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Showing results for "culture of safety".

2341. Understand-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Understand the Science of Safety for Perinatal Safety Understand … the Science of Safety for Perinatal Safety SAY: The Understand the Science of Safety module of the … AHRQ Safety Program for Perinatal Care discusses the importance of understanding system design, safe … of Safety, Explain how system design affects system results, List the principles of safe design and … illustration shows, at any given time, there are several system factors that simultaneously influence unit culture

2342. Implications for the Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/implications.html
      March 01, 2017 - Limitations of the Environmental Scan Model of Patient Safety in Primary Care Methods Gaps Identified … Continues To Evolve The fields of patient safety and patient and family engagement in primary care … It is anticipated that the fields of patient safety and patient engagement in primary care will continue … Our project team members are actively engaged in other projects within the fields of patient safety and … and family engagement and patient safety in primary care, usability of these approaches varied quite

2343. Transcript: How To Create Team Buy-In and Motivation To Get to Zero Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdf
      April 01, 2022 - for Healthcare Research and Quality and is part of its toolkit for the Comprehensive Unit-based Safety … Sam is the senior vice president of patient safety and quality and executive director of the Michigan … have said that ICU teams struggling to overcome stubborn infection rates might have an underlying belief … So, we found in looking at culture data, looking at outcomes data, have found that where senior leaders … /CAUTI AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI Team Buy-In Transcript | 7 of

2344. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
      February 01, 2014 - cultures and leadership and others do not, but culture and leadership are likely to be influenced … safety net delivery system. … The contribution of new social science research to patient safety. … The influence of the structure and culture of medical group practices on prescription drug errors. … Assessing the evidence for context-sensitive effectiveness and safety of patient safety practices:

2345. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
      February 01, 2014 - cultures and leadership and others do not, but culture and leadership are likely to be influenced … safety net delivery system. … The contribution of new social science research to patient safety. … The influence of the structure and culture of medical group practices on prescription drug errors. … Assessing the evidence for context-sensitive effectiveness and safety of patient safety practices:

2346. Sampleransferandintakenotes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
      June 02, 2025 - 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 … Date: Transfer Time: Transfer to:  Emergency Department  Hospital Reason for Transfer Out of … Central  Peripheral  IV fluids Labs Obtained  Electrolytes  Cardiac workup  CBC  Blood cultures

2347. Final Progress Report: Improved Patient Safety Through Web-Based Education (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
      January 01, 2024 - under the direction of the National Patient Safety Foundation (NPSF). … Safety Education Center of the National Patient Safety Foundation. … under the direction of the National Patient Safety Foundation (NPSF). … : An Ethical Imperative • Changing the System and the Culture • Breaking Down Barriers • Impact of … An educational needs assessment for improving patient safety: Results of a national study of physicians

2348. Gap Analysis for Antibiotic Stewardhip in Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/gap-analysis-tool.pdf
      September 01, 2022 - Gap Analysis for Antibiotic Stewardhip in Ambulatory Care AHRQ Safety Program for Improving Antibiotic … ☐ Yes ☐ No ☐ N/A 2 Gap Analysis AHRQ Safety Program for Improving Antibiotic Use … ☐ Monthly ☐ Quarterly ☐ Annually ☐ Never ☐ Other: 3 Gap Analysis AHRQ Safety Program … prescribing practices ☐ Review approaches employed by local labs for reporting testing results, culture … Antibiotic Stewardship for Ambulatory Care ☐ No 5 Gap Analysis AHRQ Safety

2349. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
      November 04, 2014 - , the Director of the VA University of Michigan Patient Safety and Enhancement Program, and the Associate … One was to assess unit level cultures surrounding the prevention of CAUTI and other hospital acquired … looked for evidence of ongoing project relating to patient safety, and specifically CAUTI. … If positive blood cultures, we give antibiotics as soon as possible. … Then as you know, someone spikes a temperature, and someone has a Foley catheter and you culture the

2350. Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data Webcast - Ginsberg (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/02-listening-voice-of-patient-webcast-ginsberg.pdf
      June 02, 2025 - Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data … Quality AHRQ and the CAHPS Program • AHRQ is a research and development Agency in the US Department of … now 29 years old, has acquired deep experience in measuring and improving the patient’s experience of … measures  Clinical outcomes  Patient safety Business Outcomes  Malpractice risk  Employee satisfaction … • All of these methods together contribute to a fuller picture of what happens to patients. 11

2351. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/sampleagenda.html
      March 01, 2013 - Re-engineered Discharge Implementation At Your Hospital (continued) Previous Page Next Page Table of … Time Title of Session Presenter 9:00 - 9:05 Introductions   9:05 - 10:20 Background … of the RED     Objectives: Introduce the patient safety and public policy issues. … Discuss the important role of the senior leaders.   10:20 - 10:30 Break   10:30 … - 12:15 Discharge Educator Training     Objectives: Understand the components of the

2352. Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/sampleagenda.html
      March 01, 2013 - Re-engineered Discharge Implementation At Your Hospital (continued) Previous Page Next Page Table of … Time Title of Session Presenter 9:00 - 9:05 Introductions   9:05 - 10:20 Background … of the RED     Objectives: Introduce the patient safety and public policy issues. … Discuss the important role of the senior leaders.   10:20 - 10:30 Break   10:30 … - 12:15 Discharge Educator Training     Objectives: Understand the components of the

2353. Preventing CAUTI: What to Do When it’s Time for Plan B (November 4, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
      December 01, 2017 - , the Director of the VA University of Michigan Patient Safety and Enhancement Program, and the Associate … One was to assess unit level cultures surrounding the prevention of CAUTI and other hospital acquired … looked for evidence of ongoing project relating to patient safety, and specifically CAUTI. … If positive blood cultures, we give antibiotics as soon as possible. … Then as you know, someone spikes a temperature, and someone has a Foley catheter and you culture the

2354. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
      May 01, 2025 - The combination of emerging patient safety threats and the growing amount of published patient safety … reviews of patient safety practices and topics as they are completed. … A set of  tables  compares the patient safety practices among the reports. … Journal of Patient Safety and Risk Management 2024 November 20 . … Journal of Patient Safety and Risk Management 2025 May 28 .

2355. Final Progress Report: The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
      January 01, 2024 - suggest that inpatient portals may facilitate shifts in organizational culture that increase the patient … Assessing the relationship between patient safety culture and EHR strategy. … “Patient Safety Learning Laboratory: Institute for the Design of Environments Aligned for Patient Safety … Building a Culture of Wellness: An Interdisciplinary Panel Discussion With Q&A. … Custom Alarm Design: You Don’t Have to “Crank it up to 11.”

2356. Final Progress Report: Improving Pain Management in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones1-report.pdf
      January 01, 2024 - It was our belief that a multimodal intervention for improving nursing home pain practices needed to … These included religious traditions and beliefs about pain and suffering, beliefs about gender and cultural … , intermittent physician presence, a low-technology environment, and regulatory culture all combine … Staff often attributed under-treatment of pain to resident attitudes and beliefs (stoicism, fear of … Joint Commission Journal on Quality and Safety 30(5): 235-245.

2357. Appendix D. Universal ICU Decolonization Nursing Protocol | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apd.html
      September 01, 2013 - Safety and Adverse Events The following is a nursing protocol for adult ICUs implementing … 44 percent reduction in all-cause bloodstream infections and a 37 percent reduction in MRSA clinical cultures … Apply 0.5 grams (about the size of a blueberry) of mupirocin onto a sterile cotton swab. … Ensure coating of the sides of the nostril. Repeat for other nostril. … After routine washing of face and hair, remove one batch of CHG cloths (three bundled packages of two

2358. Appendix D. Universal ICU Decolonization Nursing Protocol | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apd.html
      September 01, 2013 - Safety and Adverse Events The following is a nursing protocol for adult ICUs implementing … 44 percent reduction in all-cause bloodstream infections and a 37 percent reduction in MRSA clinical cultures … Apply 0.5 grams (about the size of a blueberry) of mupirocin onto a sterile cotton swab. … Ensure coating of the sides of the nostril. Repeat for other nostril. … After routine washing of face and hair, remove one batch of CHG cloths (three bundled packages of two

2359. Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
      November 01, 2016 - We then show the six priorities of the National Quality Strategy, which are patient safety, person- and … Culture of Prevention [Slide 12] Nazleen Bharmal:  You know, it's an exciting time to be in health … this trajectory in partnership with a number of different sectors to build this culture of prevention … The foundation for the culture of prevention is built, not only in prevention at the community level, … When we talk about building this culture of prevention, it's not about just the programs and policies

2360. PS Grantee | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/index.html?page=18
      January 01, 2024 - a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety … of General Patient Safety has funded research grants on a variety of patient safety topics since 2000 … AHRQ is sharing the general patient safety grant final progress reports to ensure the results of these … Results 361 - 380 of 435 Patient Safety Grantee Final Reports Displaying Pagination … Publication Date: September 2005 The Effect of EMR on Medication Safety: A SPUR-Net Study