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2401. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
      December 01, 2021 - Management Support for Patient Safety 92% 92% 91% 89% 3. … ways to improve patient safety. … ways to improve patient safety. … ways to improve patient safety. … ways to improve patient safety.

2402. The Unfinished Patient Safety Agenda | PSNet
      psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
      August 01, 2005 - The Unfinished Patient Safety Agenda Linda H. … The Unfinished Patient Safety Agenda. PSNet [internet]. … The Unfinished Patient Safety Agenda. PSNet [internet]. … It is a continuing puzzle that health care does not respond to economic and research indicators the same … The Unfinished Patient Safety Agenda. PSNet [internet].

2403. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html?page=18
      of 274 Search FAQS Filter by Categories - Any - Accessibility AHRQ Quality Indicators … Centers (EPCs) Freedom of Information Act (FOIA) Funding & Grants Guidelines Health Care Information for Patients … Safety Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … Women's Health) Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveys on Patient … Safety Culture TalkingQuality TeamSTEPPS Technology Assessments U.S.

2404. Quality Performance Monitoring Data Collection and Reporting Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/quality-performance-monitoring-data-collection-and-reporting-final-report.pdf
      April 01, 2015 - Safety Research Agenda,25,26 reports released by the work of the AHRQ Quality Indicators projects,27 … Improving patient safety—five years after the IOM report. N Engl J Med 2004;351:2041-3. 9. … The end of the beginning: patient safety five years after To Err Is Human. … The long road to patient safety: A status report on patient safety systems. … Setting a research agenda for medical errors and patient safety.

2405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33882/psn-pdf
      June 01, 2019 - The presence and absence of incidents, errors, and negative outcomes are, no doubt, indicators of system … Jt Comm J Qual Patient Saf. 2014;40:376-383. [go to PubMed] 3. … Towards the development of a resilience engineering tool to improve patient safety: the RETIPS approach … A Tale of Two Stories: Contrasting Views of Patient Safety. … Chicago, IL: National Patient Safety Foundation; 1998. [Available at] 9. Hollnagel E.

2406. Program Evaluation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.html
      July 01, 2018 - According to interviewees, some programs use patient surveys to collect information on the patients' … Patient surveys often are expensive, but relying on patients' responses to their coaches raises the potential … , the indicators used did not conceptually link to the aims of the program as described in the articles … The authors recommended that selection of evaluation indicators be based on their expected sensitivity … improved disease control, indicators should be ones that might plausibly be expected to be influenced

2407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49622/psn-pdf
      March 01, 2011 - Such systems (unintentionally) compromise patient safety, by design. … But, one could ask, how can I say it compromises patient safety? … What evidence is there that patients were harmed? … Safety efforts should focus on reducing risks to patient safety, whether or not they have produced harm … Work system design for patient safety: the SEIPS model.

2408. Finalreport100109 (pdf file)
      hcup-us.ahrq.gov/datainnovations/clinicaldata/Finalreport100109.pdf
      October 01, 2009 - safety indicators (PSIs) in previous research by MPA and or were judged by Dr. … The primary purpose behind this project is for AHRQ to enhance its quality and safety indicators, and … Three new patient safety indicatorsQ were developed for a carefully specified set of elective surgical … safety indicators using the same methods as were used to construct comparable models for inpatient … What participating hospitals get in exchange is access to reports on quality and patient safety indicators

2409. Emergency Nurses Association content and transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
      September 01, 2015 - stages • And patients presenting with an unclear diagnosis and symptom etiology Driving Patient Care … If the emergency nurse were to start sending patients without AHRQ Safety Program for Reducing CAUTI … appropriate To promote hygiene in incontinent patients inappropriate AHRQ Safety Program … /client/resident care is communicated in a consistent manner” from one health care provider to another … inpatient nurse who may be receiving a patient with an indwelling catheter • The number of patients

2410. Emergency Nurses Association content and transcript (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
      September 01, 2015 - stages • And patients presenting with an unclear diagnosis and symptom etiology Driving Patient Care … If the emergency nurse were to start sending patients without AHRQ Safety Program for Reducing CAUTI … appropriate To promote hygiene in incontinent patients inappropriate AHRQ Safety Program … /client/resident care is communicated in a consistent manner” from one health care provider to another … inpatient nurse who may be receiving a patient with an indwelling catheter • The number of patients

2411. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication | PSNet
      psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
      July 02, 2019 - The Commentary  By Kathy Ton, PharmD   Approach to Improving Safety & Patient Safety Target   Medications … Luckily, there was no harm done to the patient in this case as the patient did not have any baseline … Labeling of medicines and patient safety: evaluating methods of reducing drug name confusion.  … safety. … September 4, 2024 Towards understanding and improving medication safety for patients

2412. Using Electronic Health Records to Measure and Improve Quality for Colonoscopy Procedures (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/final-logan-story-7-2-12.pdf
      June 16, 2021 - Measure and Improve Quality for Colonoscopy Procedures 1 AHRQ Health Information Technology Ambulatory Safety … successful colonoscopies— the most common means of screening for colorectal cancer—is important to patients … for colonoscopy clinical quality measures in the areas of documentation, recommended processes, and safety … of health IT-enabled quality measurement and feedback as a way of improving the effectiveness and safety … expect quality indicators, and that these reports are an important step in that direction. 5.

2413. Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
      April 01, 2025 - A  supporting-our-community website was developed with healthcare system partners to offer patients … support, and shared decision making during postpartum care. 4 The videos are available on the Postnatal Safety … Hospital Discharge Transition Change Package , providing evidence-based strategies to improve postnatal safety … quality indicators for postpartum care. 3 The project’s findings informed international maternal health … Patient Safety Learning Labs: effective collaborations for enhanced patient safety.

2414. Preventing CAUTIs in the ICU Setting
      www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-1-slides.pptx
      September 01, 2015 - Practices Advisory Committee HICPAC* Indications for a Urinary Catheter1 Patient has acute urinary retention … or obstruction Critically ill patient needs precise, accurate measurement of urinary output Assistance … in healing incontinent patients with Stage III or IV open sacral or perineal wounds Patient requires … or perineal flora Bacteria on hands of patient and personnel Microbes enter bladder via two routes: … Program for Reducing CAUTI in Hospitals 14 Patient Factors ICU patients who are critically ill may

2415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853080/psn-pdf
      August 30, 2023 - safety by replacing episodic care with constant connection between patients and providers. … /telehealth-and-patient-safety-during-covid-19-response https://psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid … Active partnership with patients and families in care is associated with greater patient safety. … https://psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review … to 17.4% depending on the measure.1 Quality measures from the National Database of Nursing Quality Indicators

2416. Tools for Optimizing Medication Safety (TOP-MEDS) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/u19hs021093-lambert-final-report-2017.pdf
      January 01, 2017 - U19HS021093) Abstract Purpose Our center sought to improve patient safety by developing tools for … To address these problems, we developed and ran a patient safety CERT focused on Tools for Optimizing … There are significant challenges in associating patients with clinicians since each patient typically … Preventing such errors is an important priority in patient safety research and practice. … Detecting adverse events for patient safety research: A review of current methodologies.

2417. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
      May 01, 2017 - Patient and Family Engagement (CUSP Module) Key Perinatal Safety Elements Examples Communicate risks … Agency for Healthcare Quality and Research’s Patient Safety Network. … Patient Safety Primer on Checklists. 2012 October. http://psnet.ahrq.gov/primer.aspx?primerID=14. … Physician-Patient Alliance for Health & Safety. 5 Benefits of Adopting Patient Safety Checklists. 2013 … March 19. http://ppahs.org/2013/03/19/5-benefits-of-adopting-patient-safety-checklists/.

2418. 2018 Hospital SOPS Database Report Executive Summary Infograpic (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsrptexecsum_0.pdf
      March 01, 2018 - 2018 Hospital SOPS Database Report Executive Summary Infograpic Surveys on Patient Safety Culture™ … safety culture based on the 2018 Hospital Survey on Patient Safety CUiture Database. 382,834 providers … and staff respondents 12 areas of patient safety culture were assessed in the survey average percent … not overlook patient safety problems 720/o Organizational Learning 72% of respondents reported … Safety Culture provides step-by-step guidance on how to develop an action plan to improve patient safety

2419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - We spoke to Patricia about patient safety trends and how patient safety will move beyond the pandemic … forces and committees focused on the safety and well- being of patients and the workforce. … , mattered deeply because they are integral to the safety and supportive care network of patients. … And it’s time to move beyond lagging indicators of safety to upstream measures and attention to how … This work is important, but keep in mind that these are lagging indicators, and more importantly that

2420. Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
      January 01, 2020 - improve patient safety and makes changes to ensure that problems do not recur. … Hospital SOPS to AHRQ Patient Safety Indicator (PSI) adverse event rates 3. … Exploring relationships between patient safety culture and patients’ assessments of hospital care. … Journal of Patient Safety. 8(3), 131-139. 38 HSOPS 1.0 & Patient Safety Indicator (PSI) Adverse Event … Is Patient Safety Culture Related to Nursing Home Quality?