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www.ahrq.gov/faqs/index.html?page=19
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. … However, the rebudgeting of funds out of TRE should not be detrimental to accomplishing the aims of the
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www.ahrq.gov/faqs/index.html?page=8
January 01, 2004 - 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. … While the entire 12-months of stipend and tuition is charged to the grant at the time of the appointment
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
March 01, 2010 - Clark et al. (2008); Schulman and Staelin (2011)
35
www.ahrq.gov/cahps
Patient Experience and Safety … patient
safety culture
References: Isaac et al. (2010); Saman et al. (2013); Lyu et al. (2013); Sorra … Heart
Attack Patients
• Replication of New Hampshire
study of heart attack patients
with better … of desired treatment
• No evidence to support policy-maker concerns of perverse
incentives of pay-for-performance … Patient Experience and Clinical Processes
Patient Experience and Efficiency
Patient Experience and Safety
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www.ahrq.gov/sites/default/files/2024-03/bruzzese2-report.pdf
January 01, 2024 - Pronovost, of the Quality
and Safety Research Group at Johns Hopkins. … continues to cripple and kill
Minnesota Spokesman‐
Recorder Charles Hallman
The Checklist and Future Culture … Pronovost, who established the Quality
and Safety Research Group to advance
the science of safety, … ReportingOnHealth.org
• Study: Missouri is a tobacco-friendly state, The Kansas City Star
• The Checklist and Future Culture … Using his system of checklist,
culture change and measurement, he virtually eliminated the infection
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
January 01, 2004 - ways as an integral component of their patient safety
initiatives. … the Patient Safety Council. … and advanced the hospital’s movement toward patient safety-driven
culture focused on the systemic, … Description and
outcomes of a custom Web-based patient occurrence
reporting system developed for Baylor … Going paperless with custom-built Web-
based patient occurrence reporting.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-one-pager.pdf
September 01, 2022 - tenderness, and swelling of the skin
o Nonpurulent: no evidence of abscess/phlegmon
Most cases caused … trauma, cutaneous ulcer, tinea pedis, eczema),
impaired venous or lymphatic drainage
• Consider wound culture … age, location of abscess in an area where drainage is difficult, or the
presence of more than minimal … Skin and Soft Tissue Infections
AHRQ Safety Program for Improving Antibiotic … Effect of cephalexin plus trimethoprim-
sulfamethoxazole vs cephalexin alone on
clinical cure of uncomplicated
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/implement-staff-vaccination-program.pdf
March 01, 2022 - Centers for Disease Control and Prevention’s (CDC’s) COVID-19 Vaccination Program and
National Healthcare Safety … Verification of vaccination status.
i. … This could include exemptions based on religious
beliefs, medical conditions, or a disability as required … Provide culturally appropriate, fact-based information on vaccine safety. … to talk to each other and with supervisors and other
local medical experts about COVID-19 vaccine safety
-
www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
March 11, 2022 - safety and quality.2 In addition to studies that have clarified the magnitude and
importance of the … Various aspects of educational culture and other forces have led to a greater emphasis on diagnosis in … substantial, role-appropriate curricular focus on diagnosis.11, 12, 31, 33 Increasing this focus will require culture … the unique knowledge, beliefs,
and skills of the full team for the end purpose of optimized care delivery … SEIPS 3.0: human-centered design of
the patient journey for patient safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - of Funding
*as of 12/29/2023
Approach to Improving Safety (No. of Projectsiii)
Safety Improvement … medication safety in a variety of
healthcare settings … Safety Culture Survey. … Investigators created a 16-item survey
to measure the degree to which a culture of medication safety … the improvement of medication management safety.
-
www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
January 01, 2024 - maturation of practice-based research in the United States." 19 This culture, and the skills and relationships … often requires "profound changes in the culture and organization of care." … Visionary leadership and a supportive culture ease the way for change. … safety. … safety in older adults. 161 Another contribution to PHR came out of AHRQ's patient safety work.
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www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
January 01, 2025 - parts of the Council’s work products into national reporting systems,
patient safety best practice … HHC has been engaged in developing a robust culture of patient
safety, quality, and innovation with … care, and to foster a
culture that is motivated to continuously improve. … Cohen, has become one of the premier organizations promoting
safety in any domain in this country. … Collectively, the panel
presented a snapshot of some of the most exciting and innovative patient safety
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
June 02, 2025 - Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare … Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety
Measures Prioritized by Medicare … With the
support of the QI Toolkit, HMC raised awareness of
patient safety concerns across the hospital … , improved
collaboration in support of patient safety, and
institutionalized a standard set of patient … clinical leaders and staff about the AHRQ PSIs, as well as the medical director’s success
in shifting the culture
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - SAY:
This presentation reviews the 4 Es, a framework to guide the implementation of patient safety interventions … Adaptive challenges are more complex and involve peoples’ beliefs, behaviors, feelings, values, and preferences … Execute: Execution refers to the implementation of patient safety interventions based on identified issues … CUSP team champions can assist with assessments of culture, determining future education needs, updating … Changing attitudes and behaviors is the adaptive or cultural component of safety interventions, which
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-bakdash.pdf
June 02, 2025 - Social Science Analyst, CAHPS® & SOPS® Programs
Center for Quality Improvement & Patient Safety,
AHRQ … 5
AHRQ’s Core Competencies
• AHRQ is a research and development agency in the US Department of Health … Improvement, and
Data & Analytics
• AHRQ is not a regulatory agency:
► AHRQ does not require use of … and revision
• Extensively tested with patients
8
CAHPS Surveys
Measuring patient experience of … research
10
CAHPS Survey Administration:
Improving Response Rates and Representativeness
Example of
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
December 01, 2017 - Facilitator Guide: Science of Safety Training & Identifying Defects
Science of Improving Safety and … Slide 6
Educate Staff on the Science of Safety
SAY:
Science of safety training helps providers recognize … This requires a culture where frontline providers feel comfortable speaking up and have confidence their … Science of Safety. … a systems view of patient safety through the following actions:
· Apply Science of Safety into your
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Ways_To_Learn_More_508.docx
June 02, 2025 - The partnership aims to improve the safety, quality, and affordability of health care. … This listing of annual reports from the Joint Commission presents scientific data on quality, safety … for patient- and family-centered care, and tools and resources for changing hospital and health care culture … is dedicated to improving the safety of patients through education and raising public awareness. … Its Web site offers information on patient safety issues and has a variety of resource links.
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
April 01, 2018 - Culture Type Map to Procedure Types
Appendix F. Algorithms
Appendix G. … General Surgery
VA
Surgeon #04
General Surgery – Trauma/Critical Care focus
Academic / Safety … General Surgery – Trauma/Critical Care focus
Private
Surgeon #06
Surgical Oncology
Academic / Safety … The risk of not operating may outweigh the risk of operating (risk of SSI). … of rates based on end results (outcome factors).
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
July 01, 2023 - data
Incident reports
AHRQ patient safety survey
Clinical process and outcome measures
Review RCAs or … Survey on Patient Safety Culture, and site-specific process and outcome measures. … rollout with an in-person training session (for each module or tool) for their staff based on the local culture … Consider what works for you and the culture of your organization. … Staff should feel ownership and responsibility for supporting patient safety by applying the strategies
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
July 01, 2023 - data
Incident reports
AHRQ patient safety survey
Clinical process and outcome measures
Review RCAs or … Survey on Patient Safety Culture, and site-specific process and outcome measures. … rollout with an in-person training session (for each module or tool) for their staff based on the local culture … Consider what works for you and the culture of your organization. … Staff should feel ownership and responsibility for supporting patient safety by applying the strategies
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
May 01, 2017 - Engage Patients and Families for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Engage Patients … Slide 2
Engage Patients and Families for Perinatal Safety
Patient & Family
AHRQ Safety Program … • Hospitals can present a very unfamiliar
setting, system, and culture for
patients. … of care. … Slide 5
Engage Patients and Families for Perinatal Safety
Patient & Family
AHRQ Safety Program