Results

Total Results: 3,042 records

Showing results for "culture of safety".

2421. Establishing a Program of In Situ Simulations: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
      July 01, 2023 - Establishing a Program of In Situ Simulations: Slide Presentation AHRQ Safety Program for Perinatal … Care Slide 1: AHRQ Safety Program for Perinatal Care Establishing a Program of In Situ Simulations … Slide 5: Benefits of In Situ Simulation 3,5,6,7 Provides a method to improve reliability and safety … culture" surveys. … In situ simulation: a method of experiential learning to promote safety and team behavior.

2422. Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/hret-preinterventionasst.xlsx
      June 02, 2025 - Pre-intervention Assessment: Adapting and Implementing Patient Safety Practices in Ambulatory Care Introduction … resources to patient education, self-care support, transition planning, and quality improvement and patient safety … resources to patient education, self-care support, transition planning, and quality improvement and patient safety … A strong patient safety culture is necessary to implement this project. … of clinic affiliation.

2423. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
      March 01, 2020 - Errors in the Operating Room 11-3 11.1 Practice Description Operating room processes, systems, and culture … impact patient care and safety of surgical procedures. … relevant to this review (e.g., focused only on clinician outcomes such as knowledge, perceptions, or culture … Effectiveness of surgical safety checklists in improving patient safety. … Author, Year Description of Patient Safety Practice Setting Summary of Systematic Review

2424. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
      May 01, 2011 - The CANDOR process embraces Just Culture principles, which recognize that “active” errors represent predictable … Understanding patient safety. McGraw Hill Medical, 2012. … Ensure patient safety/risk management representatives are known to staff and available. … what to do, interrogating or questioning another person, judging another person, imposing one’s own beliefs … Understanding patient safety. McGraw Hill Medical, 2012.

2425. Navigating Hierarchy in the Clinical Setting: Working and Communicating with Others | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-slides.html
      December 01, 2017 - Association Slide 2 Learning Objectives Describe the relationship between hierarchy and patient safety … Slide 9 Hierarchies: the Berlin Wall of Patient Safety “To maximize patient safety considerations … Hierarchies: the Berlin Wall of Patient Safety MM Walton Qual Saf Health Care . 2006 August; 15(4): … Slide 10 Toxic Hierarchy and Patient Safety: A Few Case Examples “Does Anyone Have Anything Else … Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated Urinary Tract Infection

2426. Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
      January 01, 2025 - in roles, responsibilities, and organizational culture.11 Design and development will be in the context … , and barrier and facilitators of implementation in addition to the safety outcomes of interest. … system “So it’s a handoff, but there is not a. . . population-based tracking process.” – Primary care Beliefs … ASCENT developed, piloted, and implemented a needs-driven technical and culture-based solution for subcritical … World Alliance for Patient Safety, Patient safety research: an overview of the global evidence.

2427. Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport.pdf
      March 01, 2020 - Care 1 INTRODUCTION High rates of readmissions are a major patient safety problem associated with … The purpose of this project was to address the important and unfulfilled need to improve patient safety … common among health service interventions and may relate to intangible factors such as the overarching culture … The presence of a PCMH initiative may be a marker of a favorable culture associated with programmatic … environment—can and should work to improve care coordination and the quality and safety of care more

2428. 127-Roles-Responsibilities-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/127-roles-responsibilities-tool.docx
      April 01, 2025 - CUSP Coordinator The CUSP Coordinator is a CUSP and Science of Safety subject matter expert appointed … CUSP Facilitator The CUSP Facilitator is highly knowledgeable in CUSP and the Science of Safety and is … . · Provide safety culture survey support for teams (e.g., result interpretation, debriefing, and action … · Educate staff about CUSP and develop and implement a plan to educate staff on the Science of Safety … · Does my CUSP team perceive there is psychological safety to speak openly in front of me?

2429. 147-Cusp-Roles-Responsibilities-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
      June 02, 2025 - CUSP Coordinator The CUSP Coordinator is a CUSP and Science of Safety subject matter expert appointed … CUSP Facilitator The CUSP Facilitator is highly knowledgeable in CUSP and the Science of Safety and is … . · Provide safety culture survey support for teams (e.g., result interpretation, debriefing, and action … · Educate staff about CUSP and develop and implement a plan to educate staff on the Science of Safety … · Does my CUSP team perceive there is psychological safety to speak openly in front of me?

2430. 029-Ss-Review-Ssi-Prevention-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Review of SSI Program Tools Surgical Services … The Comprehensive Unit-based Safety Program (CUSP) team is the adaptive hub of ongoing implementation … SAY: An article by Schwengel et al. (2011) provides an example of how the Staff Safety Assessment can … The Staff Safety Assessment is a simple yet effective tool to tap into the wisdom of frontline caregivers … A sample of the purulent drainage was sent for cultures, and he was prescribed oral antibiotics.

2431. Build a Business Case for Quality Improvement: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-slides.html
      February 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 … Slide 10: AHRQ Safety Program Goals To reduce risk of patient harms associated with mechanical … To achieve significant improvements in teamwork and safety culture in ICUs. … Assessing and improving safety climate in a large cohort of intensive care units.

2432. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
      June 21, 2021 - , Center for Healthcare Quality and Safety, University of Texas Health Science Center, Houston, Texas … , USA 3Center for Innovations in Quality, Effectiveness and Safety, Michael E. … Health IT-supported feedback systems championed by strong leadership promotes a culture that expects … consistent and reliable feedback system will generate learning and may itself be useful in changing the culture … by setting shared goals and expectations for a constructive feedback culture.

2433. A Boost for Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/boost-health-services-research.html
      June 01, 2022 - We risk witnessing patient and health professional safety events because of workforce depletion. … It acknowledges that everybody needs different kinds of resources and different mixes of services. … that is affordable, environmentally responsible, and protects patients and health professionals from safety … We’re all tired of COVID—of living with it, of talking about it—but we are far from being done with it … Valdez is Director of AHRQ .

2434. Rapidresponse Facguide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
      May 01, 2017 - Identify the key safety elements of a robust rapid response system Identify ways to apply key safety … this bundle of the AHRQ Safety Program for Perinatal Care, or SPPC. … of patient safety derived from the Comprehensive Unit-based Safety Program (CUSP), the TeamSTEPPS® teamwork … 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

2435. Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation and video laryngoscopes (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
      January 01, 2025 - Final Progress Report: Improving the safety of pediatric tracheal intubation in ICUs with apneic oxygenation … and video laryngoscopes Title: Improving the safety of pediatric tracheal intubation in ICUs with … NEAR4KIDS ICU would be warranted to improve the safety of tracheal intubation in various pediatric … Facilitator themes common to both interventions were adequate device accessibility, having a culture … Impact of Failure of Noninvasive Ventilation on the Safety of Pediatric Tracheal Intubation.

2436. National Quality Strategy Priority: Care Coordination | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs4.html
      October 01, 2015 - National Quality Strategy Priority: Care Coordination Previous Page Next Page Table of … Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety … Population Part 2: Trends in Priorities of the Heckler Report Part 2: Trends in Priorities of the … Quality Strategy Priorities Part 4: Health Care of Residents of the U.S. … -Mexico Border Part 4: Health Care of Residents of the U.S.

2437. Indwelling Urinary Catheter Indications
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
      April 01, 2022 - Used with permission of Journal of Hospital Medicine. … catheter removal Daily review of continued need for urinary catheter AHRQ Safety Program for ICUs: … Reprinted with the permission of American College of Physicians, Inc. … Sterile sample for urine culture No Yes Yes, if staff trained for sterile application Nonsterile urine … Reprinted with the permission of American College of Physicians, Inc.

2438. Physician Burnout (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/ahrq-works/impact-burnout.pdf
      July 01, 2017 - sense of personal accomplishment. … has led to questions on how it affects access to care, patient safety, and care quality. … Burnout can also threaten patient safety and care quality when depersonalization leads to poor interactions … as time pressure, chaotic environments, low control over work pace, and unfavorable organizational culture … Of note, rural clinicians reported the highest rates of burnout.

2439. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
      December 01, 2013 - Parental report of current skills is predictive of developmental delay. … airway, as well as thickening of secretions and increased risk of mucous plugging. … Failure of fixation. Leakage of gastric acid. … Send swab for culture and treat with appropriate topical or systemic antibiotics. … Obtain stool sample for culture. Ask dietician to review feed and rate.

2440. Module 17: Introducing a Practice to Facilitation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-17-introducing-a-practice-to-pf.pdf
      September 01, 2015 - Further reproduction of those copyrighted materials is prohibited without the specific permission of … Therefore, no statement in this report should be construed as an official position of AHRQ or of the … The content of the module. 2. … Also unlike consultants, practice facilitators focus on introducing a culture of continuous QI and learning … Safety Net Medical Home Initiative.