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  1. www.ahrq.gov/faqs/index.html?page=21
    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 Surveyson Patient Safety Culture TalkingQuality TeamSTEPPS Technology Assessments U.S. … These councils involve patients, consumers, and a variety of practitioners and professionals from health … These councils involve patients, consumers, and a variety of practitioners and professionals from health
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
    December 01, 2017 - using the AHRQ Hospital Survey on Patient Safety Culture (HSOPS). … Sustainability (Months 21–24) Readminister the Hospital Survey on Patient Safety Culture (HSOPS … on Patient Safety Culture) Resources. … These results are compared to aggregate surgery data from AHRQ’s Hospital Survey on Patient Safety Culture … The database serves as a resource for comparing patient safety culture survey results to those of other
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
    February 23, 2008 - We sent surveys to all VA inpatient facilities to gather data on how emergency airway management was … In total, the survey respondents estimated that there were 11,007 non-OR emergency intubations per year … Because the survey did not ask who performed the intubations, we do not have good data on what proportion … Based on survey results, in 2002, over half of VA facilities used colorimetric analyzers (CO2 analyzers … EDDs, on the other hand, may provide a false reading of esophageal intubation in obese patients or those
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
    June 15, 2003 - SAFETY CULTURE SAFETY INFRASTRUCTURE DATA INFORMATION KNOWLEDGE LEARNING Shared … Safety culture A safety culture is the product of individual and group values, attitudes, perceptions … Overall, these mechanisms appear to have been useful for fostering a regional safety culture in which … By attempting to build a regionwide safety culture and infrastructure, PRHI has begun to chip away the … Safety culture assessment: a tool for improving patient safety in healthcare organizations.
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-slides.pptx
    April 01, 2022 - safety culture survey results Staff safety assessments Outcome and device utilization data Process auditing … Safety Culture3,4 Purpose is to examine details of safety culture in the ICU/hospital All staff encouraged … to complete the survey Validated tools Hospital Survey on Patient Safety Culture (HSOPS) Safety Attitudes … Questionnaire (SAQ) Safety, Communication, Organizational Reliability, Physician & Employee Burnout, … a safety culture survey again AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI Using
  6. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
    March 06, 2025 - culture. … on Patient Safety Culture (SOPS)  • Feedback from Patient Safety Leadership WalkRounds  Tools • … Design spaces for patients with behavioral health conditions that provide safety for patients and healthcare … sought to understand architects' perspectives on designing patient rooms to reduce fall risks. … Optimize Patient Care During Transitions Rationale: Patients are vulnerable at the many intersections
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-facguide.docx
    January 01, 2017 - Briefly, teams should first educate all staff members on the science of patient safety. … Focusing on what our patients need requires a variety of informed perspectives. … This role provides safety culture survey support for teams and gathers trends from local data. … First, set a goal to exceed 80 percent response rate on your local patient safety culture surveys. … Valid safety culture scores require participation from the majority of the frontline staff.
  8. www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-fac-guide.html
    February 01, 2017 - Briefly, teams should first educate all staff members on the science of patient safety. … Focusing on what our patients need requires a variety of informed perspectives. … This role provides safety culture survey support for teams and gathers trends from local data. … First, set a goal to exceed 80 percent response rate on your local patient safety culture surveys. … Valid safety culture scores require participation from the majority of the frontline staff.
  9. www.ahrq.gov/faqs/index.html?page=16
    January 01, 2014 - 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 … Safety Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … Men's & Women's Health) Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveyson Patient Safety Culture TalkingQuality TeamSTEPPS Technology Assessments U.S.
  10. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
    January 01, 2025 - Safety Culture Through Teamwork and Communication: TeamSTEPPS®, states the project’s focus was to expand … culture. … Time to patient stabilization (TTS; completion of primary survey, secondary survey) was used as a criterion … and Safety Culture 2006–2009 $598,963 Final Report Purpose: To determine whether team-based simulation … culture, increases patient satisfaction, and promotes patient safety.
  11. www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
    January 01, 2010 - To assist organizations and their units in improving patient safety culture, AHRQ developed and … released the Hospital Survey on Patient Safety Culture (www.ahrq.gov/qual/patientsafetycul ture … It focused further on reporting systems, risk assessment, safety culture, clinical process improvement … care, and patient safety culture change, among other developments. … Safety” Hospital Survey on Patient Safety Culture 2003 2004 2005 2006 2007 2008 2009 AHRQ
  12. www.ahrq.gov/faqs/index.html?page=13
    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 … Safety Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … Men's & Women's Health) Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveyson Patient Safety Culture TalkingQuality TeamSTEPPS Technology Assessments U.S.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
    May 01, 2007 - Children’s, Neurosciences, Women’s and Cancer Hospital • ~850 beds • Chapel Hill, NC My Role • Patient … – Chief of Staff – 2007 - 2014 – General Counsel – 2014 - present Non-punitive Response to Error Survey … Results over Time Survey Administration Period UNC Medical Center Average % Positive Database … Staff who see other staff doing something unsafe for patient care tell them it is unsafe. 4. … University of North Carolina Health System UNC Medical Center My Role Non-punitive Response to Error Survey
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/128-what-are-4es-one-pager.docx
    April 01, 2025 - The 4 Es framework identifies four important elements when implementing patient safety interventions: … technical objectives of improving practices and the adaptive objectives of establishing a culture of patient … needs to be robust. · Consider multiple methods of monitoring—e.g., direct observation, record review, surveys … and make adjustments in real-time. · Meet regularly to review performance, discuss issues, and decide on … Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010 Nov;38(4):114-21.
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-event-reporting-revised.docx
    April 01, 2022 - infection are not identified on history, on examination, or from other lab testing. … What catheter alternatives were available on inserting unit for this patient? … If documented, did the patient and/or family receive education on the urinary catheter and what they … Urine Culture Practices in the ICU; Antibiotic Stewardship; Practical ICU Tools; Using Results from the SafetyCulture Surveys. https://www.ahrq.gov/hai/cauti-tools/archived-webinars/urine-culture-practices-icu-slides.html
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
    June 02, 2025 - of the Hospital SOPS • Goals of the item set: – Raise awareness about impact of Health IT on patient … Process Review literature and existing surveys Identify and convene Technical Expert Panel … wrong or patients are having to call us back…to update their med list.” … “I have not been trained at all on how to use this program…It seems no one has the time of day to … “I wish that the nurses would be consulted more frequently on how to improve the EHR.”
  17. www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
    January 01, 2024 - The third paper to be published from this survey addressed the emotional impact of errors on physicians … This paper was published in The Joint Commission Journal on Quality and Patient Safety (2007;33:5-14 … Respondents endorsed disclosing errors to patients’ families, and many had done so. … In that survey, risk managers reported substantial involvement with patient safety. … and Safety Culture.”
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ipe-large-org-webcast-skootsky.pdf
    March 01, 2021 - 3 prompts (staff, provider, improvement areas) # Surveys (95% Adult, 5% Child –All active PCP and … Individual Provider Summary Leadership Distribution Clinical Managers Distribution 29 40,000 Total Surveys … Service Recovery All patients receive a text- based survey 15 minutes after their clinic visit ( … 1-5 rating) Physician Communication Workshop Focused on doctor-patient communication for new … background • Review of practice site CG-CAHPS Survey results • Share clinical department survey data
  19. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-slides.html
    December 01, 2017 - Culture Survey Results for Improvement Using Safety Culture Survey Results for Improvement Slide … Slide 4: Making HSOPS Data Meaningful Work units that debrief around safety culture perform better … Safety culture debriefing facilitators. … Image: Picture displays page 1 and page 2 of the safety culture check up tool. … Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
    January 01, 2004 - and better practice-based educational intervention tools on quality improvement efforts and patient … Framework for the influence of WMIRS patient safety reports and educational manuals on medical injury … Structured surveys We developed a set of surveys to be completed by Wisconsin hospital quality improvement … Rates of medical injuries and formal survey results by study groups are pending. … Patient safety efforts should focus on medical injuries. JAMA 2002;287(15):1993–7. 11.

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