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1041. Diagnostic Safety Issue Briefs | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs.html
      July 01, 2025 - Safety Issue Briefs Starting in 2019, AHRQ supported the development of a series of papers on … Stewardship as a Model To Improve the Quality and Safety of Diagnosis Learning from AHRQ's Diagnostic Safety … Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Diagnostic Safety Across Transitions … Vol.1: Why Patient Narratives Matter Patient Experience as a Source for Understanding the Origins, Impact … Vol.2: Eliciting Patient Narratives Health Information Technology for Engaging Patients in Diagnostic

1042. NAA National Webinar October 2024 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
      January 01, 2024 - Influence leadership behaviors to promote patient safety 2. … Traditional Patient Safety Leader Rounding: “So how are we going to harm the next patient around here … ↑ SCORE results when leaders provide visible support and feedback Michigan SCORE results, n=16,797 respondents … perceptions of leadership was associated with a 28% reduction in the odds of burnout for the respondent … the Nation's Nurses Survey Series: Mental Health and Wellness Survey 4, May 2023

1043. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
      January 01, 2024 - safety program to improve patient safety culture and reduce AEs. … Patient Surveys: We developed a patient survey to estimate the economic impact of AEs and patients’ experiences … Respondent Characteristics One of the six respondents was a man, and five were women. … Patient Telephone Surveys Examining Economic Impact of AEs We administered a phone survey to the sample … Many organizations rely on voluntary reporting systems, patient surveys, or malpractice claims/risk

1044. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
      December 01, 2020 - Hospital staff are asked to complete 2-page questionnaires (Patient Record Forms, or PRFs) on a sample … Current sample design began in 2016; current questionnaire design began in 1997. … The average age of the patient respondent on the HHCAHPS is 79 years old, and about 12% of the HHCAHPS … surveys are completed by proxy respondents who are related to the patients or friends of the patients … Since 2010, client-level RSR data have been used to assess the numbers and types of clients receiving

1045. A Breakthrough Approach to Improving CAHPS Communication Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/communication_2012_04_01_transcript.pdf
      January 01, 2012 - Now Wendy is going to use examples for the CAHPS Hospital Survey. … the CAHPS surveys. … many CAHPS and patient satisfaction survey items. … Slide 35 Example: a patient insists on smoking. Well, they’re not allowed to smoke. … or experience surveys.

1046. Topic (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
      January 01, 2009 - par with patient safety and quality improvement goals for my facility. … My facility routinely completes an assessment of teamwork and safety culture. … (i.e., Hospital Survey on Patient Safety Culture, Safety Attitude Questionnaire) My facility presents … My facility is committed to maintaining an engaged senior leader on CAUTI prevention. … CAUTI is measured on my facility’s strategic dashboard.

1047. Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know - Bakdash (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2-2023hcbs-survey-webcast-bakdash.pdf
      June 02, 2025 - Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to … Social Science Analyst, Center for Quality Improvement & Patient Safety, AHRQ Agency for Healthcare … CAHPS Surveys Measuring patient experience of care in different settings Experience with Providers … CAHPS Surveys Measuring patient experience of care in different settings Experience with Providers … Experience CAHPS Surveys Uses for CAHPS Surveys

1048. The Rationale for Case Mix and Mode Adjustments - Bakdash (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2-case-mix-mode-adjustments-webcast-bakdash.pdf
      June 02, 2025 - Social Science Analyst, Center for Quality Improvement & Patient Safety, AHRQ Agency for Healthcare … with Clinicians Getting Information Shared Decision Making Self Management Support 7 CAHPS Surveys … Plans • Health Plans • Dental Plans • Home and Community- Based Services 8 Uses for CAHPS Surveys … Experience: CAHPS® Program CAHPS Surveys Measuring patient experience of care in different settings … Uses for CAHPS Surveys

1049. Information to Help Hospitals Get Started (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
      January 01, 2012 - in quality and safety When your approach to care centers on patients and families, they become allies … scores and patient experiences of care Many of the CAHPS Hospital Survey measures reflect key elements … Under this program, achievement and improvement on patient experiences of care scores (based on the CAHPS … benchmarked performance on the CAHPS Hospital Survey, and hospitals are rewarded or penalized based … on their performance on specific CAHPS measures.

1050. Topic (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/sustainability-guideapa.pdf
      January 01, 2009 - par with patient safety and quality improvement goals for my facility. … My facility routinely completes an assessment of teamwork and safety culture. … (i.e., Hospital Survey on Patient Safety Culture, Safety Attitude Questionnaire) My facility … My facility is committed to maintaining an engaged senior leader on CAUTI prevention. … CAUTI is measured on my facility’s strategic dashboard.

1051. Project Report - Lean Sigma (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
      January 01, 2012 - Comprehensive Unit-based Safety Program (CUSP): An Intervention to Learn from Mistakes and Improve Safety … Culture Chris Goeschel, ScD MPA MPS RN FAAN Director, Strategic Development and Research Initiatives … Are Patient Outcomes Improving? … Comprehensive Unit-based Safety Program An intervention to learn from mistakes and improve safety culture … CUSP to maintain success * Science of Safety Education Education done prior to CAUTI Safety survey

1052. Tool: Perioperative Staff Safety Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/perioperative_asst.docx
      December 01, 2017 - Perioperative Staff Safety Assessment Introduction Problem Statement One of the strongest determinants of safety … culture is whether local and hospital leadership respond to staff patient safety concerns. … Frontline providers understand patient safety risks in their clinical areas and have great insight into … Comprehensive Unit-based Safety Program employs the Staff Safety assessment, often called the two-question survey … How will the next patient develop a surgical site infection on your unit?

1053. Final Progress Report: Development Validation and Implementation of Customized Checklists for Safe Surgery (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
      January 01, 2024 - present prior to implementation (e.g., structural factors, patient safety culture, leadership, and … Surveys were administered to trainees as part of the training sessions on paper. … The surveys were administered electronically using the Research Electronic Data Capture (REDCap) survey … Effect of a comprehensive surgical safety system on patient outcomes. … On Simple adjustments to chi-square tests with sample survey data.

1054. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
      October 01, 2012 - safety culture on hospital units. … Patient Safety Culture (HSOPS) and the Team Checkup Tool (TCT). … on Patient Safety Culture In order to measure the second major project goal of improving safety culture … , teams administered the Hospital Survey on Patient Safety Culture (HSOPS) at project onset or baseline … Respondent 1.

1055. 040-Mrsa-Surveillance-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/040-mrsa-surveillance-notes.docx
      October 01, 2024 - National and hospital surveys estimate MRSA carrier prevalence among hospitalized inpatients is between … Between 18 and 33 percent of adult patients colonized with MRSA go on to develop MRSA invasive disease … All patients known to have had MRSA infections or to have been colonized with MRSA will be placed on … While waiting for results, these patients will be placed on contact isolation precautions. 4. … If a tested patient has a positive MRSA surveillance test, they will remain on contact isolation precautions

1056. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
      October 01, 2019 - Hospital staff are asked to complete 2-page questionnaires (Patient Record forms, or PRFs) on a sample … Current sample design began in 2006; current questionnaire design began in 1997. … The average age of the patient respondent on the HHCAHPS is 79 years old, and about 12% of the HHCAHPS … surveys are completed by proxy respondents who are related to the patients or friends of the patients … Since 2010, client-level RSR data have been used to assess the numbers and types of clients receiving

1057. Assemble the Team, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/assemble/team-notes.html
      December 01, 2012 - This is done by sharing stories about patients affected by a problem and estimating the number of patients … of survey results with the team, staff members, and senior executives hospital wide. … safety culture assessment. … With the tool, unit teams review the patient safety culture results to identify potential barriers and … every 3 to 6 months, or as needed, to encourage culture conversations, evaluate cultural issues between survey

1058. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/index.html
      February 01, 2025 - Based on expert input and lessons learned from the Agency's $23 million Patient Safety and Medical Liability … plan of care for each patient. … Hospital SOPS is a staff-administered survey that helps hospitals assess how their staff perceive various … aspects of safety culture. … Organizations on the nature of patient safety events in hospital settings.

1059. Learning From Defects
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
      April 01, 2025 - Nurses, providers, surgeons, anesthesiologists, scrub technicians, environmental services personnel, patients … factors, related to the clinical conditions of patients Technical factors, related to devices, procedures … LFD Data capture challenges Aim to simplify the data capture process (e.g., observational audits or surveys … J Patient Saf. 2005. 1(1):33-40. Tucker AL. … The impact of operational failures on hospital nurses and their patients.

1060. Information to Help Hospitals Get Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.pdf
      January 01, 2012 - Overall improvements in quality and safety When your approach to care centers on patients and families … scores and patient experiences of care Many of the CAHPS Hospital Survey measures reflect key elements … Under this program, achievement and improvement on patient experiences of care scores (based on the … tied to benchmarked performance on the CAHPS Hospital Survey, and hospitals are rewarded or penalized … based on their performance on specific CAHPS measures.