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Showing results for "culture of safety".

2561. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013-refs.html
      October 01, 2015 - Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … Effect of bar-code technology on the safety of medication administration. … Advancing patient safety in the U.S. Department of Veterans Affairs. … Culture and Redesign. Rockville, MD: Agency for Healthcare Research and Quality; 2008. … Fundamentals of Medicare safety surveillance: intent, relevance, and transparency.

2562. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
      September 01, 2024 - , and reduce diagnostic errors and near misses in clinical practice • Establish a work system and culture … negative consequences if they do not follow instructions, rather than from trust or belief in the treatment … Diagnostic Safety The last element of Cormac Russell’s Four Modes of Change46 is BY. … race and culture among patients and doctors, which improves the communication of symptoms and the resulting … Current State of Diagnostic Safety: Implications for Research, Practice, and Policy.

2563. National Advisory Council Meeting, July 14, 2020: Minutes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
      January 01, 2020 - It is titled “Operational Measurement of Diagnostic Safety: State of the Science.” … National Advisory Council, July 14, 2020 Page 5 • AHRQ’s Surveys on Patient Safety Culture program … adults, team and human factors for safety, and a listing of COVID-19 resources. … AHRQ has a history of translating evidence about healthcare safety. … push them in certain directions, changing the culture.

2564. Best Practices: How Successful Units Engaged Their Senior Executive Leaders (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
      April 01, 2013 - And where we were able to show success and able to make that part of the culture is that daily auditing … physician all day or in there with that patient, so at the beginning it was a different, a difficult culture … So I think it was more impactful for the culture, not just for a practice, and I think it worked very … Patient Safety. … The most important thing that we impress upon them is that patient safety comes first.

2565. Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
      January 01, 2003 - Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary … the aim of expediting clinician adoption of critical concepts related to VAD-related patient safety … Clinical workforce issues also add to the sense of VAD patient safety urgency, given the results of … Optimal patient safety demands an organizational culture built around a process of care, focused collaboration … Expediting Clinician Adoption of Safety Practices—UCSF 297 52.

2566. Mutual Support: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
      July 01, 2023 - is a key element in being a good team member, even when it’s sometimes difficult to do because the culture … she senses or discovers a breach of safety • This is an action never to be taken lightly, but it … requires immediate cessation of the process and resolution of the safety concern                     … Finally, DESCR is a great tool to help reinforce and establish a culture of huddles for high‐risk patients … Sonentag, obstetrician SCRIPT The L&D director reinforces her belief that Dr.

2567. Gap Analysis for MRSA and SSI Prevention (Surgical Services) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/146-gap-analysis-surgical-services.pdf
      April 01, 2025 - AHRQ Safety … Is preoperative S. aureus surveillance performed by cultures, polymerase chain reaction (PCR), or other …  Yes, patients receive instructions for how to apply CHG  No  Not applicable AHRQ Safety Program … AHRQ Safety Program for MRSA Prevention | Surgical Services | 4 Gap Analysis (Surgical Services) …  Other: AHRQ Safety Program for MRSA Prevention | Surgical Services | 5 Gap Analysis (Surgical

2568. Optimizing Environmental Cleaning (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
      October 01, 2024 - Optimizing Environmental Cleaning AHRQ Safety Program for MRSA Prevention Optimizing Environmental Cleaning … Although no one can be in the same room when the UV-C light is activated, general safety features such … Patients felt it was an additive safety feature and remarked that the odor dissipated quickly. … No. 25-0007 October 2024 Optimizing Environmental Care | 1 AHRQ Safety Program for MRSA Prevention … Program for MRSA Prevention | ICU & Non - ICU AHRQ Safety Program for MRSA Prevention | ICU & Non -

2569. Chapter 3. Developing Change: Designing the Medication Reconciliation Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/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.

2570. Three Areas To Immediately Advance Diagnosis In Rural Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare3.html
      September 01, 2024 - However, as of 2024, 65 percent of all primary care health professional shortage areas (HPSAs) were in … in communities of 25,000 people or smaller. 46,47 Support of residency programs and fellowships designed … skill sets and ensure ongoing continuing education for surgical staff is necessary to create a patient safety … culture of diagnostic and surgical excellence. 59 Such tools include Periop 101 60 from the Association … of PeriAnesthesia Nurses.

2571. Monitoring Ventilator-Associated Events Module 2
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-slides.pptx
      January 01, 2017 - Monitoring Ventilator-Associated Events Module 2 Monitoring Ventilator-Associated Events AHRQ Safety … Monitoring VAEs ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 3 Impact of Mechanical … Monitoring VAEs ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 23 Impact of Diagnostic … seven physicians for VAP Establish objective diagnosis by histology or quantitative bronchoscopy cultures … Monitoring VAEs ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 26 42% of physicians

2572. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - If “all politics is local,” then much of patient safety research is localized as well. … patient safety.2 However, despite the consensus opinion Advances in Patient Safety: Vol. 3 396 … Clinical researchers have developed several approaches to enhancing the safety of warfarin therapy. … Each facility had a unique history and culture with regard to warfarin care. … Decision support and safety of clinical environments. Qual Saf Health Care 2002;11:69–75. 6.

2573. EvidenceNOW Publications | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/publications.html
      May 01, 2024 - Zero-burnout practices also had higher levels of psychological safety and adaptive reserve, a measure … Effect of Practice Ownership on Work Environment, Learning Culture, Psychological Safety, and Burnout … The Virginia Cooperative examines effects of practice ownership on self-reported work environment, culture … of learning, psychological safety, and burnout at small- and medium-size primary care practices. … The authors found that zero-burnout practices had higher levels of psychological safety and adaptive

2574. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
      April 01, 2025 - But the concept of diagnostic safety is a bit forced. … of harm and achievement of success through methods from safety science. … and supported in medical culture. … Instead, the shifted language allows an open, growth-minded culture that invites a focus on continuous … Paradigms of Diagnostic Quality, Safety, and Excellence The Quality Paradigm The Safety Paradigm

2575. Assess-Resident-Rti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Assessment of the Resident With a Suspected Respiratory … Answer 3, sending a further diagnostic workup including a urinalysis or UA and urine culture, is also … She does not complain of any urinary symptoms; therefore, sending a UA and urine culture is not indicated … Ask Frontline providers to complete the Staff Safety Assessment. … No. 17(21)-0029 June 2021 Assessment of RTI AHRQ Safety Program for Improving Antibiotic Use – Long-Term

2576. Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
      July 01, 2023 - is a key element in being a good team member, even when it’s sometimes difficult to do because the culture … senses or discovers a breach of safety This is an action never to be taken lightly, but it requires … immediate cessation of the process and resolution of the safety concern 6 Hospital AIM Team Leads … Finally, DESCR is a great tool to help reinforce and establish a culture of huddles for high-risk patients … Sonentag, obstetrician Hospital AIM Team Leads SPPC-II SCRIPT The L&D director reinforces her belief

2577. Implementation-Guide-Appendix-A (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-a.docx
      January 01, 2008 - Checklists for Assessing Executive and Physician Champion Potential AHRQ Safety Program for Reducing … CAUTI in Hospitals AHRQ Safety Program for Reducing CAUTI in Hospitals Implementation … indwelling urinary catheters. · Verbalizes the importance of ongoing monitoring and reporting of process … to remove barriers. · Is responsible for proposing solutions to address barriers in the hospital’s culture … staff · Stays current on issues in patient safety, quality improvement, and risk-management through

2578. Offering Two-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/situation/teach/two-day.html
      February 01, 2024 - In your discussion of the patient, you may want to ask participants which of the elements noted in the … safety and a positive working environment. … Monitoring: I’M SAFE Checklist,” note that each item on the checklist has a direct, proven link to patient safety … , stress) may be affecting them requires a nonpunitive culture where the response to disclosure will … It’s to understand any issues that might affect safety and to help the team compensate or respond in

2579. Final Progress Report: Electronic Communications Across Provider Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/morrison-report.pdf
      January 01, 2024 - What aspects of patient safety and/or quality of care do you and your organization excel at? 2. … What aspects of patient safety and/or quality of care would you most like to improve? 3. … What aspects of patient safety and/or quality of care are you and your organization most passionate … patient safety and/or quality of care for our shared patient population? …  Workflow and culture change issues must be integrated into the planning process.

2580. The Sometimes Antibiotics” Diagnoses: Sinusitis – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
      September 01, 2022 - The Sometimes Antibiotics” Diagnoses: Sinusitis – Facilitator Guide AHRQ Safety Program for Improving … Cultures or swabs of nasal discharge are not indicated in acute sinusitis, and the majority of patients … because of risks of enamel hypoplasia and permanent teeth staining. … therapy of 10 days or less. … No. 17(22)-0030 September 2022 AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care Sinusitis