Results

Total Results: 3,042 records

Showing results for "culture of safety".

2701. Part 3: National Quality Strategy Priority—Effective Treatment | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs5.html
      June 01, 2018 - of the Heckler Report—Infant Mortality and Maternity Care Part 2: Trends in Priorities of the Heckler … Part 3: National Quality Strategy Priority—Patient Safety Part 3: National Quality Strategy Priority—Person … year of initiation of treatment. … of treatment. … curative course of treatment within 1 year of initiation.

2702. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Schillinger.pdf
      January 01, 2004 - Advances in Patient Safety: Vol. 1 200 Introduction For patients with atrial fibrillation and other … We Advances in Patient Safety: Vol. 1 202 obtained the clinicians’ regimen reports by recording … Advances in Patient Safety: Vol. 1 210 15. Golin CE, Smith SR, Reif S. … Medication safety: moving from illusion to reality. JAMA 2003 289(9):1154–6. 41. … Advances in Patient Safety: From Research to Implementation.

2703. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
      January 01, 2004 - Advances in Patient Safety: Vol. 2 200 Drugs, such as oral anticoagulants, that have a narrow therapeutic … Advances in Patient Safety: Vol. 2 202 We obtained patients’ indications for chronic anticoagulation … Advances in Patient Safety: Vol. 2 210 Acknowledgments This research was supported through grants … Medication safety: moving from illusion to reality. JAMA 2003;289(9):1154–6. 33. … Advances in Patient Safety: Vol. 2 212 46. Smedley BD, Stith AY, Nelson AR.

2704. Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
      April 01, 2023 - The system incorporates hundreds of built-in safety risk factors that automatically trigger a referral … patient, including visual examination of areas of concern. … with chronic obstructive pulmonary disease was found to reduce hospital visits without causing any safety … Consider language and culture of target population: As noted, advice lines and virtual services must … The 2015 database consists of submissions from 36 states, of which a total of 16 Medicaid State Agencies

2705. Section 4: Selecting Care Management Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4.html
      October 01, 2014 - State Medicaid agencies have tried combinations of more than 15 types of interventions to improve member … In addition, system interventions, which are designed to promote a culture, an organization, or mechanisms … lipoprotein (LDL) screening is designed to increase physician use of screening for both types of cholesterol … Easy-to-understand use of numbers (e.g., 1 in 10 instead of 10 percent). … of Health and the Department of Elderly Affairs.

2706. Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
      January 01, 2025 - findings from our mixed methods and experimental studies (Aim 2) confirm that these self-reported beliefs … Thus, a physician’s belief that a patient is unlikely to recover, for example, may be subtly communicated … As the first large-scale investigation of the role of emotions on patient safety, this research provides … Despite this, the role of emotions in patient safety has largely been ignored. … Social cognition: From brains to culture. 2nd ed. Thousand Oaks, CA: Sage; 2013. 20.

2707. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - Because EMS is very local in its culture and chains of command, it is essential to get “buy-in” from … disparate groups of people with their own culture, values, and political interests. … Expanding the implementation and usability of evidence- based practice and rigorous patient safety protocols … The ultimate goal of this agenda is to improve the quality, safety, and efficiency of EMS. … This would include but not be limited to the development of evidence-based guidelines and patient safety

2708. Primarycareeffortstoreducereadmissions-Envscan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
      March 01, 2020 - PCMH practices using a nonrandomized, controlled, pre-post design 52 Four clinics implemented a “culture … among 65 safety net practices in five states. … common among health service interventions and may relate to intangible factors such as the overarching culture … ; the presence of a PCMH initiative may be a marker of a favorable culture associated with programmatic … Patient Safety and Quality Healthcare; 2015.

2709. The Five Principles of Effective Primary Care-Based Care Coordination for Reducing Potentially Preventable Readmissions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-reportaddendum.pdf
      March 01, 2021 - However, facilitating the implementation of these elements is important to enhance patient safety since … During Hospitalization • Receive notifications of hospitalization of primary care patients. … • Maintain a list of currently hospitalized patients. … Recognizing and acknowledging the difficulties of system change, both in terms of process and cultural … by working with leadership and stakeholders for input to reinforce the patient-centered and patient safety

2710. Catheter Care and Maintenance
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/cathetercare-maintenance.pptx
      March 01, 2017 - This module is part of the Agency for Healthcare Research and Quality’s (or AHRQ’s) Safety Program for … 1 AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI … AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI 6 The DO’s of Indwelling Urinary Catheter Care2,3,6,7 … AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI 7 The DON’Ts of Indwelling Urinary Catheter Care2,3,6,7 … In support of resident safety, seeking task assistance is expected.

2711. Strategies for Improving Patient Experience with Ambulatory Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/6-improvement-strategies.pdf
      March 01, 2017 - of care, and customer service. … Domains and Composite Measures in Current Versions of the CAHPS Clinician & Group Survey (as of Winter … care (not included) Stewardship of Patient Resources (9 & 12) Stewardship of Patient Resources … ambulatory surveys address issues outside of the direct control of health plans, because the locus … Improving Patient Experience with Ambulatory Care March 2017 6-9 clinical processes, patient safety

2712. 6. Implementation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6.html
      May 01, 2018 - foster elimination of disparities in quality of care can be an element of either public or private pay-for-performance … ., presence of EHRs), some for a set of process-of-care activities (e.g., use of appropriate antibiotics … primary care safety net providers ( Rust and Cooper, 2007 ; Williams, 2009 ). … Section 187 of MIPPA requires the Office of the Inspector General to examine implementation of culturally … of quality metrics.

2713. Final Progress Report: Deaf People and Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/barnett-report.pdf
      January 01, 2024 - health of deaf people. … independent researcher in the area of health of people who are deaf. … AHRQ 12th CAHPS & 2nd SOPS User Group Meeting: Patient Experience & Patient Safety Culture, Baltimore … Deaf adult self-reported quality of vision and use of eye care. … panelist for session “Innovative approaches for improving healthcare accessibility, quality, and patient safety

2714. Meeting Minutes, July 2016 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2016-07-nac/nacmtg0716-minutes.html
      November 01, 2016 - Skolnik, Citizens for Patient Safety Jed Weissberg, M.D., FACP, Institute for Clinical and Economic … Bindman stated his belief that support for AHRQ has become stronger in Congress and the U.S. … The AHRQ-supported Comprehensive Unit-Based Safety Program has been used to reduce urinary tract infections … The Global Assessment of Pediatric Patient Safety, or GAPPS, tool uses either electronic or written data … Some NAC members wondered whether maintenance of measures of patient safety culture should be shifted

2715. AHRQ’s 30th Anniversary Primary Care Research Conference: Proceedings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
      January 01, 2023 - primary care research in the context of American life and culture. … • Align safety-net primary care with the rest of primary care. … • How are we defining culture (and who is defining culture) and does that align with the patient … These included: • Aligning safety-net primary care with non-safety-net primary care practices. …  “Payment could help reward safety net providers for improvement and better understanding of the

2716. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
      December 01, 2020 -  Patient Safety: Nearly half (12 of 26) of patient safety measures were improving overall. … Quality measures are grouped by priority areas, including person-centered care, patient safety, healthy … Care Trends in Patient Safety Importance of Patient Safety Mortality Prevalence Cost Findings … on Patient Safety Improving Trend: Adverse Drug Events With Heparin and Factor Xa Improving Trend: … Measure: Unexpected Deaths After Hospital Admission Patient Safety Measure: Surgical Complications

2717. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
      January 01, 2005 - Re-engineering clinical systems requires an understanding of the causes of errors and the use of safety … From these interviews, a richness of detail about internal experiences and beliefs will be extracted … This exploration of attitudes and beliefs will inform the development of more quantifiable indices … regarding hospital discharge processes, through which we will explore belief systems and self-reported … Advances in Patient Safety: Vol. 2 390 mistake and potential consequences of the error.

2718. Communication: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
      July 01, 2023 - for patient safety 2 SCRIPT Communication is the lifeline of a well‐functioning team and serves … , medical records, aggregation of data), • Physical environment (i.e., general safety, fire safety, … 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.

2719. IV. Evaluation Aims, Methods, and Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/eval4.html
      May 01, 2016 - 37 reports of safety occurrences (RSOs) were submitted to the hotline. … Reported Patient Safety Concerns The reports addressed a wide range of safety concerns, l as shown … Safety Concerns Reported via the Hotline Type of Safety Concerns Number of Reports … Seven of the safety concerns involved negative effects only. … aggressive 1 Impaired hearing or speech 1 Management/organization Overall 1 Culture

2720. Creating an Accurate Medication List in the Outpatient Setting Through a Patient-Centered Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Leonhardt_35.pdf
      March 15, 2008 - Introduction As the rate of drug use continues to grow among Americans, medication safety has become … Patients received education and training on medication safety and the importance of communication with … Use of the project-specific “Partners in Safety” medication list (measured only in the intervention … At the intervention clinics, 13 percent of patients brought in the “Partners in Safety” medication … Safety Council “in recognition of their efforts to improve medication safety through the unique model