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Showing results for "culture of safety".

2821. Qdr2015-Chartbook-Access (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/access/qdr2015-chartbook-access.pdf
      January 01, 2020 - Michigan), Bryan Palis (NCBD, American College of Surgeons), Pennsylvania Patient Safety Authority … Royce Park (UCLA), William Ross (Fu Associates), Scott Stewart (OFMQ), VA National Center for Patient Safety … ■ Health care safety net for hospital admissions of vulnerable populations. … the health care workforce is important because it affects outcomes, quality, safety, and satisfaction … Medicaid and Uninsured Hospital Discharges  Importance: Some hospitals contribute to the safety net

2822. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
      July 01, 2023 - Respondents with limited education or from cultures that discourage challenging professional authority … This type of wording is the norm for collecting patient narratives related to safety issues. … Operational Measurement of Diagnostic Safety: State of the Science. … What can patients tell us about the quality and safety of hospital care? … and outcomes of safety in primary care” (PREOS-PC).

2823. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
      January 01, 2025 - The success of safety-related interventions is dependent on the method and context of implementation … within the culture, organization, and clinical work systems. … safety analysis. … with their team and indicate their understanding of potential safety hazards in the OR. … Hazard Identification What types of safety hazards do you usually deal with?

2824. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
      October 27, 2014 - Rockville, MD: Center for the Advancement of Patient Safety, US Pharmacopeia; 2008. … Effect of bar-code technology on the safety of medication administration. … Advancing patient safety in the U.S. Department of Veterans Affairs. … Culture and Redesign. Rockville, MD: Agency for Healthcare Research and Quality; 2008. … Fundamentals of Medicare safety surveillance: intent, relevance, and transparency.

2825. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
      January 01, 2025 - AIM 3: Understand and improve workspace design and safety culture to influences anesthesia medication … Creating a standardized set of definitions for patient safety-related terminology in the context of … Applying a systems view of safety, it is possible to suggest a range of methods to improve NORA safety … safety and quality of care. … new ways to improve safety the efficiency of medication delivery.

2826. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiia.html
      June 01, 2010 - (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures … Data Collection: N/A Total Items/indicators: 351 measures HCBS MS Domains: Health and Welfare, Safety … Data Collection: N/A Total Items/indicators: 33 indicators HCBS MS Domains: Safety, Effectiveness … relationships, person-centered services and supports, respect for cultural and linguistic differences, rights, safety … systems of the States.

2827. Improving Hospital Inpatient Nursing Care: A Case Study of One Hospital's Intervention to Improve the Patient's Care Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hospital/compare/WR_751_AHRQ_Quigley_08_26_10.pdf
      April 01, 2010 - This leadership dilemma is often driven by the context of the time and the culture of the organization … issue and a safety issue. … The goals of improving various aspects of the hospital such as quality, safety, finances, and patient … This leadership dilemma is often driven by the context of the time and the culture of the organization … issue and a safety issue.

2828. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
      April 01, 2011 - improving multiple aspects of hospital quality and safety.* Discharge from hospital to home requires … safety. … best practices, among others:3 • A focus on improving clinical quality and patient care with the belief … Discharge Planning strategy is designed to be flexible and adaptable to each hospital’s environment and culture … ensuring the well-being and safety of all patients.

2829. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-dailycare-facguide.docx
      January 01, 2017 - SATs consist of two parts: a safety screen and a trial. … SBTs consist of two parts: a safety screen and a trial. … Program for Mechanically Venof two parts: safety … Pa=ents SBT Protocol •  SBT consists of two parts: safety screen and trial •  SBT safety screen … Efficacy and safety of a paired seda=on and ven=lator weaning protocol for mechanically ven=lated pa

2830. Final Progress Report: Opioid Stewardship in Urology (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
      January 01, 2024 - with the belief that opioids will always relieve pain. … These beliefs easily lead to the belief that continuing to take opioids will bring about relief. … beliefs that lead to dose escalation. … in a way that facilitates the culture change needed to drive sustained change. … and Patient Safety Committee Chair Dr.

2831. Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
      April 01, 2018 - Assessing Surgeon Acceptance of Risk Adjustment Models Previous Page Next Page Table of … Culture Type Map to Procedure Types Appendix F. Algorithms Appendix G. … Draft and final versions of the results of the content analysis of focus group data were presented in … of primary importance. … Publicly Reported Data from a Safety Net Hospital .

2832. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiie.html
      June 01, 2010 - Data Collection: N/A Total Items/indicators: 73 HCBS MS Domains: Health and Welfare, Safety, … Data Collection: N/A Total Items/indicators: 8 draft indicators HCBS MS Domains: Safety, Health … The measures are: substantiated abuse and neglect; compliance in safety items; compliance with emergency … emotional illnesses HCBS MS Domains: Health and Welfare, Safety, Quality of Life Populations: … Data Collection: N/A Total Items/indicators: 10 concepts/indicators HCBS MS Domains: Safety,

2833. 5. Improving Data Collection Across the Health Care System (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata5a.html
      May 01, 2018 - of compositional effects (the average of effects of individual-level characteristics across the population … of the area) and contextual effects (the effects of being in an area of a certain kind). … of race and ethnicity. … of findings . … A national profile of patient safety in U.S. Hospitals. Health Affairs 22(2):154-166.

2834. Conflict Resolution (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
      April 01, 2013 - In addition, conflicting perceptions or ideas or beliefs, down to the very values that we come to work … “I’m concerned,” “I’m uncomfortable,” “This is a safety issue.” … have also done is set up a safety hotline so we do have a safety officer available at all times, so … that when we don’t know the hierarchy we can call the safety officer and have them come to our defense … We have a code of conduct for all of our members of our clinical staff.

2835. Interim Report of the Subcommittee of the NAC on Patient-Centered Outcomes Research Trust Fund Investments and Future Activities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/interim-pcortf-snac-report.pdf
      October 01, 2022 - • Prioritize reaching “safety net” settings—that is, locations that serve a disproportionate share … • In scoring grants, consider adding points to applications from safety net sites. … Examples are “behavioral health,” “safety net,” “researcher,” and “engagement. … care, especially in safety net systems with limited financial resources. … to accelerate the implementation of quality/safety interventions and realistic program evaluations

2836. References (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
      January 01, 2017 - healthcare-associated pneumonia, including VAP 4 AHRQ Safety Program for Mechanically Ventilated Patients … tracheal secretion that accumulates in patient’s subglottic area. 13 SSD-ETT Literature Review AHRQ Safety … of SSD-ETTs in the prevention of VAP. … Primary outcome was the overall incidence of VAP based on quantitative culture of distal pulmonary samplings … This finding raises significant questions concerning the safety of aspiration of subglottic secretions

2837. Final Progress Report: Patient Partnerships To Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
      January 01, 2024 - At the intervention clinics, 13% of the patients brought in the Partners in Safety medication bag, … The Walworth County Patient Safety Council exemplified the type of partnership relationship between … medication safety. … the Patient Safety Council “in recognition of their efforts to improve medication safety through the … Partners in Safety: Implementing a Community-based Patient Safety Council.

2838. Final Progress Report: Care and Safety Practices During the COVID-19 Pandemic in Home-Based Long-Term Services and Supports (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
      January 01, 2024 - organizational environment, community environment, and equipment/supplies); worker and consumer attitudes, belief … equipped for meeting their needs, and home care agencies are also insufficiently prepared.5-8 Household culture … Of positive note, members of the care team often agreed on safety practices, with 83.1% of workers and … their key role in supporting the health and safety of LTSS consumers. … Journal of Patient Safety. 2009 Dec;5(4):229–36. 3.

2839. Chartbook on Person- and Family-Centered Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/pcc-slides.html
      June 01, 2018 - Patient Safety, Person-Centered Care, and Healthy Living measures have improved overall, but many disparities … care related to quality, safety, and access across settings. … Worsening Total (n=189) 110 61 18 Person-Centered Care (n=18) 16 2   Patient Safety … About 60% of measures of Effective Treatment, Healthy Living, and Patient Safety improved. … Fewer than half of measures of Care Coordination improved.

2840. AHRQ Stats | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/ahrq-stats.html
      July 01, 2025 - (Source:  Chartbook on Patient Safety .) … Patient Safety Culture in Nursing Homes Nursing home staff completing AHRQ's Nursing Home Survey on Patient … Safety Culture in 2019 gave the highest positive response— 85 percent—to "overall perceptions of nursing … Improvement in Patient Safety Measures From 2000 to 2016, more than two-thirds of patient safety measures … in more than 20 percent of patient safety measures.