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pcmh.ahrq.gov/news/newsletters/e-newsletter/898.html
January 01, 2024 - Using Machine Learning May Improve Patient Safety Reporting . … Highlights From AHRQ’s Patient Safety Network . … Highlights From AHRQ’s Patient Safety Network
AHRQ’s Patient Safety Network (PSNet) highlights journal … articles, books and tools related to patient safety. … Emergency department patient-centred care perspectives from deaf and hard-of-hearing patients.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepigtrainer.pdf
July 01, 2012 - Enhancing Safety for Patients with Limited English Proficiency Train-the-Trainer Instructor Guide … Enhancing Safety for Patients With
Limited English Proficiency
Train-the-Trainer Instructor Guide … Understand the evidence on patient safety risks to LEP
patients
2. … information
and raise patient safety concerns. … issues with your patient safety and interpreter services leaders.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/Workplace-Safety-Hospitals-2022-1215-ENGLISH_508.pdf
January 01, 2022 - SOPS Workplace Safety Supplemental Items for Hospitals
SOPS® Workplace Safety Supplemental
Item … (3 items) (Cronbach’s alpha = 0.83)
• Addressing Workplace Aggression From Patients or Visitors (2 … Development, Pilot Study, and Psychometric
Analysis of the AHRQ Surveys on Patient Safety Culture™ ( … https://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/hospital/index.html
https … In this unit, enough staff are available when
needed to help move, transfer, or lift patients ..
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - patient safety in L&D units. … a time when
they experienced an increase in patient load and higher
risk patients. … The unit increased its overall patient safety score on the
AHRQ Hospital Survey on Patient Safety Culture … ONSLOW MEMORIAL HOSPITAL—Case Study
Overall Patient Safety Score on Hospital Survey on Patient Safety … related to documentation and data capture and to help the
team identify how to capture key performance indicators
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - patient safety in L&D units. … a time when
they experienced an increase in patient load and higher
risk patients. … The unit increased its overall patient safety score on the
AHRQ Hospital Survey on Patient Safety Culture … ONSLOW MEMORIAL HOSPITAL—Case Study
Overall Patient Safety Score on Hospital Survey on Patient Safety … related to documentation and data capture and to help the
team identify how to capture key performance indicators
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-health-literacy.pdf
March 01, 2019 - Among them are:
» The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients … 40101171
https://www.ahrq.gov/data/infographics/health-literacy.html
www.ahrq.gov/professionals/quality-patient-safety … /quality-patient-safety/patient-family-engagement/pfeprimarycare/index.html
https://www.ahrq.gov/professionals … /quality-patient-safety/patient-family-engagement/pfeprimarycare/index.html
www.ahrq.gov/literacy
https … /use-teach-back-method
www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit
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pcmh.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - Key Words: operating room, systems engineering, patient safety, simulation
3
2. … that together could effectively address patient safety issues in the OR. … , equipment, information) that impact patient safety outcomes, such
as surgical site infections and … There was a unique opportunity not only to conduct research related to patient safety and
workflow for … , avoiding
flow disruptions in these areas, such as bumps, trips, and related safety risks for patients
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
May 01, 2017 - Because only 5 to 10 percent of obstetric hemorrhages occur in patients with risks for hemorrhages,1 … care teams should maintain situational awareness for all patients. … Patient and Family Engagement (CUSP Module)
Key Perinatal Safety Elements
Examples
Communicate with … ACOG Patient Safety and Quality Improvement Committee. … Patient Safety Checklist No. 10: postpartum hemorrhage from vaginal delivery.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-databases.pdf
January 01, 2022 - Databases
Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient … culture
improvement
28
SOPS Database Submission Schedule
SOPS Survey 2022
Hospital
• Health IT Patient … Safety Supplemental Items
• Workplace Safety Supplemental Items
• Value and Efficiency Supplemental … Identify patient safety culture
areas for improvement
2. … Communicate your action plan
41
Improving Patient Safety Resource Lists
42
SOPS Bibliography
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pcmh.ahrq.gov/data/infographics/health-literacy.html
March 01, 2022 - Teach-Back from the Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients
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pcmh.ahrq.gov/talkingquality/translate/scores/scoring.html
June 01, 2016 - Patient-Level “Yes or No”
A “yes or no” question is not as simple when it is a response to a survey … or a measure about whether a patient has or has not received a certain health service. … For example, a clinical process measure may address whether patients admitted to a hospital with a heart … answers can be tricky if your measure captures a negative event, such as the percentage of hospital patients … Experience indicates that in this case, saying how often a patient safety event did happen will be
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module3/ebcommunication.html
October 01, 2014 - safety. … Patient safety and quality: an evidence-based handbook for nurses. … On the front lines of patient safety: implementation and evaluation of team training in Iraq. … Patient care handovers: what will it take to ensure quality and safety during times of transition? … Advances in patient safety: new directions and alternative approaches.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - Safety
36
References
Agency for Healthcare Quality and Research’s Patient Safety Network. … Physician-Patient Alliance for Health & Safety. 5 Benefits of Adopting Patient Safety Checklists. 2013 … Patient safety checklist No. 6: documenting shoulder dystocia. … PMID: 16648399.
42
AHRQ Safety Program for Perinatal Care
L&D Unit Safety
References
ACOG Patient Safety … Patient Safety Checklist No. 10: postpartum hemorrhage from vaginal delivery.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
January 28, 2011 - /resources/patient-safety-advisory-council/
http://www.ahrq.gov/professionals/quality-patient-safety/ … /quality-patient-safety/patient-safety-resources/resources/patient-safety-advisory-council/
http://www.ahrq.gov … /professionals/quality-patient-safety/patient-safety-resources/resources/patient-safety-advisory-council … /
http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/patient-safety-advisory-council … may also be helpful to suggest a trial period for advisor involvement
accompanied by predetermined indicators
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pcmh.ahrq.gov/hai/cusp/toolkit/bckgrnd-qi-team.html
December 01, 2012 - About CUSP
Assemble the Team
Engage the Senior Executive
Understand the Science of Safety … Implement Teamwork and Communication
Apply CUSP
Role of the Nurse Manager
Spread
Patient … Disease Physician, Intensive Care Physician)
Director
Hospital Patient … Safety Officer or Chief Quality Officer
Nurse Champion
Nurse Educator
…
Social Work, Support Staff (e.g., Technicians, Ward Clerks, Nurse's Aides)
Staff from Safety
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - We’re improving patient safety and quality at the point of care. … her quickly make the connection between human factors and patient safety. … Applying a human factors perspective to patient safety, while a complex undertaking, gives Dr. … Miller’s project is addressing this issue on multiple fronts, leveraging AHRQ’s Patient Safety Learning … She is a Certified Professional in Patient Safety, credentialed by the National Patient Safety Foundation
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pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-20-creating-qi-teams.pdf
September 01, 2015 - /documents/clinical/Clinical_NMD_Your_QM_Plan.pdf
http://www.nachc.com/client/documents … every visit
Identify needed services for
each patient
Recall patients for follow-up
Planned … For example, the Integrating Chronic Care and Business Strategies in the Safety Net
Toolkit (AHRQ, … Integrating Chronic Care and Business Strategies in the Safety Net. … Communicating with patients.
Education.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/bckgrndqiteam.doc
August 07, 2012 - Infectious Disease Physician, Intensive Care Physician)
Director
Hospital Patient … Safety Officer or Chief Quality Officer
Nurse Champion
Nurse Educator
Safety
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pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
November 15, 2022 - This approach would require modifying current systems used
to identify patient safety events (e.g., … -
able patients are at higher risk of patient safety events.6 In
practice, this would mean the use of … While data on community engagement
in patient safety are lacking, when clinicians know their activ- … The safety of health care for
ethnic minority patients: a systematic review. … Inpatient patient safety events in vulnerable populations: a retrospective
cohort study.
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pcmh.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