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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
March 01, 2020 - More high-quality studies are needed to test the
effects of safety culture elements on process and outcome … Alarm Fatigue 13-4
13.1 Patient Safety Practice 1: Safety Culture
13.1.1 Practice Description … To evaluate the impact of implementing safety culture
elements on alarm fatigue, the studies included … culture is typically measured by surveying clinicians.1 In this review, eight studies included surveys … Safety Goal on Alarm Management.5,6,9,10
13.2.5 Gaps and Future Directions
As with 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/vol1/Advances-Campbell_94.pdf
March 30, 2008 - Survey
respondents also expressed fear of the consequences of being associated with an error. … Safety Culture Changes
Since 2006, Christiana Care has participated in the Hospital Survey on Patient … Safety Culture
(HSOPSC), which was
developed by the Agency
for Healthcare Research
and Quality ( … By 2006, the AHRQ survey
results showed that only 28
percent of respondents felt
their “mistakes were … Hospital survey on patient safety
culture.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and
Reviewing Results … The AHRQ Nursing Home Survey on Patient Safety Culture
should be completed by all staff (whether employed … in Nursing Homes: A Resource List for Users of the AHRQ Nursing Home Survey
on Patient Safety Culture … Guide to Administering the AHRQ Nursing Home Survey on Patient
Safety Culture and Reviewing Results … Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and Reviewing Results
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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/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
-
www.ahrq.gov/sops/events/webinars/just-culture.html
December 01, 2018 - November 9, 2016
Summary
Speakers and Presentation Slides
Recordings
Transcript
Summary
On … Research and Quality (AHRQ) hosted a webcast featuring Just Culture initiatives that helped improve scores on … the Hospital Survey on Patient Safety Culture , particularly the Nonpunitive Response to Error composite … strategies used to implement Just Culture in a health care system and how these led to improved results on … the survey.
-
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/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
January 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
June 15, 2005 - culture survey. … Results
Ambulatory Medication Safety Culture Survey
Staff, including physicians from all three pilot … The Ambulatory
Medication Safety Culture Survey proved to be an effective tool for providing feedback … The PeaceHealth ambulatory
medication safety culture survey. … Culture Survey
Patient Experience with the Shared Medication List (PESML) Survey
Focus Group and
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-slides.pptx
April 01, 2022 - safety culture survey results or staff safety assessment
Results of defects analyses or root cause analyses … Program for ICUs: Preventing CLABSI and CAUTI
QI in Action ׀ 8
Hospital Survey on Patient Safety: … Unit Data
ICU Assessment
Hospital Survey on Patient Safety Culture (HSOPS)
Safety Attitudes Questionnaire … on Patient Safety Culture (HSOPS) – high numbers of travelers/temp staff
Other – Please specify source … culture survey results for guidance, or have the team suggest strengths that can be used
AHRQ Safety
-
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.
-
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.
-
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
-
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
-
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?
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new_sops_diagnostic_safety-schiff.pdf
January 01, 2020 - Diagnostic Safety Supplemental Items for Medical Offices - Schiff
Background and importance of diagnostic safety … :
Culture of diagnostic safety in medical offices
Gordon (Gordy) Schiff, MD
Associate Director Center … Error
IHI/NPSF 2017 Survey 21
Misdiagnosis
Leading
Type of Error
22
Misdiagnosis 59
Mistake … Burnout and Its Impact on Patient Safety
4. Patient Safety Concerns Involving Mobile Health
5. … Burnout and Its Impact on Patient Safety
4. Patient Safety Concerns Involving Mobile Health
5.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - safety
culture. … on Patient Safety (HSOPS) to determine if a correlation exists between patient
complaints and safety … (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 … suicide, stress and coping, or safety culture.
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-lasater.html
December 01, 2024 - “Patients in hospitals that had poor nurse staffing ratios before the pandemic were 20 percent more likely … Lasater has aimed to shed light on the challenges faced by healthcare workers and, therefore, on patients … the work did not match the level of support and protection that was necessary for nurses to care for patients … of Pennsylvania Grantee Since: 2023 Type of Grant: Research Project Grant Related AHRQ Resources Surveys … on Patient Safety Culture® Communication and Optimal Resolution (CANDOR) Toolkit Consistent with
-
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.
-
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.