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Showing results for "culture of safety".

2761. Proceedings from AHRQ Summit on Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-proceedings.pdf
      October 01, 2021 - - http://www.ahrq.gov/mcc-research-summit https://www.ahrq.gov/sites/default/files/wysiwyg/patient-safety … care, while protecting users’ privacy and safety? … • Awareness of and attention to context, custom and practice that have sustained the current provider-centric … She reiterated the belief expressed during the Summit that transformation of care for PLWMCC will require … home health visits, safety, and quality?

2762. Final Progress Report: Identification and Dissemination of Best Practices for Patient-Centered Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
      January 01, 2024 - A web page was set up on the website of the Armstrong Institute for Safety and Quality … safety and quality. … topics: data feedback, rounding interventions, leadership and culture, technology 12 support, and … The Relationship between Patients’ Perception of Care and Measures of Hospital Quality and Safety. … Vice President for Patient Safety and Quality, Director of the Armstrong Institute for Patient Safety

2763. Final Progress Report: Clinical Decision Support Simulations for Medication Administration Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/moss-berner-report.pdf
      January 01, 2024 - That nurses viewed the scanner less as a patient safety tool and more of a documentation tool … implementation and compliance helped foster a culture of safety and discussion regarding methods to … National Patient Safety Foundation Annual Patient Safety Congress, Nashville, TN. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Making Health Care Safer: A Critical Analysis of Patient Safety Practices.

2764. Step 5: Evaluating the Infrastructure Support Initiative | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/hsrguide/hsrguide5.html
      October 01, 2014 - Introduction Step 1: Assessing Your Organization's Needs and Capabilities Step 2: Fostering a Research Culture … This type of formative work enables the detection and correction of problems and inefficiencies. … Develop a list of variables. … of data collection. … expert analysis of program data.

2765. Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
      January 01, 2025 - built environment, clinical guidelines and policies, technology and tools, people, and organizational culture … Regardless of whether there are specific safety requirements or codes, designing for safety is always … data, intuitive integration of the different components of the toolkit (e.g., Safety Alignment Tool, … The environment of safe care: considering building design as one facet of safety. … Using usability heuristics to evaluate patient safety of medical devices.

2766. About the CAHPS Patient-Centered Medical Home (PCMH) Item Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/PCMH/about-pcmh-item-set-cg20.pdf
      May 22, 2014 - coordinated, accessible, and continuously improved through a systems-based approach to quality and safety … Physician-directed medical practice • Whole-person orientation • Coordinated care • Quality and safety … the domains of the medical home. … A second round of cognitive testing was completed in the spring of 2011. … properties of the survey items.

2767. Two-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
      February 01, 2024 - Identifying the role of patients and their families as part of the care team. … team or of an MTS. … participants include administrators, point out the ways administration can create an environment and culture … Defining the culture of the organization. Covering Slides 11-15 quickly is fine. … which directly contribute to patient safety.

2768. AHRQ PBRN Webinar: Highlighting and Promoting the Value of PBRNs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/pbrn-webinar-2-highlighting-promoting.pdf
      September 01, 2024 - of Practice - Based Research Networks (PBRNs) July 11, 2024 4 p.m. – 5 p.m. … Safety Survey Firearm Survey for Policy Research 2 grants (1 funded) 2023 Survey Team - based follow … Sebastian Tong, MD, MPH Assistant Professor of Family Medicine University of Washington setong@uw.edu … educators) 20 students (6 PhD, 13 Masters, 1 Undergraduate) Partnership in Resilience for Medication Safety … JHU, UNTHSC (& advisors, students, clinicians, educators) Partnership in Resilience for Medication Safety

2769. Health Disparities | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/health-disparities.html
      August 01, 2025 - Practice and Quality Improvement, five in Behavioral Health and Substance Use Disorders, five in Patient Safety … Costs of Care . … Assesses differences in use of interpretive services by setting, type of care, modality of interpretation … Blood Pressure in Safety Net Settings (PDF, 239 KB). … Related materials include:  A  Chartbook on Patient Safety .

2770. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
      January 01, 2024 - Team • Covering MD is quicker to respond if they know an RR has been called • The RR is a fallback or safety … provides insight into ways the RRS can, over time, change the interaction among staff and the hospital culture … Quality Safety in Health Care. London: BMJ Pub. Group; 2006;15:427. 6. … A survey of nurses' beliefs about the medical emergency team system in a canadian tertiary hospital. … Quality Safety in Health Care. 2010. 8. Steckler AB, Linnan L.

2771. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
      www.ahrq.gov/downloads/pub/advances/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

2772. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/ereports.html
      December 01, 2014 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Electronic Reports … Report Description The unit-level view displays the number of residents (and percentage of the total … Clinicians report that indicators of an increase in behaviors or change in types of behaviors from the … Examples of an acute change in health status are elevated temperature with blood cultures obtained or … of ADLs?

2773. Diagnostic Issue Brief 19 Electronic Test Result Communication in the Era of the 21st Century Cures Act (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/diagnostic-safety-issue-brief-test-result-communication.pdf
      July 01, 2024 - PATIENT SAFETY e Issue Brief 19 Electronic Test Result Communication in the Era of the 21st … to patients is essential to ensure the quality and safety of the diagnostic process. … (e.g., pharmacists,101 social workers,102,103 informatics professionals104) on their attitudes and beliefs … Both groups shared a belief that delayed release might be beneficial to certain patients and in certain … that their organizations implemented the Cures Act with little guidance for clinicians despite the “culture

2774. Situation Monitoring: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - commitment to improving patient safety, there are a few hypertension‐specific planning questions you … • Central to Patient Safety and Quality Improvement: o Learn from unit‐based drills (Readiness) … Debrief after events to support patients, families, and staff Debrief regularly to establish a culture … Regular debrief sessions after such events help to establish and sustain a culture of continuous learning … ://www.ahrq.gov/patient-safety/reports/engage/casestudies.html https://www.ahrq.gov/patient-safety https

2775. Improving Customer Service and Access in a Surgical Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
      October 01, 2011 - It is likely that some of the problems identified were effects of culture differences and process interruptions … had a big effect on the culture of the specialty practice, the morale of its staff, the nature of its … Their doctors were understandably concerned for their comfort and safety. … The culture of the specialty practice and of the hospital as it relates to outpatient practices did … The ability of the specialty practice to grow and patient safety were both jeopardized by inadequate

2776. Step 6: Planning for Sustainability | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/hsrguide/hsrguide6.html
      October 01, 2014 - Introduction Step 1: Assessing Your Organization's Needs and Capabilities Step 2: Fostering a Research Culture … What will be the source(s) of funding? … For each of these elements: Set measurable, quantifiable goals. … Some examples of long-term goals include: retaining a team of 10 doctorate-level health services researchers … Attrition is a natural part of any organization's growth.

2777. New Models of Primary Care Workforce - Case Example #8: Methodist Healthcare Ministries: Wesley Health & Wellness Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_8.pdf
      October 01, 2016 - quality, performance, safety, and turnover, among other areas, with specific goals in each area. … Quality Methodist Healthcare Ministries has focused on developing a culture of quality care by spurring … 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,

2778. Appendix A, Pt. 3 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
      April 01, 2018 - Conclusions Out of a total of 5,109 surgical procedures, with an SSI rate of 6.3%. … admitted to the hospital 48 hours prior to operation for medical evaluation, preoperative urinalysis and culture … Staphylococcus aureus in pure or mixed culture accounted for 50% of the infections. … 14 surgical wound infections grew positive cultures; 80% of them were polymicrobial. … The patients with mild perioperative hypothermia had three times as many culture-positive surgical-wound

2779. Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
      January 01, 2025 - the work, and • extensive field work can present barriers to establishing and maintaining a shared culture … of quality, safety, and learning. … No comprehensive studies of home health safety in the US are reported in the current literature (although … The Behavior-Based Safety Process (2nd Ed.). … Sensemaking of patient safety risks and hazards.

2780. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - 8 ‐ SCRIPT Welcome to Module 4 of the Safety Program for Perinatal Care-II (SPPC‐II) Teamwork Toolkit … to improving patient safety, there are a few hemorrhage‐specific planning questions you can address … • Central to Patient Safety and Quality Improvement: o Learn from unit‐based drills (Readiness) … Debrief after events to support patients, families, and staff Debrief regularly to establish a culture … Regular debrief sessions after such events help to establish and sustain a culture of continuous learning