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Showing results for "culture of safety".

2641. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      August 01, 2025 - Overview of Patient Safety Learning Laboratory (PSLL) Projects Introduction Patient safety learning … The ASCENT Lab developed, piloted, and implemented a needs-driven technical and culture-based solution … enhancing the safety and quality of patient care. … Understand and improve workspace design and safety culture to influence anesthesia medication selection … healthcare professionals, physical environments, equipment, supplies, interventions, data, regulations, culture

2642. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
      December 01, 2017 - Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety … TeamSTEPPS®: Strategies and Tools to Enhance Performance and Patient Safety Selecting Quality and … Preventing Falls in Hospitals Hospital Survey on Patient Safety Culture Comprehensive Unit-based … Set of tools that hospitals can use to help improve performance in quality and patient safety Toolkit … Quality and Safety as Priorities We have a shared sense of purpose that quality and safety are our highest

2643. Chapter 2. Determine Surgical Site Infection Rates (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2a.html
      April 01, 2018 - Culture Type Map to Procedure Types Appendix F. Algorithms Appendix G. … Denver Health and Vail hospitals followed National Healthcare Safety Network (NHSN) guidelines and performed … Organisms associated with deep- or organ-space SSI were counted by positive microbiology cultures from … of 77 percent and a specificity of 94 percent. … The “simple” algorithm, using only data on postoperative cultures or postoperative antibiotics, had a

2644. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - of the NQF Patient Safety Event Taxonomy as the first step in comparing safety practices in orthopedics … Webber also stated his belief that an incentive system should reward not only the top-tier providers … southeastern Virginia and northeastern North Carolina, established and continues to promote a system-wide culture … of safety through a comprehensive error-prevention initiative. … Bradley said that he believes the problem is that different purchaser cultures do not value this alignment

2645. 2023 National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023nhqdr-introduction-rev.pdf
      December 07, 2023 - the quality of healthcare and patient safety. … section to include sections on healthcare-associated infections and patient safety culture and adding … • Categorizing the measures into six priority areas (e.g., Patient Safety, Healthy Living) that could … interest (e.g., hospitals), such as patient safety, delays in care, and increased use of new care delivery … organized into nine areas: COVID-19 experiences, access, affordable care, effective care, patient safety

2646. 2022 National Healthcare Quality and Disparities Report Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-intro.pdf
      December 01, 2022 - the quality of healthcare and patient safety. … • Expanding the patient safety section to include sections on healthcare-associated infections and … patient safety culture and adding sections on lifestyle modification and care coordination. … • Categorizing the measures into six priority areas (e.g., Patient Safety, Healthy Living) that … Patient Safety Monitoring System data

2647. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
      January 01, 2025 - or transfer patient; (10) measure outcomes; (11) update processes and workflows; and (12) nurture a culture … evaluate the safety and efficiency of the project’s technology. … was met with support to implement as a smart calculator with the belief that it would reduce calculation … For example, staffing levels and ‘capacity strain’ may erode safety culture and weaken compliance with … That is, we may have found more determinants of unit-level safety with a larger sample consisting of

2648. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      June 02, 2025 - : Implementation AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention 1 AHRQ’s Safety … This was not always so easy here but we have worked hard to implement TeamSTEPPS and the culture of … We work together as a team with a constant focus on resident safety. … Facilitator: It’s wonderful to hear about such a change in facility culture, Joanie [DON]. … X X Weekly Fall Risk or Safety Meetings Multidisciplinary team review of residents at risk

2649. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
      January 01, 2024 - Prior research has shown that hospitals with higher teamwork culture ratings have lower nurse resignation … The Safety of Inpatient Health Care. The New England Journal of Medicine. … Coproduction of healthcare service. BMJ Quality & Safety. … Journal of Patient Safety. … The influence of teamwork culture on physician and nurse resignation rates in hospitals.

2650. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
      January 01, 2024 - this, including feeling poorly from their disease and its treatment or the belief that reporting would … enhancements based on lessons learned during Aim 1, and adaptations to take into account the specific culture … How willing are patients to question healthcare staff on issues related to the quality and safety of … Parents' perceptions of medical errors. Journal of patient safety. 2010;6(2):102-7. … Hospital Survey on Patient Safety Culture.

2651. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
      January 01, 2024 - medication use variance; (3) developing strategies to improve levels of patient safety, including … In keeping with the mission of AHRQ to sponsor research that improves the safety of patients being cared … to improve levels of patient safety, we proposed to disseminate the results of our research to several … of the patient safety hotline, focus groups, and surveys. … Perceptions of Patient Safety Culture: A Practical Approach to Developing Performance Improvement.

2652. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/environment-equipment.pptx
      March 01, 2017 - /Equip. ׀ 2 AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI Upon completion of this session, … during bathing or showering) Disinfect port with alcohol swab for 15 seconds before obtaining a urine culture … Cleaning/disinfection offers extra margin of safety Disinfectant kills bacteria and viruses that can’ … This is for your safety and the safety of all the people you take care of and work with. … AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI Env.

2653. Case Example #5: WellMed | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
      July 01, 2019 - Approximately 90 percent of the panel of Dr. … management by their PCP, who can request a home visit to determine complexity and the adequacy and safety … WellMed is starting to focus on the culture of care between primary and specialty care with the goal … The center is currently testing a medication safety program for seniors, with caregiver outreach to improve … Quality Improvement Efforts and Culture On the 4th Thursday of the month, the Medical Center clinic

2654. New Models of Primary Care Workforce - Case Example #5: WellMed (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdf
      October 01, 2016 - Approximately 90 percent of the panel of Dr. … management by their PCP, who can request a home visit to determine complexity and the adequacy and safety … WellMed is starting to focus on the culture of care between primary and specialty care with the goal … The center is currently testing a medication safety program for seniors, with caregiver outreach to … Quality Improvement Efforts and Culture On the 4th Thursday of the month, the Medical Center clinic

2655. Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
      September 01, 2015 - as a means for having a staff member or clinician reflect on any ambivalence about the process, the culture … If you are working with safety net practices, you may be in areas of town that are not safe and where … When working with patients or practice members from cultures, backgrounds, or experiences different … Courses offered at IHI are in the subjects of patient safety; improvement capability; quality, cost … http://www.coachmedicalhome.org/about/coaching-overview Safety Net Medical Home Initiative The Safety

2656. National Quality Strategy Priority: Person-Centered Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs3.html
      October 01, 2015 - Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety … Population Part 2: Trends in Priorities of the Heckler Report Part 2: Trends in Priorities of the … Quality Strategy Priorities Part 4: Health Care of Residents of the U.S. … -Mexico Border Part 4: Health Care of Residents of the U.S. … hospice patients who received the right amount of help for feelings of anxiety or sadness.

2657. Final Progress Report: Videotaping communication between physicians and nurses: A methods study (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
      January 01, 2024 - nurses remains a pressing problem, compromising the care and safety of hospitalized patients across … context on quality and safety. … Transforming healthcare: A safety imperative. … Context, culture and (non-verbal) communication affect handover quality. … Creating safety by strengthening clinicians’ capacity for reflexivity.

2658. CRP Certification: Promoting Accountability and Learning After Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
      January 01, 2024 - CRPs, with the ultimate goal of improved healthcare quality and safety. … CRPs, with the ultimate goal of improved healthcare quality and safety. … CRPs have their origins partly in principles of Just Culture, which recognize that most medical errors … and safety of care. … BETA has defined five domains – culture of safety, rapid event response and analysis, communication

2659. Candidate Measure Submission Form (CPCF) | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/cpcf-form15.html
      December 01, 2013 - of the performance (or nonperformance) of functions or processes of care.  … ) of functions or processes. … Process of care denotes what is actually done to the patient in the giving and receiving of care. … In 2001, the IOM defined quality as having six aims: Safety, Timeliness, Effectiveness, Equity, Efficiency … suggested that structural attributes should include organizational characteristics such as leadership and culture

2660. Guide for Safe Transitions to New Appointments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
      December 01, 2017 - patients served, roles of teams, and cultures ■ Financing models that are often based on productivity-driven … Guide to Patient and Family Engagement in Hospital Quality and Safety. … Guide to Improving Patient Safety in Primary Care Settings by Engaging Patient and Families. … National Patient Safety Foundation. … Shekelle PG, Sarkar U, Shojania K, et al.Patient Safety in Ambulatory Settings.