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1081. 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 - Surveys on Patient Safety Culture™ and SOPS™ are trademarks of AHRQ. … Measures and Associated Items Dropped From HSOPS 2.0 Overall Perceptions of Patient Safety It is just … provider and staff list, is explained in Chapter 3 of the AHRQ Hospital Survey on Patient Safety Culture … to administer the surveys and analyze the data, refer to the AHRQ Hospital Survey on Patient Safety Culture … in scores that are due to changes that were made in HSOPS 2.0 rather than changes in patient safety culture

1082. Combining Performance Feedback and Evidence-based Educational Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
      January 01, 2004 - and communicated throughout a system characterized by complex operations, established organizational culture … The feedback-only group of 60 hospitals receives just the semiannual surveillance reports. … baseline data; identify areas for improvement; establish goals; and plan for change, i.e., create a culture … In 2001, JCAHO patient safety standards required hospital leadership to create a nonpunitive culture … include dissemination intensity, past experience with data, performance achieved, and organizational culture

1083. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
      January 01, 2013 - interpersonal communication improved aviation safety, the same is not yet true in health care’s hierarchical culture … CLABSI in clear, real terms and present the actual number of infections over a period of time, not just

1084. Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
      January 01, 2024 - family, referring providers, proceduralists, information resources, technology, prevailing safety culture … priority population in the US healthcare 1 It is important to note that control mechanisms include not just … influence through policies, shared values, perceptions, tolerance, and other aspects of organizational culture

1085. The Relationship Between Hospital Workload and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
      January 01, 2024 - This is just one equation – one model. … However, seven of those infections had positive microbiology culture results that could have been used … The specimen codes used by those cultures were not codes used by the computer logic to identify wound … Thus, seven wounds were missed by computerized surveillance when study patients had positive culture … terms used for specimen and body site screening by computer surveillance were not included in those culture

1086. Appendix F. Interventions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
      January 01, 2015 - Patient safety culture in primary care: developing a theoretical framework for practical use Yes No … Moderate Evidence synthesis with recommendations for improving safety culture. … Is ambulatory patient safety just like hospital safety, only without the "stat"? … Building a culture of engagement for Medicare/Medicaid enrollees: health plan approaches Yes Yes Suggestive

1087. The SHARE Approach: Facilitator's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-facilitator-guide.pdf
      October 01, 2024 - Introduction for your group (read aloud) An important conceptual barrier to shared decision making is the belief … > The treatments I just described are not always effective for everyone, and the chances of having

1088. AHRQ Summit to Address Emergency Department Boarding (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
      March 01, 2025 - There were just probably no staff for those beds. … And I just remember thinking, “This can’t be American healthcare.” … Carr: I have to ask myself now [in my new role], not just - am I going to prioritize the patient in … And … from the ED perspective, that might feel just fine. … experts in health services research, economics, sociology, ethnography, medical ethics, organizational culture

1089. Improving-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
      May 01, 2017 - Before you start work to improve communication and teamwork, consider administering a culture survey … One example used by many facilities is the AHRQ Survey on Patient Safety culture. … seeking information concerning ways to improve the safety and efficiency of the procedure that was just

1090. Final Progress Report: Developing Definitions, Measurement Strategies, and Links to Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
      January 01, 2024 - of medication, enhanced adverse event and error reporting processes, and realization of “no-blame” cultures … Therefore, even if it were an improvement on the process, it was limited to just that one nurse (unless

1091. Final Progress Report: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety CEnter for iNnovaTion (ASCENT) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/sarkar3-report.pdf
      January 01, 2025 - not only technological innovations but also changes in roles, responsibilities, and organizational culture … and communication, allows re-envisioning of outpatient safety for a defined population rather than just … system “So it’s a handoff, but there is not a. . . population-based tracking process.” – Primary care Beliefs … ASCENT developed, piloted, and implemented a needs-driven technical and culture-based solution for subcritical … Is ambulatory patient safety just like hospital safety, only without the “stat”?

1092. Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
      January 01, 2024 - working down through the tree, multiplying each estimated frequency by the frequency of the event just

1093. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
      June 01, 2015 - observed that many of the world’s intractable social problems stemmed from distorted thinking, fixed beliefs … Another wanted five women just like her (except that they were at different points in their journey—just … be sustained in an organization: (1) staff including leadership, (2) organizational structure and culture … Sometimes natural diffusion via word of mouth just happens. … mixed teaching methods, adequate curricular time to finish a project, and a supportive institutional culture

1094. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
      August 01, 2010 - The Nurse Bedside Shift Report strategy is flexible and adaptable to each hospital’s environment and culture … nurses may be hesitant to disturb the patient, especially if the patient has been awake all night and just … Creating this new culture of bedside shift report for nurses was a process and a challenging one at that … Culture change through patient engagement. Nursing 2010 Oct;40(10):50–2.

1095. Strategy 1: Working with Patients & Families as Advisors (Tool 5)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
      June 02, 2025 - and hospital staff ask about and respect each patient’s and family’s values, preferences, goals, and cultural … backgrounds. … You just need to be comfortable speaking up and sharing your thoughts in an open, honest manner.

1096. Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
      December 31, 2022 - If you are just beginning to plan your QI initiative, you may want to start by reviewing the slide deck … staff, patients, and management Manages conflicting interests and scarce resources  Helps to build a culture … rehabilitation motivates and provides momentum and advocates for the needs of the team. helps to build a culture … the desire, need, support, and resources to tackle both AR and CC simultaneously, or to begin with just … With just a quick glance, the graphs make it clear age/frailty is the top reason physicians opt eligible

1097. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
      April 23, 2008 - With the expertise and objectivity of an “outside” consultant—but with an understanding of the site’s culture … • The scope of a coach’s work is customized to a specific hospital culture and focuses on specific … Intervention on Policies, Procedures, Practices, and Outcomes The coaching intervention lasted for just

1098. Technical Review 17: Nutritional Research Series, Vol. 1: Application of Systematic Review Methodology to the Field of Nutrition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
      January 01, 2009 - These questions may be just a few among many needed to address an overarching topic. … Health Effects of (n-3) Fatty Acids on Arrhythmogenic Mechanisms in Animal and Isolated Organ/Cell Culture … Effects of Omega-3 Fatty Acids on Arrhythmogenic Mechanisms in Animal and Isolated Organ/Cell Culture … arrhythmia outcomes Different for whole animal, intact animal isolated organ and cell, and cell culture … from whole animal studies that (n-3) fatty acids affect arrhythmogenic outcomes Evidence from cell culture

1099. Advancing the Science and Implementation of Patient Narratives: Summary of Presentations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narratives-presentations-summary.pdf
      January 01, 2022 - with the CAHPS team, NewYork-Presbyterian (NYP) Hospital’s Ambulatory Care Network saw their staff culture … process conforms to longstanding guidelines about negative comments in support of a non-punitive safety culture … health systems have begun posting their own physician ratings with patient comments, increasing from just … Massachusetts General Hospital really wanted to see comments about the overall experience of care, beyond just

1100. Chapter 3. Care Coordination Measurement Framework | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
      June 01, 2014 - payment structure, patient complexity and capacity (e.g., Chapter 2 patient scenarios ), and local culture … These are also usually wide in scope, with goals of improving aspects of patient care beyond just care