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Showing results for "culture of safety".

2681. Meeting Minutes, March 2021 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
      July 01, 2021 - An AHRQ-supported study of acute care and antibiotic use in applying a safety program found antibiotic … AHRQ produced two new issue briefs on improving diagnostic safety and quality. … The related Chartbook on Patient Safety revealed improvement in patient safety overall, especially … long-term actions that the agency can take to advance health equity within three areas: ensuring a culture … Value is linked to both quality and safety. Dr.

2682. Communication: Severe Hypertension - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
      July 01, 2023 - , medical records, aggregation of data), Physical environment (i.e., general safety, fire safety, security … Joint Commission Journal of Quality and Patient Safety. 2007 Jan;33(1):34-47. … Silliness for this activity is encouraged, even if that’s not your typical unit culture. … As part of the patient’s background and safety concerns, Dr. … Joint Commission Journal of Quality and Patient Safety. 2007 Jan;33(1):34-47.

2683. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
      January 17, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults PATIENT SAFETY … State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults. … A number of recent expert workgroups have identified key areas of focus for diagnostic safety research … clinician’s ability to provide an accurate and timely diagnosis.68 Typical ageist stereotypes may include beliefs … In addition, healthcare systems need to develop a nonpunitive culture that encourages active surveillance

2684. Primary Care Practice Facilitation Curriculum Module 25: The Patient-Centered Medical Home: Principles and Recognition Processes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-25-pcmh-principles.pdf
      September 01, 2015 - services, and quality and safety … PCMH provides care that is relationship based and tailored to best meet each patient’s needs, values, culture … • Quality and safety. … The Safety Net Medical Home Initiative has outlined five potential payment models that public and private … for the medical home: payment models to support patient-centered medical home transformation in the safety

2685. Chapter 3. Description of Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter3.html
      August 01, 2022 - the system and of patient safety more generally. … A total of 74 patient safety event reporting systems were identified. … of patient safety event reporting systems. … and features of all existing patient safety event reporting systems. … events and to raise awareness of patient safety issues and the importance of reporting.

2686. Breaking Down Barriers to Aseptic Catheter Insertion (May 12, 2015) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
      December 01, 2017 - a Comprehensive Unit-based Safety Program to Reduce CAUTI, and also the national implementation of CUSP … This is a big emphasis in the CUSP program, is this whole evidence of developing a culture. … Other strategies that can help improve execution is a non-punitive culture, as I mentioned before. … Visible and supportive leadership, which is also part of a culture. … At that time, as a result of the introduction of the national patient safety goals and reporting and

2687. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - specialties, it has adopted a culture of patient safety and fostered efforts to study and reduce medical … Here, custom review and annotation software, running on a laptop computer, controls three DVD players … At the video review station (Figure 3), custom software allows reviewers to access a case’s database … Because no commercial software met our needs, we had to develop custom applications. … and furthers our understanding of specific patient safety issues.

2688. Webinar Transcript: Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
      November 01, 2016 - to improve patient safety. … patient safety organization program. … Some of these Chartbooks, which are starred, have been released: black health; patient safety, and healthy … We've also seen a big shift in the quality culture here at the California Department of Health Care Services … In addition, we've been annually monitoring the culture of quality within our organization, and our survey

2689. Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
      February 01, 2017 - If yes, did the patient pass the SBT safety screen? … SATs consist of two parts: a safety screen and a trial. … Slide 13: Passing the SAT Safety Screen Say: To pass the SAT safety screen, the patient must not … SBTs consist of two parts: a safety screen and a trial. … Slide 18: Passing the SBT Safety Screen Say: To pass the safety screen, the patient must demonstrate

2690. Módulo 6: Sostenibilidad
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/sustainability-slides-spanish.pptx
      January 01, 2005 - A Review and Commentary on Empirical Studies of Program Sustainability. … American Journal of Evaluation. 2005 Sep;26(3):320-347. Weiss H, Coffman J, Bohan-Baker M. … Understanding the Sustainability of Health Programs and Organisational Change. … Partners in Care: How the nation’s largest home health agency is transforming its culture. … Tool 6A: Sustainability Tool: Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.

2691. AHRQ Multiple Chronic Conditions Research Network Publications | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/chronic-care/decision/mcc/mccpublications.html
      May 01, 2014 - Tracheostomy placement in infants with bronchopulmonary dysplasia: safety and outcomes. … Advances in Patient Safety: New Directions and Alternative Approaches; Vol. 3: Performance and Tools. … CompleXity of Care Index. … Is patient-perceived severity of a geriatric condition related to better quality of care? … Challenge of changing nursing home prescribing culture. Am J Geriatr Pharmacother.

2692. Strategy 6H: Tools To Help Patients Communicate Their Needs | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6htools.html
      April 01, 2023 - shift is especially difficult for older patients and people who do not speak English or who come from cultures … where this kind of a relationship with a doctor is unheard of. … Proponents believe that this intervention has the potential to increase compliance, improve patient safety … , and enhance quality of care. … A randomized trial of the use of patient self-assessment data to improve community practices.

2693. Best Practices in Medication Safety: Areas for Improvement in the Primary Care Physician’s Office (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Galt.pdf
      April 23, 2004 - with the exception of one rural practice.10 Medication safety domain identification Medication safety … At a societal level, the culture of error issues blame and exacts penalties, which stifles the open … This is a no-cost improvement dependent upon change in professional and local cultures. … view of office-based safety than is actually present. … Tale of two stories: contrasting views of patient safety.

2694. Tool 6: How To Monitor RED Implementation and Outcomes | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/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.

2695. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
      April 01, 2018 - specific triggers that have high yields for AE detection, such as “return to surgery,” “positive blood culture … the importance and usefulness of measures of patient safety. … Internal pressures, such as a punitive culture that leads to underreporting of medical errors, may influence … Quality of Care Patient Safety. Web site; 2012. … Differences in quality of care among non–safety-net, safety- net, and children’s hospitals.

2696. External-Stakeholder-Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
      June 23, 2023 - Some recommended creating messaging around values and beliefs to increase resonance with target audiences … Health equity The PCORTF SNAC recommended that AHRQ focus on "safety-net" settings, which are places … initiative may help quantify ideas like housing, food security, and environmental safety and enable … Chronic Conditions, November 17-18, 2020. https://www.ahrq.gov/sites/default/files/wysiwyg/patient- safety … settings/mcc-summit/mcc-summit-proceedings.pdf https://www.ahrq.gov/sites/default/files/wysiwyg/patient-safety

2697. Teach-back: Interactive Module Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/static_teach-back_module.pdf
      January 01, 2013 - As a final safety check, when is it important for you to call me?” … ▪ Describe the role and value of teach-back in improving patient safety. … Info Point 8: Foster an office culture around teach-back that helps patients and their families feel … Info Point 2: Emphasize to your patient and his or her family that teach-back is a part of a safety … As a final safety check, when is it important for you to call me?”

2698. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
      January 01, 2013 - When used with the Comprehensive Unit-based Safety Program (CUSP) Toolkit, the tools have nearly eliminated … Ensure you are using National Healthcare Safety Network definitions for CLABSI11,12 2. … to stop procedures Although efforts to improve interpersonal communication improved aviation safety … , the same is not yet true in health care’s hierarchical culture. … National Healthcare Safety Network Patient Safety Component Manual.

2699. Final Progress Report: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
      January 01, 2025 - Consensus of what constitutes “safety” has not emerged. … How to define safety in terms of definitions of what constitutes an adverse event? 4 a. … The safety group is envisioning a tool similar to the ASA score that provides a rating of a particular … continue to limit children’s access to pediatric emergency and subspecialty care.21,22 Race, ethnicity, culture … children experience disparities in their procedural sedation care based on their race, ethnicity, or culture

2700. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
      January 01, 2025 - the safety of medical care. … ) Despite a growing number of organizations and conferences devoted to improving patient safety, the … The ultimate goal of the conferences was to improve patient safety by reducing the likelihood of diagnostic … • Keynote Presentation: It’s a Culture Problem • Underdiagnosis vs. … Measuring diagnostic safety of inpatients: time to set sail in uncharted waters.