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Total Results: 3,042 records

Showing results for "culture of safety".

2741. Part 1: Overviews of the Report and the Hispanic Population | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part1.html
      March 01, 2020 - Health Care For Hispanics National Quality Strategy Priorities: Patient Safety National Quality … Priorities Part 4: Health Care of Residents of the U.S. … -Mexico Border Part 4: Health Care of Residents of the U.S. … The purpose of the reports is to assess the performance of our health system and to identify areas of … Quality improved for most NQS priorities: Patient Safety improved, led by a 17% reduction in rates

2742. Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
      January 01, 2025 - Patient Safety at the Intersection of Primary and Specialty Care. … EHRLL presented an unprecedented opportunity to enhance the overall safety of the system of care and … Reducing Hospital Errors: Interventions that Build Safety Culture. … The culture of safety: Results of an organization-wide survey in 15 California hospitals. … Patient Safety at the Intersection of Primary and Specialty Care.

2743. Strategies for Improving Patient Experience with Ambulatory Care: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6f.pdf
      March 01, 2017 - The 2015 database consists of submissions from 36 states, of which a total of 16 Medicaid State Agencies … 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

2744. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
      January 01, 2024 - In our inner city, safety-net environment, we identified the high rate of unnecessary rehospitalization … 6-month period helps identify their perceptions and beliefs about gaps in the discharge process and … resources issues, information management issues, environmental management issues, leadership issues – culture … Patient Safety at Time of Discharge – An Example of a Multifaceted Process Evaluation. … Perspectives of Patient Safety: Five years After the IOM Report.

2745. Final Progress Report: Shared Online Health Records for Patient Safety and Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
      January 01, 2024 - Final Progress Report: Shared Online Health Records for Patient Safety and Care FINAL REPORT: December … , 18th 2007 Shared Online Health Records for Patient Safety and Care Principal Investigator: Blackford … these tools on medication management and patient safety, service delivery in preventive and chronic … the impact of the VBJ on 1) medication safety – frequency of preventable ADEs and provider awareness … to produce the culture change necessary to improve medication safety.

2746. Roadmap for Implementing Pediatric Quality Measures for Performance Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
      September 01, 2021 - 2) dissemination and implementation of the measures, with a focus on the feasibility and usability of … An illustrative example of a team from one of the PQMP projects is below. … Guide to Patient and Family Engagement in Hospital Quality and Safety . … Keys to success: A culture of improving care delivery extended from leadership to the staff involved … A checklist for identifying determinants of practice: A systematic review and synthesis of frameworks

2747. Primary-Care-Based-Efforts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/primary-care-based-efforts.pdf
      March 01, 2019 - 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.

2748. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
      December 01, 2013 - ■ Crib Safety ■ Bronchopulmonary Dysplasia (BPD) ■ Respiratory Syncytial Virus (RSV) Feeding ■ … Medication Safety ■ Keep a list of your baby’s medications with your baby at all times. … Crib Safety What is SIDS? ■ “SIDS” stands for Sudden Infant Death Syndrome. … ■ Send swab for culture and treat with appropriate topical or systemic antibiotics. … ■ Obtain stool sample for culture. ■ Ask dietician to review feed and rate.

2749. Fallspximpl-Handouts (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Handout 1: Implementation … 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]. … X X Weekly Fall Risk or Safety Meetings Multidisciplinary team review of residents at risk.

2750. Behavioral Health and Substance Use Disorders | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-behavioral-health.html
      May 01, 2024 - Primary Care Workforce Public Health and Community Integration Additional Topic Areas Patient Safety … Patient-Centered Medical Homes P8: Do Telemedicine Visits Provide Similar Quality and Safety as In-Person … This section of the report includes a summary of AHRQ’s primary care grants, initiatives, and resources … San Diego; School of Medicine; Family Medicine Looks at the barriers and facilitators of incorporating … which focused on chronic pain and medication safety.

2751. Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-8.html
      July 01, 2019 - quality, performance, safety, and turnover, among other areas, with specific goals in each area. … Return to Contents Quality Methodist Healthcare Ministries has focused on developing a culture of … Methodist Healthcare Ministries routinely tracks and reports on HEDIS measures and a suite of safety … currently receive individual reports, but Methodist Healthcare Ministries is working toward a provider culture … Methodist Healthcare Ministries has begun to build a culture of quality improvement among all staff,

2752. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim4.html
      July 01, 2013 - Executive Summary Introduction and Objectives Methods Results Outcome and Process Measures Culture … b The State of Washington does not disclose names of participating hospitals. … Return to Contents Types of Units Represented Figure 3 depicts the types of units registered in the … More than 60 percent of the registered units are non-ICUs, with the majority of these being medical/surgical … Due to the inconsistency of missing data within each of the data collection periods, these 1,051 units

2753. Standardized Nursing Protocol: Bed Bathing With 2% Chlorhexidine (CHG) No-Rinse Bathing Cloths and Showering With 4% CHG Liquid Soap (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-bed-bathing.pdf
      March 01, 2022 - positive methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE) cultures … • Remove one set of warmed packets (three packets in a set, two cloths per packet) of no- rinse 2% … Because these cloths come bundled as a set of three two-cloth packets, a packet of two cloths can be … Turn off water or stand out of water stream. … the protection and safety provided by targeted decolonization.

2754. Standardized Nursing Protocol: Basin Bed Bathing With 2% Liquid Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
      March 01, 2022 - methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE) clinical cultures … • Add 1/2 cup of water (Do not dilute more than equal part of water to CHG. … • Dispose of wipes in trash. Do not flush in toilet. … Turn off water or stand out of water stream. … the protection and safety provided by targeted decolonization.

2755. Prevehosp-Reports-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
      November 30, 2013 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1 On-Time … Preventable Hospital and ED Visits: Reports AHRQ’s Safety Program for Nursing Homes: On-Time … AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 2 On-Time … Hospital and ED Visits: Reports Labs Obtained  Electrolytes  Cardiac workup  CBC  Blood cultures … Sepsis/ Fever/ Infection Dehydration 22 Infection 23 IV fluids given 1 1 24 Blood cultures

2756. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
      December 29, 2022 - di- agnostic safety. … to effectively promote patient safety. … Because interruptions are a safety culture issue, more research needs to be done to under- stand whether … Implications of Preventive Interventions for Diagnostic Safety Diagnosis is an iterative process that … No interrup- tions please: impact of a no interruption zone on medication safety in intensive care units

2757. 2. How will we manage change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
      October 01, 2014 - The work of redesign depends on the assessment of the current state of practice and knowledge, so that … dedicated to the redesign of a particular process of care. … workflow, level out the workload, develop a culture of stopping to fix problems, promote the use of … The work of redesign begins with an assessment of the current state of practice in your organization. … of current practice.

2758. A Breakthrough Approach to Improving CAHPS Communication Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/communication_2012_04_01_transcript.pdf
      January 01, 2012 - the factors that are important to any quality improvement effort, such as organizational culture, leadership … It’s sort of a form of non-verbal listening. … If they have a sense of urgency in their bodies, then respond with a sense of urgency on our part. … The fact is for the sake of all of our patients and staff, for their safety and health, there is no … So that kind of message has lots of caring and your bottom line, which is no smoking here.

2759. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
      January 01, 2005 - but represent an underemphasized and understudied area of patient-safety.1–8 This belief led us to … Although much of the patient safety spotlight has focused on medication errors, two recent studies of … The next day, blood cultures are growing gram negative organisms. … that patient had four prior blood cultures, each positive with different gram negative organisms; ( … surgery; it was only prevented by the fact that she was a Jehovah’s Witness and, because her religious beliefs

2760. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
      January 01, 2024 - Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety TITLE OF PROJECT: PHARMACIST … the health system in pursuit of the above-cited aims of safety, effectiveness, patient-centeredness, … The use of GRAM™ software to improve patient safety in nursing facilities. … Improving patient safety through early recognition of adverse medication effects. … Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.