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Showing results for "culture of safety".

2621. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
      April 07, 2008 - care for improved safety, the risks of potential failures in perinatal units that could result in medical … Discussion A number of research approaches can be used to identify risks and hazards in patient safety … culture assessment.22 However, the use of in situ simulation to supplement FMEA has not yet been done … Use of a systematic risk analysis method to improve safety in the production of paediatric parenteral … Sensemaking of patient safety risks and hazards.

2622. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
      February 01, 2017 - Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Introduction and Evidence … importance of an early mobility program, identify the key interventions of an early mobility program … , and hospital lengths of stay as well. … Critical Care Medicine calls, "a culture of mobility." … However, shifting the focus of nurse-driven mobilization to the phase of acute illness when they’re very

2623. Module 2: How To Manage Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
      October 01, 2017 - change in your organization to maximize the possibility of successful implementation of the Pressure … and maximize the possibility of successful implementation of the Pressure Injury Prevention Program … Training Resources Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety … This will help ensure there is a budget allocated for patient safety activities and help create a hospital … culture whereby patient safety is a priority.

2624. Morning Briefing and Shadowing (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
      April 01, 2013 - I am a member of the Quality and Safety Research Group faculty, soon to become The Armstrong Institute … I'm Director of Patient Safety Curriculum here at John Hopkins. … Lots of other people are way ahead of us, and we here in health care, we've been working on patient safety … And some of the things that we often find, especially when culture is poor, is that people feel that … Also when there's a difference of 20 percent between cultures of provider types -- those questions where

2625. Chapter 6. Conclusions and Recommendations | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi6.html
      April 01, 2018 - Culture Type Map to Procedure Types Appendix F. Algorithms Appendix G. … In the case of anemia, hemoglobin levels were to be recorded—from which a set definition of Anemia could … No single set of risk factors that can be used to predict SSI across all types of surgical procedures … (public health safety net, academic, community, etc.). … of SSI and/or important nuance information instead of binary yes/no information (which loses much of

2626. Statistical Process Control Slides
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
      June 04, 2013 - Alder, PhD serves as chief of the Division of Public Health in the University of Utah Department of … Public Health and Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine With … telephone components that were of uniform quality Based on theory of variation Long history of use within … Hopkins Medicine Control Charts Are a Primary Tool of SPC Allows determination of system’s “control … capacity to both detect and investigate significant system shifts Quickly identified GI involvement in culture

2627. Final Progress Report: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
      January 01, 2024 - The demonstration project’s effects were bolstered by strong pharmacy leadership and corporate culture … on materials for awareness campaigns, specifically focused on themes of medication safety; b) obtain … the pharmacy itself as a place of opioid safety and overdose response. … Beliefs associated with pharmacy-based naloxone: A qualitative study of pharmacy-based naloxone purchasers … Pharmacy leaders’ beliefs about how pharmacies can support implementation and dissemination of naloxone

2628. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
      January 01, 2004 - working life, such as job satisfaction and stress, and perceived safety and quality of care).12 This … Advances in Patient Safety: Vol. 2 354 Instrument for observing the use of IV pump technology ( … , and cultures. … Advances in Patient Safety: Vol. 2 362 Another evaluative method involves an FMEA of the medication … Making health care safer: a critical analysis of patient safety practices.

2629. Final Progress Report: Validation of an Innovative Approach to Error Reduction (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/blumenthal-report.pdf
      January 01, 2024 - number and type of ED safety problems ever developed. … coherent domains: physical environment, equipment, triage & monitoring, staffing, nursing, teamwork, culture … with safety. … Perceptions of safety among emergency department clinicians. … Perception of workplace safety and incidents of violence and weapons in the ED.

2630. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
      January 01, 2004 - educational background; cognitive capacities and limitations; perceptual variations; age- related skills; cultural … background; personality; time available for learning and training; frequency of system use; and so … of patient safety implications of the product. … Second, we used it for comparison of patient safety features of alternative medical devices, which is … Although it is limited in its scope of coverage of the full range of patient safety related features

2631. Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI Kit de herramientas de seguridad para cuidados a largo plazo
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/empowerment-slides-spanish.pptx
      January 01, 2014 - of patient care quality. … University of Wisconsin–Madison, School of Nursing; 2007. https://www.nhqualitycampaign.org/files/Implementation_Manual_Part … Department of Health & Human Services, U.S. … Journal of Applied Gerontology. 2014;33(5):603-23 Griffith S. … Just Culture, Healthcare Services Overview.

2632. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiic.html
      June 01, 2010 - HCBS MS Domains: Safety, Effectiveness, Timeliness, Efficiency, Access, Coordination of Long-Term … organizational culture and assessment. … safety, effectiveness, promptness and efficiency. … Data Collection: N/A Total Items/indicators: 25 concepts/indicators HCBS MS Domains: Safety, … Domains include Work, Living, Community, Relationships, Health, Safety, and Organization.

2633. 4. Defining Language Need and Categories for Collection | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
      May 01, 2018 - ) to be targeted with the aim of improving the quality of care and reducing disparities. … for language services from 50 to 75 percent. 2 An analysis of the adequacy of different means of providing … Effect of Language on Health Status, Access to Care, Health Outcomes, and Patient Safety It is well … One survey of care provided mainly in safety net hospitals found that the experiences of uninsured patients … Effect of Language on Patient Safety Systematic literature reviews find that use of ad hoc interpreters

2634. Section 6: Strategies for Improving Patient Experience with Ambulatory Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/index.html
      March 01, 2023 - Overview of Strategies Appendix 6a. … of care, and customer service. … ambulatory surveys address issues outside of the direct control of health plans, because the locus of … cost measures, including those that evaluate clinical processes, patient safety, utilization of health … of Michigan, to the Michigan Patient Experience of Care Initiative, January 16, 2013. 10.

2635. Implementation Coaching | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/activity/coach.html
      June 01, 2023 - Describe the role of a TeamSTEPPS coach. List competencies of an effective coach. … In this role, a coach: Helps team members see the bridge between new behaviors and patient safety … Encourages belief in team members’ ability to succeed, by asking powerful questions to identify the source … Your organization’s culture may drive how this matching is done. … Make matches based on what fits best in your organization’s culture.

2636. Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
      January 01, 2025 - the quality and safety of these high-risk transfers. … Improving the quality and safety of inter-hospital transfers for critically ill patients. … 46.52% 41.52% -10.75% 0.302 Teamwork 32.91% 29.54% -10.24% 0.477 28.21% 18.71% -33.68% 0.024* Hospital culture … of interventions in improving patient safety during discharge transitions. … Journal of Patient Safety. 2019 Sep;15(3):198-204.6. 6.

2637. Hospital-Level Gap Analysis for MRSA and SSI Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
      April 01, 2025 - for MRSA and SSI Prevention AHRQ Safety …  Yes  No AHRQ Safety Program for MRSA Prevention | Surgical Services | 2 Gap Analysis (Hospital-Level … (CDC)/National Healthcare Safety Network (NHSN)? … Does your lab have the capacity to process surveillance cultures either onsite or by sending samples … ]  Yes  No AHRQ Safety Program for MRSA Prevention | Surgical Services | 11 Gap Analysis (

2638. Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
      April 01, 2025 - of Funding Approach to Improving Healthcare Facility Design Safety (No. of Projects)ii Patient Safety … PATIENT SAFETY 2 Examples of Project Findings This collection of AHRQ-funded work includes projects … on the impact of the built environment on patient safety. … • Study how design issues (e.g., family zones, decentralized nursing stations) affect hospital culture … background noise, which led to improvements in the safety and quality of patient care.

2639. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention: Targeting … reducing SSIs Unclear Efficacy of Topical Antimicrobials AHRQ Safety Program for MRSA Prevention: Targeting … a randomized controlled trial to determine the safety of the topical use of vancomycin powder in preventing … surveillance data1,2 Nursing home resident, hemodialysis patient Prior infection or culture data with … a randomized controlled trial to determine the safety of the topical use of vancomycin powder in preventing

2640. Optimizing Environmental Cleaning: Webinar Slide Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/021-optimizing-evc-webinar-slides_revised.pptx
      October 01, 2024 - No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU AHRQ Safety Program … Optimizing Environmental Cleaning 5 Three Key Facets of Environmental Cleaning | 6 AHRQ Safety … | ICU & Non-ICU Optimizing Environmental Cleaning 23 Examples Of UV-C Machines | 24 AHRQ Safety … Evaluation of hospital room assignment and acquisition of Clostridium difficile infection. … Impact of routine use of a spray formulation of bleach on Clostridium difficile spore contamination in