-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
July 01, 2024 - . 50 Less need to rely on staff. 64 Perceived safety. 57 Accordingly, studies indicated that most patients … , pharmacists, 101 social workers, 102,103 informatics professionals 104 ) on their attitudes and beliefs … Both groups shared a belief that delayed release might be beneficial to certain patients and in certain … that their organizations implemented the Cures Act with little guidance for clinicians despite the “culture … you have different communities that have vastly different demographics… social constructs, different cultures
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - The decision will be influenced by your organizational structure, improvement culture, and location of … For ease of presentation in the rest of this section, we will refer to the group responsible for pressure … The Sustainability Team will continue to ensure that collection of data and regular reporting of rates … In some places it may be the Patient Safety Committee, in others the Quality Council. … Journal on Quality and Patient Safety 2006:32(9): 488-496.
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
February 01, 2017 - Daily Goals During Interdisciplinary Rounds: Facilitator Guide
AHRQ Safety Program for Mechanically … Slide 3: Basic Components and Process of Communication
Say:
This is an illustration of a simple … "encoding" and "decoding" of messages. … They have a good team-oriented culture and share their beliefs, strategies, and methods for providing … Sixty-three percent of reported sentinel events are related to some form of communication failure.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
September 05, 2017 - Summary of Existing Patient Safety Tools and Techniques
We conducted a limited review of ambulatory … Overarching principles of safety and improvement identified
We identified several key safety and improvement … effort to create a culture of safety in medium or large
primary care practices. … learning, fostering a culture of safety, and improving patient care and the patient experience. … and talking openly about things that work and don’t work, which indicates
a supportive climate and culture
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
February 08, 2008 - Is the inclusion of National
Patient Safety Goals (NPSG)
considered? … (Safety measure)
• As appropriate, reconciliation of medications is a National
Patient Safety Goal … (The Spanish translation of “eleven” is
“once.”)12
Medication safety also includes alerts and reminders … Collect and submit specimen for urinalysis with culture and
sensitivity, if indicated. … It’s time for
standards to improve safety with electronic
communication of medication orders.
-
www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
January 01, 2024 - week or time
of day. … During the course of these site visits, many patient safety hazards were identified in
cardiovascular … Hazards in teamwork and communication, the tasks
performed, organizational and safety culture, the tools … from the educational
training in cardiovascular surgery safety and performance measurement and from … Variation in Institutional Review Board
evaluation of a patient safety study. Jl Healthc Qual.
-
www.ahrq.gov/faqs/index.html?page=3
December 20, 2012 - Disparities Reports (QDR) Newsletters/Subscriptions Other (Category not listed) Partnerships Patient Safety … Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … Culture TalkingQuality TeamSTEPPS Technology Assessments U.S. … Can I modify the Surveys on Patient Safety Culture? … the order of items or response options, deleting one or more items, and adding supplemental or custom
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-maintenance-notes.docx
April 01, 2022 - the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Units (ICUs) and … part of the lifecycle of a catheter. … Slide 2
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Safety … In a true safety culture, anyone who identifies someone handling an indwelling urinary catheter without … No. 17(22)-0019
April 2022
2
AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
image1.png
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - Future output, testing, and development of the TR & R Project are described
Safety and Errors in Emergency … , electric
power production, chemical manufacturing, and the military.4 Efforts to improve patient safety … and outcomes rely on strategies to ameliorate or eliminate the impact of human limitations.5 A
“culture … The algorithm designer
is a separate custom built tool that allows the graphic representation of algorithms … Gaba DM Structural and organizational issues in
patient safety: A comparison of health care to other
-
www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-table32.html
March 01, 2013 - Definitions of Measurement Domains
Previous Page Next Page
Table of Contents
Clinical-Community … Clinical-Community Relationships Measures Instruments
Safety Check Practitioner Post-Visit Survey … with the provision of the services and activities connected with the relationship
Delivery of … service
The rate of completion or receipt of services
Delivery system design
The scope of professional … of awareness of the availability, range of services, level of cultural competency, and quality of services
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/video-transcript-spanish.docx
June 02, 2025 - Positive Reinforcement
Collaborative Trust and Confidence
Just Culture … Do you really want me on this type of project? … JA:
Well, remember that staff meeting a couple of days ago, where the Director of Nursing encouraged … MJ:
We´re trying to create an environment of a just culture. … It makes such a difference that our leaders want to have a culture of safety in which it’s safe to talk
-
www.ahrq.gov/patient-safety/reports/hotline/implement3.html
May 01, 2016 - Safety Events
III. … We identified 18 health care delivery organizations that had a history of patient safety work in a PSO … to confirm that they upheld “just culture” principles, emphasized opportunities for learning rather than … safety risks. … safety concerns that are of interest and what the benefits to patients might be.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
January 12, 2022 - quality and patient safety. … A growing body of patient safety and risk
management literature, as well as care delivery research, … enhance safety culture. … four competency areas that lead to improved team performance, safer practices, and high‐
reliability culture … The most useful reflection involves the conscious consideration and analysis of beliefs and
actions
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - health care safe, we need to redesign our systems to make errors
difficult to commit and create a culture … risk management and, recently, of
increased interest in patient safety initiatives. … The VHA emphasizes a culture of safety and focuses its patient safety
initiatives and reporting on systems … A national
profile of patient safety in U.S. hospitals. … Committee on Data Standards for Patient Safety,
Institute of Medicine.
-
www.ahrq.gov/teamstepps-program/curriculum/team/teach/half-day.html
May 01, 2023 - Alternatively, you may want to include other parts of the Team Leadership Module materials instead of … some of the components noted above. … It’s important to still emphasize that every part of TeamSTEPPS is needed to foster a culture of safety … Consider consolidating the content of Slides 10-15 and just briefly reviewing the different types of … After a review of the objectives (Slide 21), remind participants of how team leadership interconnects
-
www.ahrq.gov/news/newsroom/case-studies/201533.html
December 01, 2015 - University of Louisville Hospital Influenced by AHRQ Toolkit to Detect Antibiotic-Resistant Infections … Search All Impact Case Studies
December 2015
The University of Louisville Hospital in Louisville … Arnold, D.O., M.Sc., University of Louisville Hospital epidemiologist. … None of the patients died, but the results prompted the hospital to re-evaluate its screening practices … AHRQ Product(s):
CRE Toolkit,
Publications
Topic(s):
Patient Safety
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-ahrq-program.pdf
November 01, 2006 - PROGRAM
Caren Ginsberg, Ph.D., CPXP,
Director, CAHPS & SOPS
Center for Quality Improvement & Patient Safety … Data & Analytics: Generate measures and data to track
and improve performance, and evaluate progress of … the
US health care system.
7
The AHRQ CAHPS Program
• CAHPS = Consumer Assessment of Healthcare … patient experience of care
− our knowledge of measuring patient experience and collecting
relevant … • Surveys measure patient experience of care in different
settings.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ipe-large-org-webcast-ginsberg.pdf
November 01, 2006 - PROGRAM
Caren Ginsberg, Ph.D., CPXP,
Director, CAHPS & SOPS
Center for Quality Improvement & Patient Safety … Data & Analytics: Generate measures and data to track
and improve performance, and evaluate progress of … the
US health care system.
7
The AHRQ CAHPS Program
• CAHPS = Consumer Assessment of Healthcare … patient experience of care
− our knowledge of measuring patient experience and collecting
relevant … • Surveys measure patient experience of care in different settings.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-program-2.pdf
November 01, 2006 - PROGRAM
Caren Ginsberg, Ph.D., CPXP,
Director, CAHPS & SOPS
Center for Quality Improvement & Patient Safety … Data & Analytics: Generate measures and data to track
and improve performance, and evaluate progress of … the
US health care system.
7
The AHRQ CAHPS Program
• CAHPS = Consumer Assessment of Healthcare … patient experience of care
− our knowledge of measuring patient experience and collecting
relevant … • Surveys measure patient experience of care in different
settings.
-
www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
May 01, 2018 - This literature review explores possible adaptation of Lean/TPS to health care settings. … across a variety of health care settings. … reporting about external impetus for Lean/TPS (e.g., market factors), organizational factors (e.g., how culture … quality and safety (number of adverse events, bloodstream infections, overall rates of infection, medication … errors); and measures of patient satisfaction. *
Further AHRQ research in the application of Lean