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Showing results for "culture of safety".

2461. Strategy 2: Communicating for Improve Quality (Tool 6) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pdf
      June 02, 2025 - families, clinicians, and hospital staff all work together as partners to improve the quality and safety … of hospital care • Involves patients and family members as: – Members of the health care team – … can improve: – Patient safety • More than 70 percent of adverse events caused by breakdowns in … and how to get things done • Are strangers in this environment • Don not understand the system or culture … • Help make sure your patients have better outcomes • Help improve quality and safety by making sure

2462. Module 3: Communication
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module3-communication.pptx
      January 13, 2022 - Describe structured communication methods that can increase diagnostic safety.   … Describe structured communication methods that can increase diagnostic safety.   … Patient (or parent) characteristics, including education, socioeconomic status, emotional response, and culture … ://www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/10-diagnostic-safety-tool-patient-note-sheet-spanish.pdf … /diagnostic-safety/toolkit.html.

2463. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
      July 01, 2003 - These demonstration projects aim to improve the completeness of Advances in Patient Safety: Vol. … A 40 percent random sampling of Advances in Patient Safety: Vol. 3 272 eligible cases was used … The culture of academic institutions tends to be more open to experimentation, which may have facilitated … Making health care safer: a critical analysis of patient safety practices. … Making health care safer: a critical analysis of patient safety practices.

2464. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
      January 01, 2024 - Once importance of safety risks was calculated, actionability on those safety risks also needed to be … the index separately and rated the quality of the transition, as measured by the number of safety threats … Occurrence of transition safety issues as measured by index items: The vast majority of transitions … Individual safety issues occurred in 20%-52% of transitions (Figure 3). … Researchers could develop interventions to address organizational culture change to improve safety culture

2465. Final Progress Report: Transitional Care Medication Safety and Reducing Medical Liability: Closing the Chasm (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdf
      January 01, 2024 - drug events; medical liability; risk management; quality of care; patient safety Purpose The overall … objective of this research was to identify strategies to improve medication safety and quality of care … cultures rather than by assigning blame for unsafe practice (e.g., Goeschel et al., 2006; Hsia, 2003 … The findings of the FMEA were then used to design strategies to improve medication safety and reduce … Journal of Patient Safety, 3, 97-106. Hsia, D.C. (2003).

2466. Serious Reportable Adverse Events in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
      December 01, 2000 - Advances in Patient Safety: Vol. 4 340 As part of a comprehensive approach to improving patient safety … • Indicative of a problem in a health care facility’s safety systems. … By intent, this list of serious reportable events is relatively short, based on the belief that a short … Moreover, using reports to perpetuate a culture of blame will assuredly discourage reporting.12 Consumers … in the safety of health care.

2467. Facilitator Guide: Implementing Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
      December 01, 2017 - Staff Safety Assessment. … Don’t Clinicians Follow the Guidelines SAY: The driving force behind the TRiP methodology is the core belief … Also, educate staff on the science of improving patient safety. … culture. … To learn more about Science of Safety, watch this informative 23-minute video: http://www.ahrq.gov/professionals

2468. 2014 Chartbooks | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-chartbooks.html
      March 01, 2020 - Among Adolescent Females Health Living: Adult Women Patient Safety Person- and Family-Centered … The order and topics of the chartbooks are:  Access to care. … Priorities of the National Quality Strategy. … Promoting effective communication and coordination of care. … Residents of rural areas.

2469. AHRQ Strategic Plan for Health System Transformation To Optimize Health, Functional Status, and Well-Being Among Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/aging-well-strategic-plan.pdf
      August 01, 2024 - , quality, safety, equity, and outcomes of care is exceedingly challenging due to multiple issues, including … , for example, workplace safety and diagnostic safety in ambulatory care. … • AHRQ’s Surveys on Patient Safety Culture (SOPS®), which ask healthcare providers and other staff … The surveys can be used to raise awareness of and improve an organization’s patient safety culture. … • AHRQ’s Quality and Safety Review System, a patient safety surveillance system, which relies on clinical

2470. ADHD Behavior Therapy References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-references.pdf
      August 12, 2012 - Review of AERS Data from Marketed Safety Experience During Stimulant Therapy: Death, Sudden Death, Cardiovascular … Review of AERS Data from Marketed Safety Experience During Stimulant Therapy: Death, Sudden Death, Cardiovascular … of US Children. … Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD. … of Medicine.

2471. References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-references.pdf
      August 12, 2012 - Review of AERS Data from Marketed Safety Experience During Stimulant Therapy: Death, Sudden Death, Cardiovascular … Review of AERS Data from Marketed Safety Experience During Stimulant Therapy: Death, Sudden Death, Cardiovascular … of US Children. … Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD. … of Medicine.

2472. Elements of Access to Health Care: Workforce Capacity | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/elements4.html
      June 01, 2018 - Access to Health Care Elements of Access to Health Care Elements of Access to Health Care: Services … Elements of Access to Health Care: Timeliness Elements of Access to Health Care: Workforce Capacity … Health care safety net for hospital admissions of vulnerable populations. … outcomes, quality, safety, and satisfaction. … Importance: Some hospitals contribute to the safety net and provide care for more Medicaid and uninsured

2473. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
      May 01, 2017 - have a high level of psychological safety. … Before you start work to improve communication and teamwork, consider administering a culture survey … One example used by many facilities is the AHRQ Survey on Patient Safety culture. … First, “Is this a critical safety step at the risk of being missed?” … Effects of the Introduction of the WHO “Surgical Safety Checklist” on In-Hospital Mortality.

2474. Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
      January 01, 2004 - Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies … 507 Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional … Prompt Advances in Patient Safety: Vol. 3 508 assessment of potentially suicidal patients by … Plan-Do-Study-Act cycle of policy development Advances in Patient Safety: Vol. 3 512 “Plan” … Suicide risk factors among veterans: risk management in the changing culture of the Department of Veterans

2475. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - During its deliberations, the committee evaluated the relative safety merits of specific requirements … Any system can be undermined by failures of common safety behaviors. … Ultimately, the success of any protocol depends on the culture of safety that surrounds it. … Eliminating wrong site surgery, Patient Safety Bulletin #1; A joint statement of the American Academy … The Patient Safety and Quality Improvement Act of 2005. Overview, June 2006.

2476. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
      March 15, 2016 - needs and cultures. … ○ Presentation of a focus topic each month with suggestions to prevent patient safety events. … Validation of AHRQ’s Patient Safety Indicator for accidental puncture and laceration. … safety? … X PDI 10 Postoperative Sepsis X Negative or inconclusive blood cultures do not preclude a diagnosis

2477. Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
      October 01, 2020 - Staff Safety Assessment. … Say: The driving force behind the TRiP methodology is the core belief that clinicians want to do the … Also, educate staff on the science of improving patient safety. … culture. … To learn more about Science of Safety, watch this informative 23-minute video: http://www.ahrq.gov/hai

2478. Appendix D: Additional Readings | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/appendix-d.html
      April 01, 2020 - Common challenges included staff resistance and entrenched organizational culture. … The report gives a number of examples of how crowding adversely affects emergency care and offers several … The entire process reflects the establishment, growth, and reinforcement of a culture of quality. … This report summarizes the findings from an evaluation of UMLN II. … the strategies on measures of patient flow.

2479. Using Probabilistic Risk Assessment to Model Medication System Failures in Long-term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
      January 01, 2003 - models—because they display and quantify the complex relationships between system elements, organizational culture … A total of 16 Advances in Patient Safety: Vol. 2 398 Figure 1. … produce them, leading to a better understanding of both systemic and human component safety risks. … Medical applications of industrial safety science. Qual Saf Health Care 2002;11:205–6. 7. … In: Patient safety: achieving a new standard of care. A report of the Institute of Medicine.

2480. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/mgmt.html
      August 01, 2018 - of appropriate clinical preventive services), safety (e.g., medication reconciliation to avoid duplication … Similarly, the care team’s culture must be receptive to the integration of the individuals delivering … This may require culture change among the care team. … should be considered to incentivize training that supports culture change toward coordinated, team-based … interprofessional practice, culture change embracing CM services will be difficult to achieve.