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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
October 01, 2024 - Hand hygiene is currently tracked via a single question on a quarterly questionnaire for unit leaders … To gain a broader understanding of the hospital’s safety culture, the team decides to administer a survey … Staff are asked to anonymously evaluate aspects of patient safety culture. … The team also consults the results of their anonymous patient safety survey. … At baseline, fewer than 35% of respondents rated overall patient safety at the hospital as “positive”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
March 31, 2004 - curriculum focused on patient safety. … curriculum focused on patient safety. … Therefore, our first task was
to survey and catalogue existing materials in the areas deemed core to … The first 13 respondents to our follow-up survey have trained 416 faculty, staff,
and students in patient … , and patients’
perception of care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
January 01, 2017 - North Carolina Center for Hospital Quality and Patient Safety. … Safety Culture How many safety climate responses are positive? … 29
Keeping an Eye on Culture
Revisit your pre-engagement safety culture assessment and action plan … 30
Nurture Your Safety Culture
It’s the soil, not the seed.
– Louis Pasteur
Sustainability Tools … Quality and Patient Safety.
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
July 01, 2021 - of Patient Safety Culture (SOPS). … of Patient Safety Culture survey and the system for vendors to administer and report results of CAHPS … surveys. … the health centers through its Uniform Data System and patients through a periodic Health Center Patient … Survey.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/evidence-now-webinar-learning-health-care-systems.pdf
August 02, 2017 - Baseline Results Across the Initiative
Patient Level
Aspirin use – 65%
Blood pressure … data &
DESIGNING changes
Data extraction/abstraction
Surveys & key informant interviews
with … providers/patients
Water-cooler conversations
Kaizen walks and observation
Continuous scanning … Engaged Leadership
Leadership and Culture Change
Shared leadership
Team approach to patient … for Excellence in Primary Care Research
www.ahrq.gov/professionals/systems/primary-care/index.html
Patient
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
October 01, 2024 - MRSA rates are as high as 15 infections per 1,000 patient-days in some units. … Es
13
Case Example: Identifying Causes
The MRSA team discovers several critical issues impacting patient … To evaluate overall safety culture, an anonymous survey is administered, asking staff to assess patient … Based on feedback, more emphasis is placed on hands-on training. … Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010 Nov;38(4):114-21.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-unc-webcast-mazur.pdf
June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … Safety Culture at UNC Medical Center
Lukasz Mazur, PhD,
Associate Professor,
UNC Dept. of Radiation … Department of Radiation Oncology
• North Carolina Cancer Hospital in Chapel Hill
• Department treats ~120 patients … Safety/Quality
Patient Safety and Quality Issues
Total Positive Responses
Survey Year (n participants … Safety Culture at UNC Medical Center
Agenda
UNC Medical Center Department of Radiation Oncology
Complex
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
December 01, 2017 - One in every 10 residents who fall has a serious related injury and about 65,000 patients suffer a hip … Poor survey results.
Lawsuits.
High insurance premiums. … While falls are liability and survey concerns, it is counterproductive to keep data secret. … Review information on the Tracking Record for Improving Patient Safety. … documentation necessary to reflect implementation of best practices and should promote positive results during survey
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
September 01, 2016 - Assessing what is working through the use of the Nursing Home Survey on Patient Safety Culture is an … After participating in the survey, it is important to come together with your team to determine your … oral, written and electronic among staff, with and among physicians, with administration, and with patients … Peck but Mary just started working on the unit with Jessica and doesn’t want to start off on the wrong … culture.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/burnout-in-primary-care.pdf
February 01, 2023 - satisfaction or wellness surveys, are indicators of burnout. … Copenhagen Burnout Inventory (CBI) 31
overvie w
• 19-item questionnaire to assess personal
burnout … , work-related burnout, and client-
related burnout … patients. … A survey found that primary care providers who thought their clinics were better
at addressing patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - A recent survey of a nationally representative sample of physicians found that three-fourths of
respondents … ; the impact on trust in the physician-patient relationship;
generation of unhealthy internal competitiveness … Other components of that strategic planning included safety culture surveys,
quality and safety leadership … survey of
internists. … Committee on Data Standards for Patient
Safety, Institute of Medicine.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
April 30, 2013 - ’ experience of care as
measured by the CAHPS® Hospital Survey. … to
physician communication, an aim might be “to improve scores on CAHPS Hospital
Survey Questions … focus groups, patient and family satisfaction surveys,
and staff surveys. … How willing are patients to question
healthcare staff on issues related to the quality and safety of … Attitudes toward and beliefs about
family presence: a survey of healthcare providers, patients' families
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
May 01, 2017 - This is done by
sharing stories about patients affected by a
problem and estimating the number of patients … of staff and patient survey results
with the team, staff members, and senior
executives hospital wide … safety culture assessment. … With
the tool, L&D unit teams review the patient
safety culture results to identify potential
barriers … to 6
months, or as needed, to encourage culture
conversations, evaluate cultural issues
between survey
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - Slide 7: Why Does Safety Culture Matter? … Slide 8: Why Does Safety Culture Matter? … Say:
We know teamwork and safety culture influence the effectiveness of safety initiatives. … We also know that safety culture can change through interventions. … This includes VAE rates and the number of patients that develop a VAE, performance on process measures
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
April 22, 2004 - These strategies should be based on the
hierarchy of hazard control, which states that the best hazard … To help
facilitate the development of effective control strategies, a hazard-control matrix
should … A hazard-control matrix, which is based on the variance
control table,35 has 10 headings in the top … hazard-control ideas that the team develops. … Each redesign idea or hazard-control idea should subsequently be
subjected to a full system analysis
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Slide 15
Changing Patient Safety Culture
Senior Leaders
Team Leaders
Staff … on Patient Safety
Infection rates
Process measures
Organizational and team culture
Slide … Slide 49
Why do ICU patients feel ‘special’? … Slide 67
On the CUSP: Stop CAUTI
A Journey to Prevent CAUTI & Improve Patient Safety in the ICU … on NSCU
Well received by staff and patients
Direct in-servicing provided to near 200 employees house-wide
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www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
January 01, 2024 - Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture … Structured Abstract
Purpose: Transparency is the cornerstone of patient safety culture. … , 5U18HS016658-02, "Using Team Simulation To Improve Error Disclosure to Patients and Safety Culture. … Simulation To Improve Error Disclosure to Patients and Safety Culture."
6
preferences for disclosure … and Safety Culture."
11
the team.
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - presentation: a survey of academic and community practice . … Understand and improve workspace design and safety culture to influence anesthesia medication selection … A Patient Diagnostic Questionnaire (PDQ) that aligns with the “Patient Experience” Safer Dx process … data analyses using EHRs, patient safety event reports, and patient experience surveys. … Using patient experience surveys to identify potential diagnostic safety breakdowns: A mixed methods
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Resident and Family Engagement module focuses on the roles and responsibilities … The core concepts of person-centered care as defined by the Institute for Patient- and Family-Centered … These surveys provide useful information that can be used to improve performance in resident- and family-centered … be a valuable team member on safety and quality committees. … just focusing on what happened.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
April 01, 2013 - cultural of safety survey. … reducing the blood stream infection rate, improve safety culture in well over 100 intensive care units … Many hospitals across the country are using AHRQ’s Hospital Survey of Patient Safety Culture. … the screensavers on the patient units. … If you can click on the survey link, that would be great.