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Showing results for "culture of safety".

2401. Step 3: Planning the Infrastructure Support | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/hsrguide/hsrguide3.html
      October 01, 2014 - Introduction Step 1: Assessing Your Organization's Needs and Capabilities Step 2: Fostering a Research Culture … Content specific areas (e.g., access, cost and financing of care, quality of care, patient safety, health … The day-to-day on-site mentor provides guidance on managing the organization-specific culture and administrative … Structure the mentoring relationship as best fits the personality and organizational culture of those … Partnering organizations are likely to have different goals, priorities and cultures.

2402. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
      June 01, 2021 - Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. … Send a urinalysis and a urine culture, and obtain a chest x ray. 4. … Team  Activity, Frontline Providers Hold monthly Antibiotic Stewardship Team meetings Use the Staff Safety … Collection Form Ask frontline staff to complete the Staff Safety Assessment   Distribute the Respiratory … Antibiotic Decision Making Form Monthly Data Collection Form Staff Safety Assessment Checkpoint Tool

2403. Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Summit Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
      September 01, 2025 - approaches to catalyze change, highlighting necessary domains and mechanisms to improve access, quality, safety … Identify leadership strategies that foster a culture of person-centered care. … Examine how these models can be tailored for different healthcare settings, including rural and safety-net … clinical culture toward PCCP. … chronic illness, mental health, and aging in Federally Qualified Health Centers (FQHCs) and other safety

2404. Taxonomic Guidance for Remedial Actions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
      December 23, 2004 - The facility had a problem with preventive maintenance of its Advances in Patient Safety: Vol. 2 … Safety culture probably remains a problem without resolution, in which case the investigation should … Advances in Patient Safety: Vol. 2 84 Figure 4. … Advances in Patient Safety: Vol. 2 86 Author affiliations Departments of Medical Physics, Human … Medication Safety Alert, June 2, 1999.

2405. The “Sometimes Antibiotics” Diagnoses: Acute Otitis Media in Children – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-guide.docx
      September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Acute Otitis Media in Children – Facilitator Guide AHRQ Safety … Even though rates of AOM due to S. pneumoniae are declining in the setting of high rates of pneumococcal … There is no indication to culture ear discharge in the setting of otorrhea as there would be a high likelihood … No. 17(22)-0030 September 2022 AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care Otitis … image25.jpeg image26.jpeg image28.jpeg image27.jpeg Otitis Media AHRQ Safety

2406. Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
      January 01, 2024 - teamwork process and environment changes), a printed handoff tool, faculty development materials, and a culture … on patient safety. … from a pilot program to an institutionalized program with permanent status in the hospital handoff culture … and impact of structured handoff programs on patient safety. … Legislature of the City of Buenos Aires, Argentina Leadership of Patient Safety 2018 Top Research

2407. Monitoring for Perinatal Safety: Electronic Fetal Monitoring | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
      July 01, 2023 - for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements that … The key safety elements are presented within the framework of the Comprehensive Unit-based Safety Program … Key Perinatal Safety Elements Standardize When Possible (CUSP Science of Safety) Key Perinatal … patient safety. … Fetal monitoring: creating a culture of safety with informed choice.

2408. Monitoring Progress for Sustainable Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
      June 02, 2025 - Improvement 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 … Each hospital will design its system to best fit its management culture, performance priorities, and … 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

2409. Strategy 3: Bedside Shift Report (Tool 3) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
      June 02, 2025 - families, clinicians, and hospital staff all work together as partners to improve the quality and safety … and goals for effort] • Research shows patient-centered approaches can improve: – Patient safety … care have potential for medical errors • Research shows bedside shift report can improve: – Patient safety … and how to get things done • Are strangers in this environment • Do n0t understand the system or culture … the patient and a safety assessment of the room • Review tasks that need to be done • Identify needs

2410. Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
      January 01, 2025 - Diagnostic Safety Events Application of Machine Learning to Enhance e-Triggers to Detect and Learn … TX 3University of Texas – Memorial Hermann Center for Healthcare Quality & Safety, School of Biomedical … treat and release ED visits that were not followed up within 14 days (tests included positive urine culture … , positive blood culture, and elevated thyroid-stimulating hormone). … Journal of patient safety. 2019 Dec 1;15(4):311-6. 4.

2411. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
      January 01, 2017 - Assessing and improving safety climate in a large cohort of intensive care units. … The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs … Program for Mechanically Ventilated Patients 9 AHRQ Safety Program Goals To reduce risk of patient … safety culture in ICUs Build a Business Case ‹#› AHRQ Safety Program for Mechanically Ventilated … Assessing and improving safety climate in a large cohort of intensive care units.

2412. Voluntary Hospital Coalitions to Promote Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
      January 01, 2004 - and the quality and safety of health services. … PHA also prepares safety alerts and publishes a weekly e-newsletter with reminders of deadlines and … implementation of programs directed at improving patient safety (Table 1). … , which focused on creating a culture of patient safety and identifying and resolving safety issues. … Accountability and Health Safety subcommittees Table 3. Key elements of success Figure 1.

2413. Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
      January 01, 2024 - without a clear understanding of the safety implications and without formal evaluation of the ‘hidden … culture teamwork, coordination, communication, schedules, and workload) that define the ambulatory … organizational culture. 4 1P20HS017118-01 Meghan M. … safety. … safety.

2414. Improving Patient Experience in Large Organizations webcast - Skootsky (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ipe-large-org-webcast-skootsky.pdf
      March 01, 2021 - • Provide an overview of the survey background • Review of practice site CG-CAHPS Survey results • Share … • UCLA Patient Engagement Expectations (behaviors and culture) • Incorporate CICARE™ into every patient … Examples of additional training: • Escalation of patient concerns that require immediate attention • … Explicit Goal Align Efforts • Drivers of Success • Engagement of Clinical Directors and Practice Managers … of Key Services • Nursing, Patient Experience, Safety, Look and Feel Appearance • Patient Communication

2415. Spread | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/spread/index.html
      July 01, 2018 - Spread The Spread module of the CUSP Toolkit helps an organization share, tailor, and implement … the components of a process that have worked well at the unit level. … The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture

2416. Building Your SSI Prevention Bundle: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
      December 01, 2017 - Build a bundle based on the results of your staff safety assessment. … Positive wound culture. Pain, redness, swelling. Diagnosis by surgeon. … Rows beneath this column show examples of different types of safety issues. … Rows beneath this column list opportunities to improve related to the categories of safety issues identified … Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections

2417. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
      July 01, 2023 - Identify the key safety elements of a robust rapid response system. … this bundle of the AHRQ Safety Program for Perinatal Care, or SPPC. … In the rest of this presentation, we will highlight each of these key safety elements and how they apply … This is a core principle from the CUSP Science of Safety module. … This aspect of perinatal safety calls for L&D units to foster a culture of teamwork and communication

2418. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - The impact of diagnostic failure on patient safety does not appear to have been fully recognized. … Advances in Patient Safety: Vol. 2 244 The word “bias” originally was used in the game of bowls to … “Fallacies” are arguments or beliefs that are misleading, or have deceptive appearances that may give … The Challenger launch decision: risky technology, culture and deviance. … Safety Assessments.

2419. 043-Vap-Prevention-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Ventilator-Associated Pneumonia & Non-Ventilator … On this slide is a brief summary of the criteria from the VAE module of the CDC Patient Safety Component … CUSP team champions can assist with assessments of unit culture, determining future education needs, … the culture of the unit. … This protocol requires purchasing a custom oral care kit that makes it easy for staff to have what they

2420. Improving Referral Communication Using a Referral Tool Within an Electronic Medical Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gandhi_22.pdf
      February 01, 2007 - MD, MS Abstract Objectives: Poor outpatient referral communication is an important quality and safety … The number of PCP surveys is a subset of the total referrals because we set a maximum of five surveys … Of the 30 patients who had returned to see the PCP by the time of the survey, 61 percent (14/23) of … the culture of poor communication around referrals that our study seeks to redress. … Perhaps in the future, use of this kind of tool for all referrals will help close some of the information