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Showing results for "culture of safety".

2841. Diagnostic error in mental health: a review (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
      April 15, 2024 - College of Medicine, Houston, TX, USA 2Center for Innovations in Quality, Effectiveness and Safety … opportunities to align future research with the emerging science of diagnostic safety. … safety. … mental health settings.11 Framing diagnostic errors as learning opportunities is consis- tent with a culture … of safety and improvement and can help break down barriers to open acknowledgement and discussion

2842. Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
      October 01, 2018 - Speakers Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety … 15 the opportunity to refashion our institutions, our culture and our conversations in ways that transform … And there is a distinct culture and patient population where it is lower income. … than the six months it is three months and there are a few other modifications, for example, some custom … This is an example of a custom New York Presbyterian question that’s added on the Press Ganey survey

2843. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - Key Words: team leadership, trauma resuscitations, patient safety, randomized controlled trial B. … trauma-based patient safety. … and recommendations to leaders would benefit from a clear understanding of culture at the specific … opportunity to get information from trainees to understand how the clinical setting and organizational culture … Profiles in patient safety: A "Perfect Storm" in the emergency department. Acad. Emerg. Med.

2844. Making Healthcare Safer Practices: 15. Care Transitions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
      March 01, 2020 - Practices Initial literature searches for patient safety practices (PSPs) in the harm area of care … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices … they can tailor components to align with their unique needs, priorities, available resources, and culture … ”) OR (AB "Patient Safety"))) AND ((MH “Patient Safety”) OR (AB "Patient Safety"))) Making Healthcare

2845. Part 2: Trends in Priorities of the Heckler Report—Care for Cardiovascular Diseases | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cvd.html
      June 01, 2018 - Part 2: Trends in Priorities of the Heckler Report Part 2: Trends in Priorities of the Heckler Report—Care … of the Heckler Report—Care for Diabetes Part 2: Trends in Priorities of the Heckler Report—Suicide … in Access and Priorities of the National Quality Strategy Part 3: Trends in Access and Priorities of … Strategy—National Quality Strategy Priorities Part 3: National Quality Strategy Priority—Patient Safety … Blacks and Whites had similar rates of receipt of fibrinolytic medication for heart attack and these

2846. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
      October 01, 2015 - 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.

2847. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiih.html
      June 01, 2010 - Data Collection: N/A Total Items/indicators: 5 HCBS MS Domains: Quality of Life, Safety, Health … : Mail survey Total Items/indicators: 17 HCBS MS Domains: Unmet Need, Health and Welfare, Safety … The tool also contains six questions related to detecting potential health and safety issues. … Data Collection: N/A Total Items/indicators: 19 HCBS MS Domains: Health and Welfare, Safety … Life, Person Centeredness/Autonomy, Unmet Need, Access, Safety, Qualified Providers Populations:

2848. Executive Summary: Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/gathering-stakeholder-input-summary.pdf
      January 01, 2024 - *Johns Hopkins University Armstrong Institute for Patient Safety and Quality † Kaiser Permanente Center … Readers should not interpret any statement in this product as an official position of AHRQ or of the … They suggested that care teams incorporate patient preferences, culture, and values into all aspects … might apply, assess the risks and benefits of the CPS, or aid in the delivery of a CPS. … the receipt of CPS alone.

2849. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
      January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy References … Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications … Principles of pediatric patient safety: reducing harm due to medical care. … Issue Brief 1: Operational Measurement of Diagnostic Safety: State of the Science. … Patient safety culture, health information technology implementation, and medical office problems that

2850. Anticipatory Guidance Regarding Hydroxyurea Treatment for Children With Sickle Cell Anemia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
      January 01, 2019 - Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l. … • Evaluating the Safety and Effectiveness of Hydroxyurea and Magnesium Pidolate to Treat People with … well-tolerated in children and adults with SCA without significant short-term toxicities or long-term safety … • Is supported by a large body of evidence demonstrating its safety and efficacy as a disease modifying … time, investigation of the drug’s long‐term safety profile should continue.

2851. Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
      January 01, 2024 - implementation of this LCIS into cardiovascular care practice in this safety-net population; PHS 398 … this safety-net LCIS. … (LCIS) for this safety-net population. … contrast to national safety-net circumstances, the HCSD comprises an integrated, statewide system of … The impact of female gender on Safety-Net CABG patient outcomes.

2852. Pressure Injury Prevention Program Implementation Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
      October 01, 2017 - Readiness To Launch AHRQ’s Pressure Injury Prevention Program Question Answer Does your hospital have a culture … your hospital’s culture. … Therefore, the facility held a Patient Safety Fair, which all staff, regardless of their involvement … The facility plans to hold an annual Patient Safety Fair for all employees. … and other patient safety issues with all staff.

2853. CHIPRA Measure 240: Parent Report of Discussion of Weight Concerns for Child (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-bmi-parent-full-report.pdf
      February 01, 2020 - from providers (Taveras, Gortmaker, Mitchell, et al., 2008), and that cultural beliefs often run contrary … belief that baby fat is different from adult fat (Doolen, et al., 2009). … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: Yes. l. … been shown to improve provider completeness, communication legibility, transmission turnaround times, safety … Latina mothers’ beliefs and practices related to weight status, feeding, and the development of child

2854. Appendix C: The Health Care Safety Hotline: Operations Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
      July 01, 2015 - • Module 2: Description of your safety concern – description of the safety concern. … Embedded Patient Safety Event Taxonomy The prototype allows the display of an embedded patient safety … on the safety of their health care. … Clarity of policy/procedure b. Culture of safety management c. … Health Care Safety Hotline Classification of Reported Safety Occurrence (RSO) -------------------

2855. Chartbook on Women's Health Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
      March 01, 2020 - of care than reference group Overall: Females received better care than males for Patient Safety … Patient Safety measures: Disparities between males and females were improving for 7% of the measures … Patient Safety measures: Quality of care for women was improving for 43% of the measures, not changing … Return to Top Patient Safety Slide 25 Chartbook on Women's Health Care Patient Safety Slide … healthcare-associated infections (HAIs) and an indicator of hospital patient safety.

2856. Timely Antibiotics for Children With Severe Sepsis or Septic Shock (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
      April 02, 2018 - shock after appropriate cultures are taken (Dellinger, et al., 2013), though the administration of antibiotics … Efforts to diagnose the source of infection should include obtaining a blood culture, followed by immediate … When possible, blood cultures should be obtained before administering 7 antibiotics, but this test … Use of a shock protocol also helped to change pharmacy culture by prioritizing and streamlining antibiotics … Measure Topic – patient safety: No. k. Measure Topic – family experience with care: No. l.

2857. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
      June 01, 2010 - Data Collection: N/A Total Items/indicators: 9 items HCBS MS Domains: Safety Populations: … review for which this tool is used HCBS MS Domains: Health and Welfare, Safety, Coordination of Long-Term … Life, Safety, Health and Welfare, Coordination of Long-Term Care and Other Services, Qualified Providers … Data Collection: N/A Total Items/indicators: 51 HCBS MS Domains: Health and Welfare, Safety, … Data Collection: N/A Total Items/indicators: 49 HCBS MS Domains: Health and Welfare, Safety,

2858. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
      January 01, 2024 - the safety of care is credible data indicating the existence of a problem. … an ambulatory care patient safety program to improve patient safety culture and reduce AEs. … to quantify the patient safety effects of this technology. … Baylor Health Care System Office of Patient Safety. … Baylor Health Care System Office of Patient Safety.

2859. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/nielsen2-report.pdf
      January 01, 2025 - Presenters Timothy Averch, MD; AUA Quality Improvement and Patient Safety Committee Chair; University … Matthew Nielsen, MD, MS, FACS; Quality Improvement Summit Chair; AUA Quality  Improvement and Patient Safety … In order to  help reverse this trend, academic medicine physicians must work to change publication culture …  quality and safety programs.  … , March 22, 2015. 24. https://www.acr.org/Quality‐Safety/Appropriateness‐Criteria. 

2860. Final Progress Report: Challenges and Opportunities for Stewardship of Urological Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nielsen-report.pdf
      January 01, 2025 - Presenters Timothy Averch, MD; AUA Quality Improvement and Patient Safety Committee Chair; University … Matthew Nielsen, MD, MS, FACS; Quality Improvement Summit Chair; AUA Quality  Improvement and Patient Safety … In order to  help reverse this trend, academic medicine physicians must work to change publication culture …  quality and safety programs.  … , March 22, 2015. 24. https://www.acr.org/Quality‐Safety/Appropriateness‐Criteria.