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www.ahrq.gov/news/newsletters/e-newsletter/921.html
July 01, 2024 - and 41.0 readmissions for every 100 hospitalizations among Medicaid patients. … the consequences of this global phenomenon, and the Modernization of the Medical Expenditure Panel Survey … Researchers reviewed data from the AHRQ Medical Expenditure Panel Survey and found that in 2021, the … Highlights From AHRQ’s Patient Safety Network AHRQ’s Patient Safety Network (PSNet) highlights journal … Building a resilient patient safety culture: a large healthcare organization's approach to systematically
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - , while investigations
using open-ended questionnaires reveal much lower rates. … The majority of respondents were white. … One
physician summarized it this way: “I almost think it needs to be on a patient-by-
patient basis. … Patients
expressed feeling overwhelmed by that type of disclosure: “There’s so much that
goes on, I … Hospital
disclosure practices: results of a national survey.
Health Aff 2003;22(2):73–83.
10.
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www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
December 01, 2012 - Does your hospital do everything it can to protect patients? … Safety proved that CUSP was successful in improving the safety culture. … patient care and should be addressed when attempting to diagnose system-level influences on patient … on the cart. … correlated with considerable improvements in the safety climate in 71 units, as measured by a unit culture survey
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
August 01, 2018 - Auditing/survey – asking open questions
Nursing based - Urinary insertion/removal protocol
Providing … "Patient and family engagment is defined as patients, families and their representatives, and health … Patient Advisors to serve on safety and quality performance improvement teams
Images: 3 photos of … Available on www.ihi.org
Guide to Patient and Family Engagement in Hospital Quality and Safety, Rockville … Quality and safety measures:
Monthly data reports
Recurring gaps
Staff Safety Assessment survey
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
April 01, 2022 - They also look at their ICU Assessment results and review unit-level patient safety culture survey results … from the Hospital Survey on Patient Safety (HSOPS) that they completed 6 months ago. … culture both at the aggregate (or hospital) level and the unit level. … on where they see patients could be harmed in any way from what is happening on the unit. … Slide 14
Based on the data from NHSN, ICU Assessment results, the patient safety culture results,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pptx
June 02, 2025 - These slides may be useful earlier on in the process than during implementation; feel free to use them … Organizational Readiness for Change related to the Pediatric Quality Indicators (Section A tools or AHRQ Survey … on Patient Safety Culture)
Review current performance on each of the metrics (Section B tools)
Determine … Plan (Tool D.6)
Step 3
Measure Results and Analyze
Implementation Measurement (Tool D.7)
Collect data on … and Select Best Practices (Tools D.3, D.4)
Conduct a Gap Analysis (Tool D.5)
Select Best Practices on
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - Qualitative assessments included
analysis of interviews; focus groups; and survey data collected from … I have more time with my patients; I earn
less, but am happier.”46 A satisfaction survey completed by … about the impact of PCMH
transformation on patients and families and suggested that PCMH practices … of
appointments, follow up on
missed appointments, and
monitor patients with chronic
conditions. … populations (focusing on patients
at highest risk of poor
outcomes); implementing
workflow changes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
January 28, 2011 - satisfaction survey mailings. … strategies to respond to concerns and problems reported via the survey
Convene focus groups of patients … Experience with patient and family involvement
Beyond patient satisfaction surveys or focus groups, … and family experience of care surveys. … Assist with distributing questionnaires and encouraging patients and family members to complete them
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/039-mrsa-surveillance-slides.pptx
October 01, 2024 - Detects patients who became colonized while in the community (present on admission). … Wear gloves and gown to enter a patient room regardless of whether patient contact will occur. … be placed on contact isolation precautions. … If a tested patient has a positive MRSA surveillance test, they will remain on contact isolation precautions … Current infection prevention and antibiotic stewardship program practices: a survey of the Society for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading.pptx
December 01, 2017 - Secure time and resources
Formalize job responsibilities for patient safety improvement work
Dedicate … Readminister Perioperative Staff Safety Assessment (two-question survey) at least every 12–18 months … patient safety activities
Continue collaborative activities
Revisit the “right team mix” and augment … ASK:
How will the next patient get a surgical site infection? … SAY:
CUSP employs the Staff Safety Assessment, often called the two-question survey.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
June 02, 2025 - This tool also will build on the
work you did using the tools on Implementation Measurement (Tool D.7 … If these
sources do not provide the needed data, you can use chart abstractions, surveys, new
administrative … To produce accurate reports for measures
that are calculated as rates (e.g., percentage of patients … with postsurgical infections), it is
important to have complete counts for the relevant patient populations … (e.g., all patients
who had surgery during a time period).
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
April 01, 2022 -
Current Infection Prevention and Safety Culture Practices – Central Lines
If not focusing on CLABSI … O
O
O
Current Infection Prevention and Safety Culture Practices – Indwelling Urinary Catheters
If … a mannequin or on a patient. … MM/DD/YYY
What type of survey was given? … · Hospital Survey on Patient Safety (HSOPS)
· Safety Attitudes Questionnaire (SAQ)
· Manchester Patient
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www.ahrq.gov/news/newsletters/e-newsletter/947.html
February 01, 2025 - (Source: AHRQ Medical Expenditure Panel Survey Statistical Brief #558, Lack of Reliable Transportation … Some interventions—like patient portals, care for complex patients and electronic health records—had … Researchers noted healthcare leaders can focus on implementing the identified strategies to improve patient-centered … cover AI’s potential to enhance clinician productivity, improve quality of care and increase patients … use and evaluate AHRQ resources including Calibrate Dx , Measure Dx and the Toolkit for Engaging Patients
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - safety culture. … To improve and maintain a positive patient safety culture, ensure that problems are not only fixed for … Second-order problem solving addresses future needs and improves overall patient safety culture. … Only then can you progress to second-order problem solving to improve the long-term patient safety culture … Recognizing the defects hindering a strong patient safety culture is the first step to building a culture
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www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
January 01, 2024 - Evaluation Surveys. … The survey instruments used a five-point Likert scale to measure the respondents’
agreement or disagreement … Patient Survey Instrument Results
During a 4-week period in April and May 2012, 267 patients from the … Two percent (four patients) of respondents said they
did not intend to read the handout, citing prior … Post-Utilization Evaluation Survey
Analysis of the post-utilization surveys suggest that leaders and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - Both safety culture and technical interventions must be managed to sustain progress. … culture with HSOPS survey
ADAPTIVE WORK
Comprehensive Unit-based Safety Program (CUSP)
LOCAL PROBLEMS … culture rather than checklist alone13
Surgical units with strong safety culture yielded significant … But an organization with a relatively poor safety culture saw minimal improvement from the checklist … culture with time and commitment
Foster safety culture growth
Practice and expect open communication
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - We define this learning as reducing the probability that future patients will be harmed. … This could include incidents that you believe caused patient harm or put patients at risk for significant … Survey frontline staff involved in the incident to determine whether the intervention has been used effectively … Negative contributing factors are factors that harmed or increased the risk of harm for patients. … Positive contributing factors are factors that limited the impact of harm for patients.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-fac-guide.html
March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Facilitator Guide … AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Patient and Family Involvement in … Care of Mechanically Ventilated Patients
Say:
This module is about patient and family involvement … In this case, it was developed using the results from nurse empathy exercises and family surveys that … patients on their care plan are just some of the important aspects of patient-centered care.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
August 20, 2024 - studies, 2005-2016
• Hospital-based health care setting
• Relationships between burnout (BO)
and safety … culture or clinical error (10
studies), BO and patient outcomes ( 2
studies)
• Less data on engagement … every 3 years
https://www.mayoclinicproceeding
s.org/article/S0025-
6196(22)00515-8/fulltext
AMA survey … Program
• Convene: ACPH & ICPH, Boot Camps,
Learning Collaboratives
• Research: National burnout survey … patient safety
No disclosures
Agenda
Evidence for the association of Patient Safety and Professional
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/17-engaging-stakeholders-data.docx
June 01, 2023 - huddle in the operating room (OR)
Patient education provided to patient/caregiver
- Enter here … - Enter here
Evidence of advanced care planning (for patients age 65 years and older)a
-Enter here … Enter here
First postop intake of solids
- Enter here
- Enter here
Postop delirium screening (patients … the procedure and patient risk factors
cExamples of assessments include the AHRQ Hospital Survey on … Patient Safety Culture and the Safety Attitudes and Safety Climate Questionnaire
AHRQ Pub.