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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.
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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
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www.ahrq.gov/patient-safety/news-events/psaw-2022/index.html
December 01, 2024 - While AHRQ's mission keeps us focused on patient safety all year long, this is a great time to raise … Join us March 13–19, 2022, as we help to bring together and engage healthcare professionals and patients … Subscribe to AHRQ's Patient Safety email update or AHRQ News Now to get the latest information on … Education—A Key to Better Diagnostic Outcomes TeamSTEPPS® for Diagnosis Improvement Toolkit for Engaging Patients … Medical Office Survey on Patient Safety Culture Database Report Additional Resources AHRQ Resources on
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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/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
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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.
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www.ahrq.gov/topics/ambulatory-care-and-surgery.html
AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care
Antibiotic Stewardship Toolkits … CAHPS Outpatient and Ambulatory Surgery Survey
Community-Acquired Pneumonia Clinical Decision … SSI
Operating Room Procedures During Inpatient Stays, 2018
SOPS Ambulatory Surgery Center Survey
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - safety culture, as shown in the graph
on page 11. … The unit increased its overall patient safety score on the AHRQ Hospital Survey on
Patient Safety Culture … Hospital Survey on Patient Safety Culture 2014 Comparative Database Report, Appendixes, Parts II and … on Patient Safety Culture
KEY STRATEGIES FOR SUCCESS
A shared goal and mission. … IMPACT ON ORGANIZATIONAL CULTURE
Overall Patient Safety Score on Hospital Survey on Patient Safety
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www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
January 01, 2024 - SAFETY CULTURE
AHRQ Patient safety culture survey54
Item A15. … We assessed
patient safety culture using the AHRQ Patient Safety Culture Survey, in which all items have … For
example, our (uncalibrated) “patient safety culture” variable allows us to distinguish hospitals … with higher safety
culture survey scores from those with lower scores. … Multilevel psychometric properties of the AHRQ hospital survey on patient safety
culture.
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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/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
August 01, 2024 - Here, however, we focus on how diagnostic stewardship reduces the risk of
diagnostic errors and patient … They
also provided a service to recommend diagnostic testing based on these protocols, patient history … In addition, surveys of oncologists indicated that the DMT
was highly acceptable and perceived as helpful … Impact of reflex EGFR/ALK testing on time
to treatment of patients with advanced nonsquamous non-small-cell … Clinicians’ and laboratory medicine specialists’ views on laboratory
demand management: a survey in
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-keytakeaways.pdf
August 01, 2018 - 3 Key Takeaways from the July 2018 Webcast: New SOPS HIT Patient Safety Supplemental Items for Hospitals … Safety Supplemental Items for Hospitals
1 What is the new Health IT Patient Safety
Supplemental Item … The Health IT Patient Safety Supplemental Item Set can be added
to the end of the hospital survey. … Its goals are to:
Raise awareness about
the impact of Health IT
on patient safety
Assess how organizational … email updates at https://subscriptions.ahrq.gov
Submit your survey data during the next Hospital SOPS
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
December 01, 2017 - Safety Program for Surgery
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?
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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.docx
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 … every 3 to 6 months, or as needed, to encourage culture conversations, evaluate cultural issues between survey
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - Safety
• Recount the urgency for focusing on patient and workforce safety
• Report what you say about … Safety
Request for Information (RFI) Respondents
• Approximately 100 comments from a broad range … culture
All teach, all learn
One story: Leveraging the National
Action Plan to Advance Patient … Completed 1st phase succession planning; dev plans to be
completed Jan 2023
• Press Ganey employee survey … Logistics
Improvement
Safety Culture Figure
One story: Leveraging the National Action Plan to Advance
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www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - Patient and care partner survey. … Patient survey topics and timepoints
Survey # Survey topic # of questions Survey administration (When … Survey #1 Patient characteristics 21 At recruitment
Survey #2 Patient experiences in ED 19 Right before … The majority of survey respondents
(79%) used the template for most or all of their patients (69%) or … Comparing patients' opinions on the hospital discharge
process collected with a self-reported questionnaire
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - 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 … every 3 to 6 months, or as needed, to encourage culture conversations, evaluate cultural issues between survey
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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/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
April 01, 2025 - This requires identifying people who are interested in focusing on improving patient safety, teamwork … Slide 7
Patients and Family
SAY:
As the receiver of care, a patient can provide a valuable perspective … direct input on interventions, and advocate for patient-centered care. … Slide 23
Focus on the Program and the Patient
SAY:
The steps of the Comprehensive Unit-based Safety … culture—while always remembering to keep the patients as the focus to guide this safety work.
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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.