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2221. Transitioning to the SOPS™ Hospital Survey Version 2.0: What’s Different and What To Expect, Part II: Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
      September 01, 2019 - work faster during busy times, even if it means taking shortcuts (B2R) Whenever pressure builds up … (C4) Staff will freely speak up if they see something that may negatively affect patient care. … --------------------------------------- 72% ---- ---- New 2.0 item When staff in this unit speak up … (A7R) When an event is reported, it feels like the person is being written up, not the problem. … (C4) Staff will freely speak up if they see something that may negatively affect patient care.

2222. 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/measuredesc-dailyearlymobility-facguide.docx
      January 01, 2017 - assessment addresses inattention during a delirium diagnosis by determining if a patient is able to follow … The Attention Screening Exam, as mentioned previously, determines if a patient can pay attention and follow … This field allows you to document up to three events if multiple events occurred.

2223. Appendix B. Detailed Research Domain Framework Definitions and Classification Rules | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
      June 01, 2020 - An example of a safety culture would occur when a health care professional feels empowered to speak up … acceptability of a new practice, use or fidelity of use of a new practice, dissemination and scale-up

2224. Advancing Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advancing/index.html
      July 01, 2022 - By using a comprehensive safety program featuring a checklist to ensure that health care workers follow … The ads urged patients to ask their clinicians relevant questions, take notes, follow up on test results … U.S. hospital patients, resulting in an estimated 99,000 deaths, and costing the health care system up

2225. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
      January 01, 2024 - In addition, the amount of time nurses spent looking up drug information remained relatively stable … increased satisfaction scores after conversion to barcode/eMAR is important, because nurses spend up

2226. Advancing Patient Safety: A Decade of Evidence, Design, and Implementation (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
      January 01, 2010 - By using a comprehensive safety program featuring a checklist to ensure that health care workers follow … The ads urged patients to ask their clinicians relevant questions, take notes, follow up on test … . hospital patients, resulting in an estimated 99,000 deaths, and costing the health care system up

2227. Appendix: State Overviews | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
      October 01, 2014 - consultants, telemedicine consults, patent education, patient referrals to community supports, and follow-up … The call center monitors patient status and follows up based on established protocols.

2228. Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
      January 01, 2012 - 2009, our survey found that 40 percent of patients reported that their PCP was not always informed and up … Melinda Karp Health information technology is the single area that comes up over and over again as being … important mechanism that we’ve heard from practices, when they switched over to EHR and actually had it up … questions, providing them with their lab results, providing them with information about what kind of follow-up

2229. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
      February 01, 2015 - Insertion Technique Inconsistent or inconvenient locations for hand gel Little room in cubicles to set up … immobilization (e.g., pelvic fracture) Select peri-operative needs 15 Components of Aseptic Insertion Set up … audits necessary Industry helpful in patient care improvement Plans for Future & Sustainability Perform follow-up

2230. SOPS™ Value and Efficiency Supplemental Items for Hospitals and Medical Offices Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcasttranscript.pdf
      January 09, 2018 - issues are brought to the attention of the office manager, it should be noted and there should be follow-through … They worked together on coming up with ideas. … And so, all of these ideas just bubbled up from the staff. … They came up with 10 immediate interventions. … They came up with signage.

2231. Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
      June 01, 2017 - My name's up on the board too.” … I think until senior leadership really understands that they got to roll up their sleeves and get their … Jennifer: It empowers them to speak up. It empowers them to disagree. It empowers them to learn. … When there's a shortage of nurses, Cathy, my nurse director, rolls up her sleeves, gets rid of her white

2232. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
      March 01, 2017 - resident's care planning, the resident is more likely to experience higher levels of satisfaction and also follow … to speaking up that many staff and residents and family have noted. … Thanking those who do speak up can also reinforce that speaking up to improve resident safety is the … Each facility has policies and procedures to follow after an adverse event occurs, and most involve working … Follow facility policy about who, when, and where the information is shared with the resident/family.

2233. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
      March 01, 2018 - of respondents (49 percent) are from hospitals with 300 beds or more but these hospitals only make up … Communication Openness Staff will freely speak up if they see something that may negatively affect … 47% 53% 59% 65% 94% A12 R When an event is reported, it feels like the person is being written up … Whenever pressure builds up, my supv/mgr wants us to work faster, even if it means taking shortcuts … When an event is reported, it feels like the person is being written up, not the problem. 51% 48%

2234. 019-Ss-Periop-Infection-Prevention-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
      April 01, 2025 - Always follow manufacturer’s instructions for use for skin antisepsis products. … Follow the manufacturer’s instructions for use. … Other staff were hesitant to challenge this long-standing policy and had not spoken up. … Leadership (both hospital and OR) helped by supporting real time feedback and encouraging staff to speak up

2235. 019-Perioperative-Infection-Prevention-Strategies-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
      April 01, 2025 - Always follow manufacturer’s instructions for use for skin antisepsis products. … Follow the manufacturer’s instructions for use. … Other staff were hesitant to challenge this long-standing policy and had not spoken up. … Leadership (both hospital and OR) helped by supporting real time feedback and encouraging staff to speak up

2236. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
      March 01, 2017 - leaders who lead by example, involve the whole team, strive for continuous improvement, lift others up … Part of this accountability requires that the leader encourages the team to speak up to identify concerns

2237. Engage the Team and Applying CUSP in the ICU Setting Slides (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
      April 01, 2022 - For example, ICU staff who may be struggling with a safe environment that supports speaking up about … of safety in your ICU, where all staff know that safety is valued in the organization, and speaking up … leaders need to be fully engaged, aware of, and in agreement on any strategies to support speaking up … Infections are typically considered to be “multimodal” harms, which means that several factors add up … As we continue up the strength of interventions, creating checklists like a central line or urinary catheter

2238. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
      February 23, 2008 - that often are quite trying.2 One respiratory care department published their experience as back-up … However, for patients requiring tracheal intubation but able to wait up to 30 minutes, they call in

2239. Appendix D. Mapping ICD9 and CPT Codes | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapd.html
      April 01, 2018 - We felt that this procedure was more reproducible and updatable than a bottom-up approach.

2240. AHRQ’s Digital Healthcare Research Program Is Identifying the Technology To Advance Care Quality, Safety, and Effectiveness | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
      September 01, 2023 - As we wrap up another year, I am excited to see how these projects will help AHRQ achieve the improvements … Get more  AHRQ news , sign up for AHRQ news  via email and follow AHRQ on Twitter , LinkedIn , Facebook