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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/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
July 01, 2024 - Surveys and interviews were the predominant modes of data collection ( Table 2 ). … (HINTS), a U.S. nationwide survey of health information technology use. … Surveys and interviews of patients highlight several perceived advantages of accessing test results … patient portal on their behalf. … Another respondent expressed concern about insufficient response to two known adverse outcomes at their
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - preventable.
5
Following Harm: Not Always Transparent, Not Always Learning
Health Affairs (2012)
“Survey … Dark room, patient on side, unable to auscultate. … This approach is used in the aviation industry, and it is part of the safety culture in health care organizations … This approach should be part of the safety culture in health care organizations.
25
Involving Patients … you not to make assumptions, and to interview patients and families to get their perspective on the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-slides.pptx
January 01, 2017 - The connection between surgical safety teamwork and safety culture work as structured in the Comprehensive … culture with Hospital Survey on Patient Safety Culture
Comprehensive Unit-based Safety Program (CUSP … technical intervention bundles but can be effectively applied to any process within your specific unit
Respondent … patients using a validated tool
We currently perform spontaneous awakening trails (SATs) daily on all … Immobile patients on our unit receive passive range of motion regularly, if tolerated
Our unit has the
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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/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/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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Did daily assessments during rounds on the patient include an evaluation of the need for urinary catheters … [PATIENT/FAMILY ENGAGEMENT]
Key messages: Patients and their family members can effectively impact patient … Auditing/survey – asking open questions
Nursing based - Urinary insertion/removal protocol
Providing … family presence policies
Key messages: Patients and their family members can effectively impact patient … Patient Advisors to serve on safety and quality performance improvement teams
49
49
unique
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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.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - culture with HSOPS survey. … culture rather than checklist alone. 13
Surgical units with strong safety culture yielded significant … Units with weaker safety culture saw minimal improvement. … Slide 44: Lessons Learned
Briefings and debriefings–
Reshape safety culture with time and commitment … Foster safety culture growth.
Practice and expect open communication.
Flatten the hierarchy.
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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/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
December 01, 2020 - In addition, the area of patient safety was expanded to include sections on
healthcare-associated infections … and patient safety culture. … and population surveys, provider surveys, administrative data from
facilities, medical records, registries … Some survey designs, questionnaires, data collection methods, definitions, and data
calculation methods … heart failure, pneumonia, and major surgery
patients.
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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/hai/cusp/clabsi-neonatal/nclabsi3.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Data Collection … Analysis
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient … possible, participating hospitals were matched to their American Hospital Association (AHA) 2010 Annual Survey … rapid initiation of the project, the neonatal National Project Team (NPT) elected not to administer a patient … The tool was developed based on the adult On the CUSP: Stop BSI Team Check-Up Tool.
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www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
January 01, 2024 - Published reports of patient stories and
recent results from national surveys of patient experiences … Satisfaction surveys are mailed to all patients post discharge.
10
Common Interventions Intervention … Hospital survey shows improvements in patient experience. … Hospital Survey Shows Improvements In Patient
Experience. … Your hospital has been identified as a top performing hospital on the Patient Experiences of Care Survey
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www.ahrq.gov/
August 31, 2025 - Care WEBINAR | September 22: Safety Best Practices of High-Performing Healthcare Systems Related to Safety … Culture, Leadership and Governance WEBINARS | Hospitals Interested in Reducing Central Line-Associated … , and efficiency for patients and their families
EvidenceNOW
Using external … to report on and evaluate their experiences with healthcare
Patient Safety Network … Providing the latest literature, news, and expert commentary on patient safety topics
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pdf
June 02, 2025 - • These slides may be useful earlier on in the process
than during implementation; feel free to use … 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)
• … leadership
Step 5
Evaluate, Standardize, and
Communicate
• Project Evaluation (Tool D.8)
• Focus on … 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/2024-01/higginson-report.pdf
January 01, 2024 - to a resident was collected from each
respondent. … In the
validation survey, about 85% of the prescription drugs are blister- or bubble-packed on cards … Survey interviews were generally not successful at collecting information on at-risk behaviors. … gather data
on additional at-risk behaviors in future survey interviews. … When questioned, modeling team
members and the majority of survey respondents agreed that this represents
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - On bottom right of slide is the CDC logo. … targeted antibiotics:
216 DDD/1000 patient days to 161. … the impact of stewardship on C. difficile included 16 studies. … Slide 16
Stewardship Optimizes Patient Safety: Decreased Patient-level Resistance
Image on left … device use)
Indication, duration
HOSPITALISTS
Slide 32
Growth of Hospital Medicine
AHA Survey