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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
March 01, 2004 - Patient safety research
We believe research is an essential component of a regional patient safety … Patient safety education
While there is a growing recognition of the importance of patient safety, … The San Diego Patient Safety Consortium
Hospital patient safety leaders are all subject to the same … With these criteria, four general safety topics were identified:
(1) medication safety; (2) patient … The group also
decided to create a safety grid listing all the institutions and their current safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
387
The Incident … Research shows that systems failures are the root cause of the majority
of safety incidents. … include:
• Raising awareness of patient safety issues … Patient safety and the “just culture”: a primer
for health care executives. … National Health Service Confederation/National
Patient Safety Agency.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned
415
On-line Patient Safety … The On-line Patient Safety Climate Survey was developed to
evaluate the corporate safety climate of … Advances in Patient Safety: Vol. 4
416
The tool evaluated three safety climate factors: (1) staff … Profiles in patient safety: organizational
barriers to patient safety. … Ten leadership qualities for a total safety
culture. Prof Safety 2000;45(5):38–41.
19.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians
15
Implementing … Safety Cultures in Medicine:
What We Learn by Watching Physicians
Timothy J. … Observing Safety Culture
17
Table 1. … Advances in Patient Safety: Vol. 1
36
Table 4. … Advances in Patient Safety: Vol. 1
38
14. Argyris C.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
January 01, 2025 - Technology and Medication Safety
Prologue: Technology and Medication Safety
Mary L. … Mapping a Large Patient Safety Database to the 2005 Patient Safety Event
Taxonomy
John R. … Patient Safety Learning
Donna M. … Battles
Safety Culture and Organizational Issues
The AHRQ Hospital Survey on Patient Safety Culture … Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety
Brenda K.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - AHRQ-Funded Patient Safety Project Highlights
AHRQ-Funded Patient Safety
Project Highlights
Improving … Healthcare Safety by
Enhancing Health Information Technology
and Health Information Exchange
Overview … Since
2000, AHRQ has supported 54 patient safety projects related to HIT and HIE. … to improve the safety, quality,
timeliness, and cost of patient care. … medication safety in a variety of
healthcare settings
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
June 02, 2025 - Community Pharmacy Survey on Patient Safety
SOPS
TM
Community Pharmacy Survey
Version: 1.0
Language … • For the survey items grouped according to the safety culture composites they are intended to
measure … • To participate in the AHRQ Community Pharmacy Survey on Patient Safety Culture
Database, the survey … This survey asks for your opinions about patient safety in this community pharmacy and takes about … Patient safety is the prevention of patient harm resulting from the processes of health care delivery
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.docx
June 02, 2025 - Community Pharmacy Survey on Patient Safety
SOPSTM Community Pharmacy Survey
Version: 1.0
Language … · For the survey items grouped according to the safety culture composites they are intended to measure … the Items and Composites document.
· To participate in the AHRQ Community Pharmacy Survey on Patient Safety … safety in this community pharmacy and takes about 15 minutes to complete. … When patient safety issues occur in this pharmacy, staff discuss them
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
The Evidence Behind … No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
The Evidence Behind … | 54
Case Example
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for … | 55
Case Example
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for … | 56
Case Example
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/011-blood-culture-webinar-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Blood Culture Practices and Stewardship
ICU & Non-ICU
AHRQ Safety … No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program … | 4
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention … | 23
Case Example
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program … | 24
Case Example
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/063-protocol-training-nasal-decolonization-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Nasal Decolonization … No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Nasal Decolonization … | 3
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Nasal Decolonization
Why Are We Using … | 4
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Nasal Decolonization
How Do I Perform … | 7
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Nasal Decolonization
Notes on Nasal
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/024-assessing-evc-webinar-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Assessing Environmental … No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program … personnel, and other Comprehensive Unit-based Safety Program (CUSP) team members
| 5
AHRQ Safety … | 6
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention … | 7
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/110-cusp-program-sustainability-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
CUSP Program: Sustainability … No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
CUSP Program Sustainability … Describe steps to create and implement a sustainability plan
Define a core Comprehensive Unit-based Safety … | 3
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
CUSP Program Sustainability
3
Keys … Create a culture of safety that aligns with mission and vision of the organization.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/062-protocol-training-decolonization-with-chg.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Decolonization With … No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Decolonization
With … | 2
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Decolonization
With Chlorhexidine Gluconate … | 3
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Decolonization
With Chlorhexidine Gluconate … | 11
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Decolonization
With Chlorhexidine
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
The Science of Safety … | 2
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
The Science of Safety
2
Patient Safety … of the Science of Safety
Safety is a property of the system. … of the Science of Safety
Safety is a property of the system. … safety.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/049-dec-implementation-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Implementation of Chlorhexidine … No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program … | 2
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention … | 4
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention … | 8
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/001-clabsi-prevention-webinar-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Prevention of Central … | 35
Case Example
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for … | 37
Case Example
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program … culture and climate of safety. … National Healthcare Safety Network (NHSN) Patient Safety Component. https://www.cdc.gov/nhsn/psc/index.html
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/029-hand-hygiene-webinar-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Hand Hygiene Promotion … No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program … | 2
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention … | 4
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention … | 8
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
What Are the 4 Es? … | 4
Case Example
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for … | 9
Case Example
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program … | 12
Case Example
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program … safety
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/154-performing-pre-mortem-project-assessment.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Mini Presentation: Performing … No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Performing a Premortem …
| 3
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Performing a Premortem Assessment> … | 4
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Performing a Premortem Assessment>
What … | 7
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Performing a Premortem Assessment>
Now