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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/module6/facilitator-notes.docx
March 01, 2017 - learned from examples of success across multiple settings
SLIDE 2
SAY:
What is sustainability in the patient … Lastly, sustainability engages staff to create a safety culture that lasts beyond the life of the project … Both are necessary for successful safety culture change throughout an organization. … This team will ideally include—
· Facility team lead
· Administrator
· Data coordinator
· Survey coordinator … and quality improvement data, and on how to use the data system.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
December 01, 2017 - Slide 3: Readiness Bridge
Have you–
Educated frontline on the program goals? … Completed safety culture survey (HSOPS)? … Depends on your local SSI prevention bundle. … Example: percentage of patients receiving appropriate antibiotic redosing. … Outcome Data
What happens to patients.
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www.ahrq.gov/news/newsletters/e-newsletter/939.html
November 01, 2024 - Articles featured this week include: Experiences with diagnostic delay among underserved racial and ethnic patients … Family medicine presence on labor and delivery: effect on safety culture and cesarean delivery. … Other Immunosuppressants: A Rapid Response Review AHRQ in the Professional Literature Does an "EZ" survey … J Patient Exp 2024 Nov 14;11. Access the abstract on PubMed®. … J Patient Saf 2024 Sep 1;20(6):392-6. Epub 2024 May 16. Access the abstract on PubMed®.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - patients on the day of admission, this handout explains what bedside shift report is, what patients … By involving the patients in their plan of care and keeping all caregivers updated on that plan, patients … ® Hospital Survey. … might be “to improve scores on CAHPS Hospital Survey Questions 1, 2, and 3 by 5 percent within 1 year … and family focus groups, patient and family satisfaction surveys, and staff surveys.
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www.ahrq.gov/news/newsletters/e-newsletter/938.html
November 01, 2024 - (Source: AHRQ Medical Expenditure Panel Survey Statistical Brief #557 – Prevalence of Long COVID Among … The study, an analysis of data from AHRQ’s Medical Expenditure Panel Survey published in Journal of … Researchers tracked more than 700 patients, focusing on cough symptoms, duration and microbiology. … feature expert presentations on nurse turnover and its impact on patient care, and evidence-based recommendations … knowledge related to patient safety culture at the nursing home front line: cocreative process study
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
March 06, 2025 - Health & Science
University) Respectful Maternity Care: Dissemination and
Implementation of Perinatal Safety … Culture to Improve Equitable
Maternal Healthcare Delivery and Outcomes
• Lindsay Kennedy Admon, MD … Culture to Improve
Equitable Maternal Healthcare Delivery and Outcomes
Amy G. … healthcare use, and health
outcomes in the year after birth.
29
Methods
• Included data from respondents … low-income children aged 0-1 in pre-policy
(2016-2019) and post-policy (2020-2021) years in the National
Survey
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
June 02, 2025 - this slide:
· 7 percent of patients suffer from a medication error.
· On average, every patient admitted … on patient care. … When nurses are responsible for more than two patients, there is an increased risk of patient complications … CUSP teams are able to focus on patient care and have confidence that any accidental breach in protocol … every 3 to 6 months, or as needed, to initiate culture conversations, evaluate cultural issues (between survey
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
December 01, 2017 - Both safety culture and technical interventions must be managed to sustain progress. … Similar to the systematic management of technical work, CUSP provides tools for managing the safety culture … But an organization with a relatively poor safety culture saw minimal improvement from the checklist … Building mindfulness and improving the overall safety culture is the tough but necessary part of any … Slide 44: Lessons Learned
Say:
Reshaping safety culture takes time, commitment, energy, and focus
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - to improve patient safety by reducing harm
and identification errors among patients … Investigators noted the project on older patients demonstrated the effectiveness of a
computerized tool … Surveys revealed that
while many physicians agreed ACPOE improves the quality of patient care, a significant … However, it has published research on a national survey of healthcare
providers and findings indicate … Culture Survey.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - , patient experience surveys,
and economic costs.46-52 Data from malpractice claims indicate that diagnostic … management and frontline staff on filed safety reports.136 In an observational study,
Chopra, et al … ), and
■ System-related aspects of diagnosis (e.g., human factors, safety culture).243
3.9.2. … Patient safety culture, health information technology
implementation, and medical office problems that … survey
study.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
October 01, 2016 - Alternatively, the physician may ask the BHC to see the patient based on the primary care visit. … Originally, psychologists
trained providers on telehealth use, and the health system obtained patient … Wallace
trains nurses to perform hands-on patient exams, such as palpation, placement of stethoscope … CNA=certified nursing assistant; BHC=behavioral health consultant; PHQ=patient health questionnaire; … Freeman and Khatri are on
Medicaid’s Patient Centered Medical Homes committees.
-
www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
July 01, 2019 - Social determinants of health have a large impact on the patient population, particularly at a homeless … Alternatively, the physician may ask the BHC to see the patient based on the primary care visit. … Originally, psychologists trained providers on telehealth use, and the health system obtained patient … CNA=certified nursing assistant; BHC=behavioral health consultant; PHQ=patient health questionnaire; … Freeman and Khatri are on Medicaid's Patient Centered Medical Homes committees.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
January 01, 2003 - Survey methodology
We used a semistructured questionnaire to guide the interviews; the research
team … Some responses were quite
specific, such as, “Diabetic patients on multiple medications are of concern … Other
responses focused on the difficulty physicians have in managing patients’
medications when medications … without knowing what other drugs the
patient was taking because, if the patients did not reveal their … One respondent said, “You probably haven’t seen a patient in
a while and you just automatically refill
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www.ahrq.gov/news/newsletters/e-newsletter/953.html
April 01, 2025 - A new statistical brief from AHRQ’s Medical Expenditure Panel Survey compares characteristics of … explain how participants of the program will receive expert support to prevent infections and promote safety … culture. … Food security and mental health in the United States: evidence from the Medical Expenditure Panel Survey … Comparative effectiveness of buprenorphine adherence with telemedicine vs. in-person for rural and urban patients
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
December 01, 2017 - Slide 3: Sustainment Is…
What you do to continue to build on your successes. … Image: A team of providers steadily growing to include a range of providers, patients, and family members … Stick to formal processes:
Test changes on small scale first. … Readminister Perioperative Staff Safety Assessment (two-question survey) at least every 12–18 months. … Continue updating staff on patient safety activities.
Continue collaborative activities.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - Teamwork, team cognition, safety culture, communication, and patient/family-centeredness are some of … Pediatric Clinician
Comfort Discussing Diagnostic Errors for Improving Patient Safety: A Survey. … Patient Safety Culture, Health Information Technology
Implementation, and Medical Office Problems That … Resilient health care: turning patient safety on its head. Int J
Qual Health Care. … Learning From Patients’ Experiences Related To Diagnos-
tic Errors Is Essential For Progress In Patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - interpret, communicate, and document fetal heart rate (FHR) and uterine contraction patterns for all patients … Team members will advocate for the patient when one person’s viewpoint does not coincide with another … and Family Engagement
Engaging patient in decisions to use continuous EFM versus other approaches in … [Reaffirmed 2015]
American Congress of Obstetricians and Gynecologists. 2012 ACOG Survey on Professional … Patient Safety and Quality Healthcare.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
September 03, 2014 - Tools
SAY:
The six interventions that make up the CHARGE acronym are:
Creating a culture of safety
Safety … culture is local and best sustained when it is accepted and maintained at the facility level. … Making data visible also communicates to staff and patients the importance placed on patient safety. … Centers for Disease Control and Prevention, the Centers for Medicare and Medicaid Services, and the state survey … These materials are available on AHRQ’s Web site at http://www.ahrq.gov/professionals/quality-patient-safety
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www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
January 01, 2025 - Other duties will include working with
NQF staff on council survey mechanisms to determine Member
preferences … The program is based on the
premise that doctors want more patients. … Thomas was
awarded funding from the Robert Wood Johnson Foundation to translate a
safety culture survey … This grant funded
initial development of the Safety Attitudes Questionnaire, now one of the most
widely … used safety culture assessment tools in the world.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
December 01, 2017 - Both safety culture and technical interventions must be managed to sustain progress. … But an organization with a relatively poor safety culture saw minimal improvement from the checklist … Building mindfulness and improving the overall safety culture is the tough but necessary part of any … Slide 42
Adapting to Local Context
SAY:
Over time, effective briefings also improve safety culture … Slide 43
Lessons Learned
SAY:
Reshaping safety culture takes time, commitment, energy, and focus.