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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.pptx
January 01, 2006 - safety culture is local
Composed of engaged frontline providers who take ownership of patient safety … Includes staff members who have different levels of experience
Tailored to include members based on … a frontline provider, nurse educator, physician, or other staff member
14
14
Engage Physicians on … team has resources to fix problems
Makes rounds and meets monthly with members of health care team on … Coordinates executive orientation with the initiative
Verifies that surveys are analyzed and results
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - Safety (HSOPS) to determine if a correlation exists between patient complaints and safety culture. … (The AHRQ survey is intended to assess various aspects of patient safety culture, identifying strengths … Even though only 2 of the 12 composites of patient safety culture measured by the HSPSC [HSOPS] were … One barrier identified by the survey is the belief, on the part of patients (38%) and clinicians (51% … suicide, stress and coping, or safety culture.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-fac-notes.html
December 01, 2017 - Say:
The last item covers safety culture. … Though safety culture requires longer periods of time to change, pause to reflect on progress with data … What is your response rate on safety culture assessments? … Or what percentage of staff members completed safety culture surveys? … In patient safety, the quality of the environment (the safety culture) greatly influences the safety
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www.ahrq.gov/sops/resources/improvement-resourcelist.html
April 01, 2025 - contain links to websites and other publicly available practice resources that you can use to improve patient … safety culture and patient safety in healthcare organizations. … are not exhaustive, they are designed to give initial guidance for users seeking information about patient … Resource Lists for SOPS Surveys: Hospital Version 2.0 (PDF, 403 KB) Hospital Version 1.0 (PDF, 519 … (PDF, 239 KB) Nursing Home Workplace Safety (PDF, 409 KB) Hospital Health Information Technology Patient
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
March 01, 2017 - Consider:
Administering Nursing Home Survey on Patient Safety to all staff; engaging facility’s … Human Resources (HR) Department to orient staff on safety culture; determining next steps once survey … The Nursing Home Survey on Patient Safety is administered to all staff annually, and progress is evident … Nursing Home Survey on Patient Safety and promotional materials
2
Promote and discuss survey … Hyperlink to Nursing Home Survey on Patient Safety.
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www.ahrq.gov/faqs/index.html?page=27
June 12, 2025 - Centers (EPCs) Freedom of Information Act (FOIA) Funding & Grants Guidelines Health Care Information for Patients … Healthcare Cost and Utilization Project (HCUP) Job Opportunities & Internships Medical Expenditure Panel Survey … Men's & Women's Health) Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveys … on Patient Safety Culture TalkingQuality TeamSTEPPS Technology Assessments U.S. … examines the quality, safety, affordability, and equity of healthcare delivery from the perspectives of patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-1-intro.pdf
November 09, 2016 - Just Culture Webcast Intro
Using Just Culture to Improve
Hospital Survey on Patient Safety
Culture … Safety Culture? … on Patient Safety Culture
42 items assess 12 dimensions of patient safety culture
– 1. … on Patient Safety Culture Results
Need Help? … Hospital Survey on Patient Safety Culture
Lowest Performing Composite Results –2016 AHRQ Comparative
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www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
January 01, 2024 - Pilot data results:
Twenty-three of the 32 centers in Michigan returned their surveys (78% response … caring for both adult and
pediatric patients. … Respondent Demographic Features and Findings
There was variation in the number of adult ICUs within each … Hazards in teamwork and communication, the tasks
performed, organizational and safety culture, the tools … for postoperative cardiac surgical patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
January 01, 2017 - Presentation: Program Overview
Assess Patient Safety Culture Using the
Hospital Survey on Patient Safety … Define why safety culture is important
Use the Hospital Survey on Patient Safety (HSOPS) to assess patient … )
Tip: The HSOPS and other Survey on Patient Safety Culture tools can be found at http://www.ahrq.gov … AHRQ Hospital Survey on Patient Safety Culture: User’s Guide. AHRQ Publication No. 04-0041. … AHRQ Hospital Survey on Patient Safety Culture: User’s Guide. AHRQ Publication No. 04-0041.
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www.ahrq.gov/news/newsroom/press-releases/new-national-healthcare-safety-dashboard.html
December 01, 2024 - “Safety is critically important for patients and the healthcare workforce,” said HHS Secretary Xavier … Building on these successes, we are taking an important step to improve safety for patients and the health … AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Hospital Survey . … leveraging Departmental data to advance safe care everywhere and zero preventable harm for all, including patients … collective effort of federal agencies and private partners working together to improve the safety of patients
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-examples-3.pdf
March 03, 2021 - Jim Schaefer: Director of Surveys , Analytics & Performance Integration
Webcast Sponsored by AHRQ … Sent Annually
Survey Instrument Mode of
Administration
Number Sent
Per Month
National
Response … drivers”) on overall patient experience (i.e.,
“outcomes”). … experience baked into the organization’s culture
Understand what is important to patients
Human centered … Director of Surveys
Quality & Patient Safety
Veterans Health Administration
James.Schaefer@VA.gov
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www.ahrq.gov/patient-safety/reports/liability/preface.html
August 01, 2017 - of Disclosure of Adverse Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations … risks and hazards, and quality gaps associated with health care and their harmful impact on patients … injuries, (2) fostering better communication between doctors and patients, (3) ensuring fair and timely … harm occurs; implementation of disclosure, apology, and offer programs; safety culture and disclosure … culture surveys; medication safety initiatives; and more.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
January 01, 2018 - :
Administering Nursing Home Survey on Patient Safety to all staff; engaging facility’s Human Resources … (HR) Department to orient staff on safety culture; determining next steps once survey results come back … Nursing Home Survey on Patient Safety and promotional materials
2
Promote and discuss survey in advance … See above
Copies of flier and fact sheet, staff log sheet
3
Include Nursing Home Survey on Patient … Hyperlink to Nursing Home Survey on Patient Safety.
AHRQ Pub.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
August 01, 2022 - Inconsistent/Unsure— This means the respondents are unsure about this question or the respondents indicate … Has a safety culture survey been completed?
… Do patients and families serve on committees and give input to leadership?
… Culture Measurement and Feedback
Were the results of the most recent safety and culture surveys … Are patients and families updated on the results of the investigation?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
December 01, 2020 - The Joint Commission Journal on Quality and Patient Safety 2017; 43:267–2742.
,2
2. … Safety, who are united in their
efforts to achieve truly safer care and reduce harm to
patients … performance dashboards that are reflective of
physical and psychological safety and joy in work (e.g., safety … culture ratings,
turnover and absentee rates, requests to reduce hours, likelihood to
recommend … organization, staff suicide rates)
• AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Patient and family advisory council: membership and bylaws
Safety survey or other quality survey, … Safety attitudes questionnaire
b. AHRQ Hospital Survey on Patient Safety Culture
c. … Hospital patient satisfaction survey
d. … Has a safety culture survey been completed?
c. … Has a safety culture survey been completed?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-rice.pdf
June 02, 2025 - Office of Patient Safety
PATIENT
SAFETY
Adverse Events
Root Cause
Analysis
PROJECT
MANAGEMENT … Strategic
Focus Projects
New Service
Lines
PATIENT
EXPERIENCE
Surveys
Data Analysis
Complaints … State Surveys
Complaints
LEAN
TRAINING
Teaching Lean
to New/Existing
Employees
EPIC at
EPIC … on Patient Safety
Culture with WPS
item set: 8/2022
25
Additional Nursing Home Actions
2 0 2 2 … unlock the door for
visitors upon viewing
• Additional surveillance cameras
• Re-educated staff on
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - provider teamwork and communication
safety culture
maternal outcomes
□We will employ a mixed‐methods … provider
teamwork and communication, unit safety culture, and maternal outcomes. … safety culture becoming better established and improving over time
Collectively, these will lead lead … at baseline
o survey with AIM team leads in all sites
□ Implementation surveys at baseline and 6, … surveys.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - provider teamwork and communication
safety culture
maternal outcomes
□We will employ a mixed‐methods … provider
teamwork and communication, unit safety culture, and maternal outcomes. … safety culture becoming better established and improving over time
Collectively, these will lead lead … at baseline
o survey with AIM team leads in all sites
□ Implementation surveys at baseline and 6, … surveys.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitresourcelist.pdf
January 01, 2019 - How To Use This Resource List
Resources are listed in alphabetical order, organized by the Surveys on … Patient Safety Culture™
(SOPS™) composite measures assessed in the Agency for Healthcare Research and … Hospital
Survey, followed by general resources. … and provides links for more information on what is new in safety culture. … what is new in
safety culture.
10.