-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - Patients for Patient Safety-US – a WHO chapter for safety advocacy in the US
• Current Boards: IHI … Serve on the CMS
structural metric technical expert panel and the Leapfrog Survey Patient and Family … Board reviews management summary of their culture of safety survey or teamwork/safety climate survey … Helping Boards Understand Safe Care
Translate Safety Culture – Identify the Challenge
Ask your Board … Your Board:
• Make sure your Board knows how you EVALUATE and track safety culture across the system
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Role_of_Leadership_In_QI-_2011_11_01.pdf
January 01, 2011 - improving patients’ experiences with care. … But what we need to do as leaders is we need to constantly
bring it back to the impact on patients. … patient experience. … You can
also access other QI resources such as case studies detailing the use of CAHPS survey results … for joining us and we look forward to bringing you more stories
and experiences from users of CAHPS surveys
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/06-sops-teamstepps-webcast-closing.pdf
January 01, 2022 - The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: A quasi-experimental … A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals … on patients' outcomes. … Healthcare professionals’ perceptions of patient safety culture and teamwork in intrapartum care: A cross-sectional … Impact of TeamSTEPPS on patient safety culture in a Swiss maternity ward.
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/engaging-sr-exec-fac-guide.html
February 01, 2017 - Executives are increasingly aware that developing a safety culture is a part of their job. … Consider sharing the following at the meeting:
Patient safety culture survey results. … Slide 13: Executive Safety Rounds Kickoff
Say:
Step 1—Hospital Survey on Patient Safety Culture … assessment composite scores:
Share your Safety Culture Survey (HSOPS) scores. … Consider a brief safety culture summary, highlighting important points or culture score results.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
January 01, 2003 - patient safety and to increase awareness about
the literature on organizational change. … may
be unaware of the extent to which patients are exposed to errors. … components that promotes continuous
improvement at the point of care, such that improving care for patients … Frequent employee surveys and
administrative “walk-arounds” are some means by which senior leaders may … Gaps in the continuity
of care and progress on patient safety. Br Med J
2000;320:791–94.
3.
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - safety culture. … Say:
Second-order problem solving addresses future needs and improves the overall patient safety culture … Only then can you improve your long-term patient safety culture.
Slide 16: Why Did It Happen? … Are there aspects of the patient safety culture that promote doing the wrong things? … safety culture, and creating system constraints.
-
www.ahrq.gov/topics/hospitals.html
CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Decolonization
Hospital Survey on Patient … Safety Culture
Improving Patient Safety Systems for Patients With Limited English Proficiency … IHA Bundled Episode Payment and Gainsharing Demonstration
Toolkit for Decolonization of Non-ICU Patients
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - Slide 4
Project Impact
Society of Critical Care Medicine
Project Dispatch is focused on patient-centered … On the way down, failure feeds on itself. … many patients have urinary catheters
What is the plan for removal? … safety culture
Slide 83
Measure How Well You Are Sustaining Your CUSP Work
CUSP score … CUSP team measures of success
Slide 84
Safety Culture
Continue to assess safety culture annually
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
April 07, 2008 - on a shared goal of achieving
optimal outcomes for all patients. … A comprehensive review of the literature on the evidence-based relationship between teamwork
and patient … on Patient Safety Culture40 is a tool that is available to the public to
conduct a site assessment. … and staff
satisfaction questionnaires) can be used to further support the cause. … Patient safety culture surveys.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - Epidemiologic data on patient safety and a sampling of current efforts aimed at patient safety
improvement … led to dramatically adverse events for patients.3 This emphasis on the case study outcome
stands in … In the context of a patient safety culture looking for
12
success, this is a learning opportunity … Patient education is one way to prevent medical errors.73 When patients
know the questions to ask and … Patient rating data gained from
discharge surveys may also lead to pinpointing caregiver behaviors in
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-fac-notes.html
December 01, 2017 - Second, have you completed a safety culture survey? … This is the Hospital Survey on Patient Safety Culture or HSOPS survey. … Note:
HSOPS stands for the Hospital Survey on Patient Safety Culture. … The outcome data is what happens to those patients, such as an SSI. … Slide 8: Patient or Provider Factors
Say:
This involves both patient or provider factors, and offers
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
January 12, 2022 - Good patient outcomes hinge on having the right diagnosis. … Surveys find that 1 in 3 patients has a firsthand experience with a diagnostic error (Society to Improve … X
Patient Satisfaction Surveys, Complaints X X
Employee Satisfaction, Culture Surveys X X
We … culture.
… Instructions for completing the questionnaire and calculating the average summary score can be found
-
www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim3.html
July 01, 2013 - Two patient safety culture measures are collected, the Hospital Survey on Patient Safety Culture (HSOPS … The HSOPS survey is used to assess change in the system and unit patient safety culture over time and … The TCT is used to provide continual team feedback of barriers to unit safety culture and is intended … culture. … Process measures related to safety culture (specifically unit teamwork and communication) are being collected
-
www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
January 01, 2024 - Scope: Education modules on patient safety have been developed by healthcare
professionals to inform … on the website. … Nurses
Patients and Families
• An education module on anesthesia-specific safety topics for patients … patient safety and how patients and families can help make
healthcare safe. … Needs assessment for patient safety education: focusing
on the nursing perspective.
-
www.ahrq.gov/hai/cusp/modules/nursing/alt-text.html
April 01, 2013 - Nurse managers lead the care efforts on their units
Nurse managers benefit patient safety and quality … Slide 12
Customer Focus
Nurse managers are responsible for ensuring that care delivered on … Focus
Nurse managers:
Enable customer- and patient focused care by engaging the patient and … their families
Measure patient satisfaction by using customer satisfaction surveys
Additional tools … Quality/Safety
Transparency—unit data readily available and known by all
Ownership of safety survey
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-senior-leaders.pdf
April 01, 2022 - bloodstream
infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) and improve safety … culture
at the unit level. … the organization to uphold efforts to move the strategic
priorities forward and create safe care for patients … hospitals: Results of a national survey. Am J Infect Control. 2016;44:343-5. … Preventing device-associated infections in US hospitals:
national surveys from 2005 to 2013.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/engaging-srexec-facguide.docx
January 01, 2017 - One-third of every dollar spent on health care is wasted on therapies that do not make patients well. … Executives are increasingly aware that developing a safety culture is a part of their job. … Consider sharing the following at the meeting:
· Patient safety culture survey results
· The prioritized … on Patient Safety Culture assessment composite scores
· Share your Safety Culture Survey (HSOPS) scores … · HSOPS aggregate report provides composite scores graphs
· Consider a brief safety culture summary,
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
October 01, 2024 - These include:
· MRSA Prevention Team Checkup Tool: This questionnaire collects information on the unit … It is important to note that safety culture is not stagnant—it can be changed. … CUSP is one of the best validated approaches to improve local safety culture. … organizations to assess safety culture on regular intervals, plenty of evidence has been produced to … Improved safety culture has been associated with reduced patient safety issues, such as infection rates
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - 4
Problem-Solving Goal
What is the long-term impact on patient safety culture? … safety culture. … Second-order problem solving addresses future needs and improves overall patient safety culture … Are there aspects of the patient safety culture that promote doing the wrong things? … safety culture, and creating system constraints.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
April 01, 2025 - These include:
· MRSA Prevention Team Checkup Tool: This questionnaire collects information on the unit … , the patients, and the staff who work there. … to assess safety culture regularly. … The evidence is clear: safety culture impacts both patient outcomes and clinician outcomes. … Slide 12
Safety Culture and SSI
SAY:
This study shows an example of the association between safety