
Slide 21. … Challenge #2: Improving Patient Safety
Slide 22. … Challenge #2: Improving Patient Safety CUSP in action
Slide 23. … depends on
Implementing technical changes
Implementing CUSP to change culture
Sustainability … Challenge #2: Improving Patient Safety
Examples of team sharing
Encouraging senior exec rounding
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-slides.html
March 01, 2017 - Personal Protective Equipment
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Personal … 4
Demonstrate Proper Use of PPE
Image: Use of PPE - Example of proper use of gloves, gown and facewear … Atlanta, GA: Office of the Associate Director of Communications, Division of Public Affairs, CDC; 2008 … How can you help support a culture of safety around PPE use?
… Atlanta, GA: Office of the Associate Director of Communications, Division of Public Affairs, CDC; 2008
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www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
January 01, 2017 - Premortem Tool
AHRQ Safety Program for Mechanically Ventilated Patients
Problem … Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception … Klein based the idea of a project premortem on the postmortem of a deceased patient. … It is also helpful to discuss the culture survey results before conducting the premortem exercise. … Use the description of a premortem on the first page of this tool.
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/invest-in-trust-guide.pdf
May 01, 2021 - Part of our very human
desire to retain our positive sense of self is a belief that our choices
are … Health belief model. Salem Press
encyclopedia of health. … arguments against the given
belief … As expected, the beliefs proved highly
vulnerable to the strong … to
misinformation across cultures. … Each culture then constructs virtues, narratives
and institutions on top of these foundations,
thereby
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/050-dec-implementation-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Implementation of Chlorhexidine Gluconate (CHG) Bathing and Nasal … all-cause BSI events per 1,000 patient-days
· MRSA clinical cultures: Percentage of patients on the … unit with any positive MRSA clinical culture over the past year
Knowing this information will also help … CUSP, or Comprehensive Unit-based Safety Program, is a patient safety and quality improvement framework … MRSA cultures than iodophor.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamwork.pptx
January 01, 2007 - Unit teams using CUSP
Staff of patient care units where culture scores indicate a poor score in teamwork … and safety
Units with little collaboration between disciplines
11
Daily Goals Checklist
This tool … What are patients’ greatest safety risks? … This is a SAFETY ISSUE! … Joint Commission Journal of Quality and Patient Safety. 2007 Jan;33(1):34-47.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-slides.pptx
September 01, 2022 - 3
Sinusitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
The Four Moments of … She is uncomfortable and frustrated with the duration of her symptoms.
5
Sinusitis
AHRQ Safety Program … 10
Sinusitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
11
Cultures or swabs … 12
Sinusitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
Moment 3: Choice of … treatment of sinusitis.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.docx
May 12, 2016 - Getting Ready for Change Self-Assessment
What is the purpose of this tool? … 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 complete, 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 … Quality Indicators in our existing set of quality and safety performance measures.
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www.ahrq.gov/pqmp/measures/index.html?page=0
of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN)
Distribution … hours of life Measure Subdomain: Management of Acute Conditions COE: Mount Sinai Collaboration for … Pediatric Patient Safety (GAPPS) Trigger Tool Measure Subdomain: Management of Acute Conditions COE … Measurement, Evaluation, Testing, Review, and Implementation Consortium (Q-METRIC)
Timely blood culture … Regarding Availability of Specialist Care for Children on Medicaid Measure Domain: Availability of
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www.ahrq.gov/pqmp/measures/index.html
June 09, 2025 - of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN)
Distribution … hours of life Measure Subdomain: Management of Acute Conditions COE: Mount Sinai Collaboration for … Pediatric Patient Safety (GAPPS) Trigger Tool Measure Subdomain: Management of Acute Conditions COE … Measurement, Evaluation, Testing, Review, and Implementation Consortium (Q-METRIC)
Timely blood culture … Regarding Availability of Specialist Care for Children on Medicaid Measure Domain: Availability of
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2025 - of comprehension. … Check Accuracy and Safety of Medicine Lists While the patient was in the hospital, the DE should have … The type of patient population you target can affect the length of calls. … The Case of Hypertension Beliefs Background: The patient, an African American woman, has been prescribed … The caller alerts the PCP to the patient's health beliefs.
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www.ahrq.gov/teamstepps-program/curriculum/situation/teach/half-day.html
July 01, 2023 - Alternatively, you may want to include other parts of the situation monitoring materials instead of some … of the components noted above. … List components of the STEP and other mnemonic tools. … It’s important to emphasize that every part of TeamSTEPPS is needed to foster a culture of safety. … If time permits, ask participants to share an example from their own experience of how the lack of a
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www.ahrq.gov/patient-safety/reports/engage/appd.html
March 01, 2017 - Limitations of the Environmental Scan
Model of Patient Safety in Primary Care
Methods
Gaps Identified … and Patient Safety Initiative such as The Seven Pillars: Crossing the Patient Safety—Medical Liability … Maryland Patient Safety Center
Massachusetts Coalition for the Prevention of Medical Errors
Maximus … Health
National Patient Safety Agency (United Kingdom)
National Patient Safety Foundation
National … Department of Veterans Affairs
University of Colorado Medical Center, Denver
University of Washington
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices-slides/slides.html
October 01, 2014 - quality care were clearly observed
Revision of policies in line with evidence-based practice … Best Practices
Consistent application of insertion bundle always
Identification of appropriate … of physicians and staff
Cannot be done quickly or without the support of a large multidisciplinary … Zero Preventable Harm
Position Tennessee as a leader on patient safety efforts and healthcare-acquired … Accelerate Tennessee’s efforts by focusing on:
Alignment among partner organizations
Leadership
Culture
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
March 01, 2020 - materials 6 weeks and 1 year
after the time of the initial training.14
Resistance to culture change … were resistant to a
culture change from the old processes to a new two-person verification process.15 … on promoting compliance, partnering with pharmacists,
and supporting manual audits to help create a culture … limited knowledge
transfer and resistance to culture changes were identified as barriers. … Nurse managers
created a culture of
safety and coached
staff who were not
compliant with
smart pump
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - the process of LFD with the Investigating A Defect Worksheet
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AHRQ Safety Program for MRSA Prevention … teamwork and communication
Institutional factors, related to the institution’s policies, workflow, culture … interventions, in order of decreasing strength of effectiveness, include the following:
Forcing functions … No statement in this presentation should be construed as an official position of AHRQ or of the U.S. … Department of Health and Human Services.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2025 - of comprehension. … Check Accuracy and Safety of Medicine Lists While the patient was in the hospital, the DE should have … The type of patient population you target can affect the length of calls. … The Case of Hypertension Beliefs Background: The patient, an African American woman, has been prescribed … The caller alerts the PCP to the patient's health beliefs.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
April 01, 2013 - And those of you who remember the science of safety, this concept that whenever we communicate, the sender … They all boil down, though, to the view that these infections, a true belief that they’re preventable … of safety with your nurses. … And I think we have some culture work to do. … these infections, creating a culture of collaboration, focusing on maintenance and getting data back