Results

Total Results: 3,042 records

Showing results for "culture of safety".

2521. Epidemiology of Invasive Devices and Complications | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
      October 01, 2015 - Infections Resident Physicians as Safety Champions Sustainability Preventing CAUTI: Focus on Culturing … Phlebitis (inflammation of the vein) can also occur, either related to chemical irritation of the vein … The occurrence of bacteremia in the presence of phlebitis and signs of sepsis is consistent with septic … use, the number of PVC complications becomes significant because of the high utilization. … The risk of VAP increases with the duration of ventilation, and may be modified by other factors such

2522. Appendix C. Detailed Descriptions of Agency Research Portfolios | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
      July 01, 2021 - One of the largest portfolios has focused on quality of care and patient safety. … This research has included development of specific safety and quality-of-care indicators for organizations … and quality improvement, such as the Survey of Patient Safety Culture (SOPS). … Patient Safety Culture survey and the system for vendors to administer and report results of CAHPS surveys … system-wide, standardized quality, and safety measures, and application of 25 years of comprehensive

2523. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
      January 01, 2024 - Scope Institute of Medicine (2004) reports on patient safety and medical error have led to an emphasis … adverse event and error reporting processes, and realization of “no-blame” cultures. … The intended goal of these interventions is to improve patient care quality and safety by increasing … On one hand, if they do not take steps to address safety concerns, safety outcomes suffer. … The role of continuous quality improvement and psychological safety in predicting workarounds.

2524. Meeting Minutes, July 2020 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2020-07-nac/nacmtg071420-minutes.html
      November 01, 2020 - It is titled “Operational Measurement of Diagnostic Safety: State of the Science. ”A goal is to foster … AHRQ’s Surveys on Patient Safety Culture program is developing survey items on workforce safety for the … adults, team and human factors for safety, and a listing of COVID-19resources. … AHRQ has a history of translating evidence about healthcare safety. … push them in certain directions, changing the culture.

2525. Implementation Guide for Ambulatory Care Antibiotic Stewardship (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-stewardship.pdf
      September 01, 2022 - Implementation of the AHRQ Safety Program for Improving Antibiotic Use in Ambulatory Care can help practices … why improving antibiotic use is important from a patient safety perspective. … appropriate diagnostic criteria to determine if a patient has an infection, common causative organisms and cultures … safety perspective. … use and enhance the safety of patients receiving antibiotics.

2526. Appendix V. JAMIA Draft Manuscript | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
      April 01, 2018 - Culture Type Map to Procedure Types Appendix F. Algorithms Appendix G. … DH and VVMC generally follow National Healthcare Safety Network (NHSN) guidelines and perform traditional … We then investigated the relationship of leukocyte count, temperature, the sending of a culture, the … high-normal laboratory value, as well as a "simple" algorithm that looked only for post-operative cultures … both antibiotic therapy and any culture testing for etiologic microorganisms.

2527. Transitioning Newborns from NICU to Home: A Resource Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
      January 01, 2004 - This toolkit includes resources for hospitals that wish to improve safety when newborns transition home … to assure the safety of the discharge process and as a result achieve good outcomes. … ■ Adjust the teaching to ft to the family’s comprehension, educational level, and cultural background … insurance coverage, pediatrician contact information and appointment date, CPR education, car seat safety … of discharge.

2528. The Impact of Personal Digital Assistant Devices on Medication Safety in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
      January 01, 2005 - of Personal Digital Assistant Devices on Medication Safety in Primary Care Kimberly A. … Two types Impact of PDAs on Medication Safety 257 of errors increased after introduction of the … point of care to improve prescribing safety. … Organizational change and a culture of sfety. … Impact of PDAs on Medication Safety 263 39. Whiting R.

2529. Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
      March 01, 2023 - of an assigned “liaison” in providing CC. … Confirm the referral and the destination of the referral Any member of the interdisciplinary … Anticipating Needs: Understanding Social Determinants of Health (SDOH) Some of a patient’s needs can … Challenges/Barriers/Concerns Possible Solutions /Responses Individual Concerns  Cultural values/beliefs … these resources for additional information and best practices o AHA - Health literacy and patient safety

2530. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
      August 01, 2010 - improving multiple aspects of hospital quality and safety.* * The Guide was developed for the U.S … safety. … The Nurse Bedside Shift Report strategy is flexible and adaptable to each hospital’s environment and culture … Creating this new culture of bedside shift report for nurses was a process and a challenging one at … Culture change through patient engagement. Nursing 2010 Oct;40(10):50–2.

2531. The AAFP Patient Safety Reporting System: Development and Legal Issues Pertinent to Medical Error Tracking and Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
      January 01, 2004 - Nine of the reported errors Advances in Patient Safety: Vol. 3 124 Table 1. … awareness of safety. … a national patient safety database of de-identified data. … There should be a nonpunitive culture for reporting health care errors that focuses on preventing and … Committee on Data Standards for Patient Safety, Institute of Medicine.

2532. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/zero_clabsis-slides/Sustaining-Zero-CLABSIs-May-8-2012-508.ppt
      January 01, 2012 - collaborative in Reducing and sustaining its CLABSI rate Implementing the Comprehensive Unit-based Safety … submitted from your teams CLABSI data Team Checkup Tool data Reducing CLABSI rates and improving safety … depends on Implementing technical changes Implementing CUSP to change culture Sustainability * … process. * Challenge #2: Improving Patient Safety Using TCT Data: CUSP Work * Data was robust: … * Keep CLABSI reduction/patient safety on your radar Continue calls if possible Make it easy for

2533. Final Progress Report: Center for Safety In Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
      January 01, 2025 - Conceptual framework for the safety of handovers. In: Henriksen K, ed. Advances in Patient Safety. … The medicalization of patient safety. Journal of Patient Safety 2005;1(1):1-3. … The role of automation in complex system failures. Journal of Patient Safety 2005 (in press). … The science of safety. In: Zipperer L, ed. Lessons in Patient Safety. … Chapter 4: Defining and enhancing safety culture in health care. In: Barach P, et al, eds.

2534. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - Here are the primary concepts of science of safety. … This requires a culture where frontline providers feel comfortable speaking up and have confidence their … of preventing defect in daily work Science of Improving Patient Safety ‹#› AHRQ Safety … 28 Training Steps and Tools NEXT STEP TOOLS TO USE Educate team on science of safety Science of Safety … : Apply Science of Safety into your work Educate your team and executive partners on the Science of Safety

2535. Monitoring Ventilator-Associated Events: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
      February 01, 2017 - Monitoring Ventilator-Associated Events: Slide Presentation AHRQ Safety Program for Mechanically … Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Monitoring … Slide 9: National Health Safety Network VAE Definition Objective. Streamlined. … Establish objective diagnosis by histology or quantitative bronchoscopy cultures. 32% of patients diagnosed … might be able to tell who does and does not have pneumonia, the evaluation studies do not support that belief

2536. Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization and Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
      September 01, 2015 - .................................................................. 16 Organizational or Corporate Culture … This essential function is often delegated to a risk management team that reviews patient safety issues … Organizational culture is the foundation for all practice activities. … Every practice has its own unique culture, and this culture will be an important factor in any work … Because of this, you will want to observe and be aware of the corporate culture in each practice and

2537. Work System Analysis: The Key to Understanding Health Care Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
      April 22, 2004 - This is most notable in Advances in Patient Safety: Vol. 2 338 the two recent Institute of Medicine … precisely because they are antithetical to system analysis and design.23, 24 Although this medical culture … Advances in Patient Safety: Vol. 2 346 All of the hazards identified for control are then listed … Gaps in the continuity of care and progress on patient safety. BMJ 2000 Mar 18;320:791–4. 13. … Beckley, WV: Dept. of the Interior, National Mine Safety Academy; 1978.

2538. The Impact of Health Information Technology on Work Process and Patient Care in Labor and Delivery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Campbell_47.pdf
      March 11, 2008 - safety vulnerabilities of the U.S. health care system and emphasized the need for widespread adoption … on patient safety are conflicting. … the value of incremental advancements in HIT integration for patient safety and clinical care. … positive impacts on patient safety are demonstrated. … Impact on organizational culture and behavior. Acad Med 1993; 68: 20-25. 14. Massaro TA.

2539. Chapter 3. Developing Change: Designing the Medication Reconciliation Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
      July 01, 2022 - What are the required elements for The Joint Commission's National Patient Safety Goal on medication … Piloting the improved process in this department is a good way to establish the culture of using a "One … Source of Truth." … there is a choice of EHR. … end of an outpatient encounter.

2540. The “Never Antibiotic” Diagnoses: Acute Bronchitis – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
      September 01, 2022 - The “Never Antibiotic” Diagnoses: Acute Bronchitis – Facilitator Guide AHRQ Safety Program for Improving … Antibiotic treatment of acute bronchitis is not recommended, regardless of the duration of the cough, … This graph shows the proportion of patients with resolution of cough on the y-axis and the number of … acute bronchitis, including chest x ray, spirometry, peak flow measurement, respiratory samples for culture … No. 17(22)-0030 September 2022 Acute Bronchitis AHRQ Safety Program for Improving Antibiotic Use – Ambulatory