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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/understand/index.html
June 01, 2020 - Safety. Relates to actual or potential bodily harm.
Timeliness. … : For the Indicators at a Glance Matrix, go to: http://www.ahrq.gov/professionals/quality-patient-safety … more information on quality improvement, go to: http://www.ahrq.gov/professionals/quality-patient-safety … For more information on quality domains, go to: http://www.ahrq.gov/professionals/quality-patient-safety … care, patient safety, healthy living, and other priorities.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - This was not always so easy here but we have worked hard to implement TeamSTEPPS and the culture of our … 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]. … We don’t have a weekly fall risk huddle or weekly fall risk or safety meetings. … X
X
Weekly Fall Risk or Safety Meetings
Multidisciplinary team review of residents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
March 01, 2004 - facilities lacking
internal systems to identify events, uncertainty about reporting requirements, a
culture … The expert panel of the Utah/Missouri Patient Safety Project recognizes
several limitations of use of … Letter to the Institute of Medicine
Committee on Data Standards for Patient Safety. … Utah Department of Health. Utah Patient Safety
Updates. Vol. I, No. 1–5. … Division of Administrative Rules. Rule R380-200.
Patient safety sentinel event reporting.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - An unanticipated
benefit of the in-situ, simulation-based education was the discovery of 40 safety concerns … Discussion
Creating a culture of safety has been a focus for the leadership of the HealthPartners
primary … plan
Medication safety risks (continued)
Staff drew up meds through metal bottoms
of cartridges … Patient safety concerns were identified through a review of the clinic
quality incidents, observations … We would not have identified the majority of the safety concerns noted in Table 2
had we offered the
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www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
February 01, 2018 - Atkins stressed the importance of culture that is informed by evidence and context. … James Cleeman, M.D., described AHRQ’s Comprehensive Unit-based Safety Program, which is advancing safety … Brady, Director of AHRQ’s Center for Quality Improvement and Patient Safety, introduced a session on … of California, San Francisco; Optimizing Mother and Neonate Safety at Stanford University; and Eliminating … Naylor stressed the importance of safety during health care transitions, and she encouraged the program
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www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - Figure 2 shows a de novo
compilation of potential use of data analytics to improve
diagnostic safety, … By focusing
on collective improvement and fostering a culture of learning,
incentive programs can better … Advances in patient safety an overview of to err is
human: Re-emphasizing the message of patient safety … Operational measurement of
diagnostic safety: state of the science. Diagnosis 2021;8:51–65. … of data analytics for improving diagnostic safety
Component 3: Implementation of strategies for payer
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www.ahrq.gov/sites/default/files/2024-01/zimring-report.pdf
January 01, 2024 - Number: #1R13HS015962-01
Dates of the project: 9/1/2005–8/31/2006
Total amount of the project: $25,000 … Patient safety;
2. Patient and family experience;
3. Nurse/staff working conditions.
ii. … ) on outcomes such as workplace satisfaction, patient satisfaction,
privacy, patient safety,
2 … Study how design issues (e.g., family zones,
decentralized nursing stations) affect the hospital culture … Ensured understanding of differential impacts of design on priority user groups.
i.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheetinstructions.pdf
June 02, 2025 - Worksheet
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … of Single Event.” … Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
June 02, 2025 - Prioritization Worksheet
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool C … Column F, “Cost of Single Event,” indicates the average cost to your organization of one
event. … increase both
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety … depending on
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - patients and families as partners in ensuring and improving the quality and safety of care that we provide … , and hospital staff are all working together – as partners –to improve the quality and safety of care … to and honoring patient and family ideas and choices and using patient and family knowledge, values, beliefs … and cultural backgrounds to improve care planning and delivery. … improvements in quality and safety:
Improved patient safety.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapc.html
April 01, 2018 - How long have you worked in the field of patient safety at this organization? Overall? … How often are air sampling and cultures performed? … How long have you worked in the field of patient safety at this organization? Overall? … , and (4) lack of timely and adequate guidance on personal protective equipment and other safety measures … How long have you worked in the field of patient safety at this organization? Overall?
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
March 01, 2025 - Assess the degree of the patient's understanding of the discharge plan. … Percentage of people called within 2 to 3 days of discharge. Percentage of calls completed. … of care, and have been validated as part of the CAHPS® development process. … These monthly discussions can also generate enthusiasm for an organizational culture that emphasizes … the importance of improving transitions of care.
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www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
January 01, 2024 - First, there is the topic of patient safety. … Other information about demographics, knowledge, attitudes, beliefs, and
previous experiences with the … Others described a disrespect based on
ethnicity/culture. … Presentation made of preliminary results to the Governor of Oregon
Commission on Patient Safety, October … A System of Medical Error Disclosure. Quality and Safety in Health
Care, 2002;11(1):64-68.
13.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/intro.html
June 01, 2018 - Michigan), Bryan Palis (NCBD, American College of Surgeons), Pennsylvania Patient Safety Authority, … Patient Safety: Making care safer by reducing harm caused in the delivery of care. … Patient Safety tracks safety within a variety of health care settings, including hospitals, nursing … Hospital Survey on Patient Safety Culture.
Medical Office Survey on Patient Safety Culture. … Medicare Patient Safety Monitoring System (MPSMS).
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www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
January 01, 2024 - By the beginning of the trial, the Patient Safety Dashboard was built around 13 safety domains: Code … may include concerns about the safety of their care. … Despite efforts to engage patients and promote a culture of safety, patients are often hesitant to
speak … culture of safety on these units, so patient-reported concerns via the application were reduced. … of Safety and Quality
Concerns.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldatapre.html
May 01, 2018 - Department of Epidemiology and Biostatistics, College of Health and Human Performance, University of … safety, effectiveness, timeliness, efficiency, patient-centeredness, and equity, while Unequal Treatment … The impact of language, culture, and socioeconomic status, along with race and ethnicity, are also more … Bormet (Asian & Pacific Islander American Health Forum), Erin Bowman (California Health Care Safety Net … Hammond (Duke University), George Isham (HealthPartners), Wendy Jameson (California Health Care Safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/mod6-care-for-caregiver-guide.pdf
April 01, 2016 - How to use this tool: Use this guide as a checklist to ensure the needed elements for implementation of … There are six sections of activities within the guide, many of which can be addressed
simultaneously … The tier diagram below represents these different levels of
support for the caregiver. … Optimal Resolution Toolkit
Tier 3
Expedited
Referral Network
Tier 2
Trained Peer Supporters
Patient Safety … Internal Patient Safety Culture Preparedness
2. Identify ‘Natural’ Second-Victim Supporters
3.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
November 01, 2019 - 4
Diffusion of Innovation — Categories of Adopters1
Propensity to adopt
High
Low
Propensity to resist … Changes – Antibiotic Prescribing
7
Drivers of Suboptimal Antibiotic Prescribing
Fear of inadequate … narrowing of therapy
Syndrome-specific stewardship for CAP
21
AHRQ Safety Program for Improving Antibiotic … about management
Guideline update
Direct, real-time feedback of management of CAP patients by ASP
22 … ASPs should work to engage both the minds and hearts of prescribers.
30
AHRQ Safety Program for Improving
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www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
January 01, 2025 - culture priorities).
3. … Step 4: Design of Safety Interventions and Controls
Many of the types of safety risks found in healthcare … It will contribute to
the science of patient safety. … Anatomy of a Patient Safety Event: A
Taxonomy for Pediatric Patient Safety. … to Improve Impatient Safety,” Safety Analysis and
Risk Assessment Division of the 2002 ASME International
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www.ahrq.gov/pcor/strategic-framework/cross-cutting-strategies.html
July 01, 2023 - community stakeholders to increase State-level capacity across the U.S. to support healthcare delivery in safety … net practices and align it with the needs of the community to reduce the time between generation of … , and strategies of the strategic framework. … AHRQ also recognizes and wants to support the explosion and evaluation of new models of care that include … Several of these initiatives have been investments of the PCORTF.