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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - Key Perinatal Safety Elements
Standardize When Possible (CUSP Science of Safety)
Key Perinatal Safety … safety. … Patient and Family Engagement (CUSP Module)
Key Perinatal Safety Elements
Examples
Use mechanism … Patient and Family Engagement (CUSP Module) (continued)
Key Perinatal Safety Elements
Examples
Communicate … Patient Safety/Process Improvement Component
This component involves education and training for deployment
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
January 01, 2023 - Network of Patient Safety Databases Falls Chartbook, 2023
Network of
Patient Safety
Databases Falls … Safety Databases (NPSD) does not contain a representative sample
of patient safety concerns and cannot … (AHRQ)-listed Patient Safety Organizations (PSOs) … safety concerns to prevent patient harm and improve patient
safety. … safety and prevent patient harm.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - Hospital Survey on Patient Safety Culture Version 2.0
SOPS® Hospital Survey
Version: 2.0
Language … Safety (Version 2.0)
Instructions
This survey asks for your opinions about patient safety issues … ”
• “Patient safety” is defined as the avoidance and prevention of patient injuries
or adverse events … In the past 12 months, how many patient safety events have you reported?
a. … How would you rate your unit/work area on patient safety?
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www.ahrq.gov/patient-safety/reports/engage/medlist.html
October 01, 2022 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families … Everyone—providers, nurses, patients—now knows what the patient is taking, the dose, how, and why." … In the primary care setting, medication safety issues include prescribing errors, contraindications, … overprescribing, underprescribing, and patient adherence. … Medication safety in primary care requires a team approach, engaging the patient and his or her family
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www.ahrq.gov/diagnostic-safety/index.html
January 01, 2007 - Calibrate Dx
Measure Dx
Toolkit for Engaging Patients To Improve Diagnostic Safety … Toolkit for Engaging Patients To Improve Diagnostic Safety
Measure Dx Tool
Calibrate Dx Tool … Webinar Recordings
Patient Safety
AHRQ … Patient Safety Network
PSNet features a collection of the latest news and resources on … patient safety, innovations and toolkits, opportunities for free CME and trainings.
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www.ahrq.gov/patient-safety/reports/liability/mincer.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Implementing Shared Decision-Making: Barriers and … care decisions. 3 The Shared Decision-Making in Surgery to Improve Patient Safety and Reduce Liability … safety. … Poor communication between health care providers and patients represents a risk to patient safety. … Making health care safer: a critical analysis of patient safety practices. AHRQ Pub. No. 01-E058.
-
www.ahrq.gov/patient-safety/reports/hotline/refs.html
May 01, 2016 - Patient safety: achieving a new standard of care. … Public opinion of patient safety issues. … Should patients have a role in patient safety? A safety engineering view. … Review: engaging patients as vigilant partners in safety: a systematic review. … Available at www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - A sample process and forms for a committee review are available at the Council on Patient Safety in Women … safety. … Patient and Family Engagement (CUSP Module)
Key Perinatal Safety Elements
Examples
Communicate with … patient and family during episode … Patient and Family Engagement (CUSP Module) (continued)
Key Perinatal Safety Elements
Examples
Disclose
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/108-cusp-psychological-safety.docx
June 02, 2025 - AHRQ Safety Program for MRSA Prevention
CUSP Program: Psychological Safety
ICU & Non-ICU
Slide Title … Slide 2
What Is Psychological Safety? … Every member of the team plays an important role in patient safety, and encouraging staff to participate … All departments and divisions of an organization are expected to meet benchmarks and deliver quality patient … is a routine part of patient care.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
September 01, 2015 - Chartbook on Women's Health Care
Patient Safety
Previous Page Next Page
Table of Contents … Importance: Some drugs that are prescribed for older patients are known to be potentially harmful for … Postoperative Catheter-Associated Urinary Tract Infection
Adult surgery patients age 18 and over with … safety. … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Patient Safety Organizations: A Summary of 2014 Profiles
Patient Safety Organizations:
A Summary of … 2014 Profiles
The safety of patients in health care settings remains
a national priority and an important … The
Patient Safety Organization (PSO) program, which
was authorized by the Patient Safety and Quality … than the patient safety dimension. … Network of Patient Safety
Databases Brief.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - for
L&D unit safety are organized into six
overarching principles of patient safety derived
from … o Risk assessment can then
determine the unit’s process for
patients based on level of risk, for
example … about the use of active
versus expectant management, and
patient preferences. … Safety 20
SAY:
The final consideration is patient and family
engagement. … The key safety elements are as follows:
• Communicating and educating patients
and families around
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-2.pdf
September 01, 2016 - Shared Decisionmaking: Improving Patient Safety, Education, and Empowerment
What is it? … option within a clinical decision through
meaningful conversations about what matters most to the
patient … Shared decision making is an important approach to
engaging patients in their own care. … —Retiring doctor
Will this add time to patient
visits? … What providers are saying
Shared Decisionmaking: Improving Patient
Safety, Education, and Empowerment
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www.ahrq.gov/sites/default/files/publications/files/simulproj11.pdf
June 30, 2014 - Improving Patient Safety Through Simulation Research: Funded Projects
Introduction
Simulation in health … and the public about the
effective use of simulation in improving
patient safety. … Improving Patient Safety
Through Simulation
Research: Funded
Projects
F A C T S H E E T
Advancing … and improve
efficiency and safety, decrease ED wait
times, and decrease preventable injuries
to patients … Improved Patient Safety by
Simulator-Based Training in Cardiac
Surgery
Principal Investigator: Richard
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-user-guide.pdf
July 01, 2018 - Hospital Survey on Patient Safety Culture: User's Guide
HOSPITAL
SURVEY
ON
PATIENT
SAFETY
CULTURE … PATIENT
SAFETY
USER’S GUIDE
AHRQ Hospital Survey on Patient Safety Culture:
User’s Guide
Prepared … Patient Safety Culture Composites
The Hospital Survey on Patient Safety Culture emphasizes patient safety … safety and shows that patient safety is a
top priority. … overall grade on patient safety
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-slides.pptx
September 01, 2022 - Improving Antibiotic Use is a Patient Safety Issue
AHRQ Safety Program for Improving Antibiotic Use … Does my patient understand what to expect and the
followup plan? … Communication With Patients and Families
Develop consistent, practicewide strategies for communicating … How to prescribe fewer unnecessary antibiotics: talking points that work with patients and their families … Patient Educ Couns. 2010 Oct;81(1):119-25.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-slides.pptx
November 01, 2019 - Improving Antibiotic Use is a Patient Safety Issue
Sustaining Stewardship Activities
Acute Care
AHRQ … Most clinicians want to see improvements in patient-centered outcomes
Reduction in antibiotic use is … usually not enough
Clinicians want to know if existing practices are harming patients, necessitating … P-value
Median duration of therapy 9 days 6 days <0.01
Readmission 7% 4% 0.08
Mortality 2% 1% 0.23
Patient … Intervention showed that a decrease in antibiotic therapy was successful, without negatively impacting patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/partnering-a.pdf
May 01, 2016 - Partnering To Improve Safety, Quality, and Patient Experience
Partnering To Improve Safety, Quality … ,
and Patient Experience
What is it? … A Patient and Family Advisory Committee (PFAC) is
a group of patients, family members, office staff, … and
doctors who work together to improve safety, quality,
and the patient experience. … It allows you to share ways to improve safety,
quality, and the patient experience for you and everyone
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Leape.pdf
June 02, 2025 - Leape
Traditionally, a primary focus of patient safety research has been to analyze
data to identify … Implementation issues are, in a sense, “where it’s at” for patient safety. … Advances in Patient Safety: Vol. 3
2
We have a treasure of lessons learned from the front line. … safety. … A major thrust of the first wave of new funding for patient safety was to
expand the understanding of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/planningtool.pdf
June 02, 2025 - Planning Tool
Development of a Planning
Tool to Guide Dissemination
of Research Results
Advances in Patient … Safety:
From Research to Implementation. … This
tool will help you, the Patient Safety Researcher, develop a plan for disseminating your research … safety, and that is ready for dissemination. … What problems related to safety in patient care does your research finding or product address?
3.