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Showing results for "culture of safety".

2601. Ventilator-Associated Event Surveillance: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
      February 01, 2017 - Ventilator-Associated Event Surveillance: Facilitator Guide AHRQ Safety Program for Mechanically … Slide 5: Connect the Safety Dots Say: The use of any invasive device can lead to harm. … On the other hand, diffusion comes from your culture. … Those who take longer to adopt and apply the new National Healthcare Safety Network definitions remain … VAEs reported to the National Healthcare Safety Network in the first year of the definition were patients

2602. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
      January 01, 2024 - safety message. … , addressing a variety of issues and potential problems in medication safety. … Using a multi-hospital survey to examine the safety culture. … Patient reported safety and quality of care in outpatient oncology. … Patient reported safety and quality of care in outpatient oncology.

2603. Mutual Support: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_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 SCRIPT There may … quality and patient safety. … Finally, DESCR is a great tool to help reinforce and establish a culture of huddles for high‐risk patients

2604. Mutual Support: Severe Hypertension - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_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 … to resolve the safety issue. … Finally, DESCR is a great tool to help reinforce and establish a culture of huddles for high-risk patients

2605. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
      January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors Improving Patient Safety … Key Words: medication safety, medication error, medical error, patient safety 5P01HS011530-05 Strom … PURPOSE General Problem and Overall Goal The overall goal of this program was to improve patient safety … Poor adherence can lead to potential or real failure of anticoagulation and threaten patient safety … “Understanding Medication Errors in the Context of Hospital Culture and Operations: Sociological and

2606. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence-references.html
      April 01, 2025 - The Economics of Diagnostic Safety. Improving Diagnosis in Health Care . … Conceptualising centres of excellence: a scoping review of global evidence. … Department of Commerce, National Institute of Standards and Technology; 2023. … Institute of Medicine Committee on Quality of Health Care in America. … excellence through prevention and teamwork (ADEPT) study protocol: a multicenter, prospective quality and safety

2607. Technical Review 17: Nutritional Research Series, Vol. 1: Application of Systematic Review Methodology to the Field of Nutrition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
      January 01, 2009 - a Congressional mandate to review the current scientific evidence on the efficacy and safety of dietary … Effectiveness and Safety of Vitamin D in Relation to Bone Health, (10) 2. … Effectiveness and Safety of Vitamin D in Relation to Bone Health. … Effects of Omega-3 Fatty Acids on Arrhythmogenic Mechanisms in Animal and Isolated Organ/Cell Culture … constituents on safety Inclusions: subjects ≥ 13 y; RCTs, cohorts, cross-over and non-randomized

2608. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - One of the critical transforming concepts of safety science 2 is that a “system,” not an individual … The patient safety movement seeks to build a culture in which systems mitigate human error and prevent … Department of Veterans Affairs National Center for Patient Safety (NCPS). … being implemented will expand the quality of patient safety event data. … There are many driving forces in patient safety, but one of the benefits of an institutional CCA is

2609. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
      January 01, 2024 - safety, in the design of healthcare environments. … SCOPE Improving safety is one of the most urgent issues facing healthcare. … (e.g., organizational culture, operation) in complex ways, impacting the risk of adverse events. … The result of the literature review was a draft list of safety-related latent condition questions and … The environment of safe care: considering building design as one facet of safety.

2610. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/refs.html
      October 01, 2015 - Device-Associated Infections Resident Physicians as Safety Champions Sustainability Preventing … National Healthcare Safety Network (NHSN) Report, data summary for 2013 device-associated module. … Clinician practice and the national healthcare safety network definition for the diagnosis of catheter-associated … National Healthcare Safety Network (NHSN) Report, data summary for 2013 device-associated module. … Extended use of urinary catheters in older surgical patients: a patient safety problem?

2611. 018-Revision-Summary-Contact-Precautions (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
      October 01, 2024 - of MRSA … culture change, across Veterans Affairs hospitals nationwide.2 Rates of MRSA transmission were noted … of contact precautions. … Summary of Evidence for Contact Precautions To Prevent MRSA ICU & Non-ICU AHRQ Safety Program for MRSA … Prevention | ICU & Non-ICU Summary of Evidence for Contact Precautions | 2 AHRQ Safety Program for

2612. Section 3. Measuring Emergency Department Performance | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/section3.html
      April 01, 2020 - Hospitals exhibit strong characteristics of both types of industries. … Over a third of U.S. … This may require structure and culture modifications along the power/authority continuum ( Figure 1 ) … This rationale was supported by the results of a first-of-its-kind field test of the ED throughput measures … sharing the data gave them "greater legitimacy" when dealing with other departments and helped create a "culture

2613. Meeting Minutes, November 2018 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2018-11-nac/nacmtg1118-minutes.html
      April 01, 2019 - Fain, J.D., M.P.P., Betsy Lehman Center for Patient Safety Tina M. … : Building a Safer Health System , which was a call to action for patient safety and has led to many … safety and quality. … CMS has learned from working with quality improvement programs that providers need to adopt a data culture … Masica encouraged AHRQ to address the issues of healthcare culture, provider burnout, and measurement

2614. Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-2-pf-as-a-resource.pdf
      September 01, 2015 - What Practice Facilitators Do Practice facilitators promote a culture of learning and QI within practices … net to non-safety net providers. … (Knowledge of the safety net) Please rate how confident you are with your knowledge* of the following …  team based  care and associated culture  change Redefining clinical roles  and responsibilities to …  panel  management and creating  culture change to support it Training panel manager  mlkj mlkj mlkj

2615. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
      January 01, 2017 - Slide 4 Connect the Safety Dots SAY: The use of any invasive device can lead to harm. … On the other hand, diffusion comes from your culture. … VAEs reported to the National Healthcare Safety Network in the first year of the definition were patients … of pasafety … Overview 5 AHRQ Safety Program for Mechanically VenSafety Dots Ven<

2616. Affinity-Details-Improving-Support-Women (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-improving-support-women.pdf
      May 01, 2021 - • The number of women eligible for CR is growing • The percentages of women enrolling and completing … programs inadvertently add challenges for women related to scheduling, social support, psychological safety … Janna emphasized the importance of getting spouses and children to understand the value of CR and support … en Espanol” to promote the use of patient ambassadors. … completion rates of women in CR.

2617. Strategy 1: Working with Patients & Families as Advisors (Tool 5)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
      June 02, 2025 - a patient and family advisor is to help us improve the quality and safety of the health care that we … Help plan and develop strategies for improving the quality and safety of care that we provide. … could serve as members to facilitate the work of quality and safety committees.] … and hospital staff ask about and respect each patient’s and family’s values, preferences, goals, and cultural … backgrounds.

2618. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
      January 01, 2024 - short of fully helping to improve the safety of care. … healthcare delivery systems, such as technology, workflow, culture, and the physical environment. … It is well recognized in safety engineering that the heart of safety lies not in injuries or errors … anywhere in a healthcare delivery system; they represent interactions between clinicians, patients, culture … Sensemaking of Patient Safety Risks and Hazards.

2619. Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
      January 01, 2024 - Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety AHRQ TEAM … Create a culture of safety by increasing vigilance and prevention of adverse events and outcomes through … continual monitoring, identification of threats to patient safety, and systematic implementation of … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Patient safety, competency, and the future of surgical simulation.

2620. Guide: Purpose and Use of CLABSI Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/clabsi-tools/guide.html
      January 01, 2020 - When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the tools have nearly eliminated … infection control practitioner can help your CUSP team— Ensure you are using National Healthcare Safety … , the same is not yet true in health care's hierarchical culture. … Enter your data into a State-level database or to CDC's National Healthcare Safety Network . 11-12 … National Healthcare Safety Network Patient Safety Component Manual.