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www.ahrq.gov/news/newsroom/case-studies/202101.html
June 01, 2021 - As a result, leaders have embedded TeamSTEPPS into PDC’s new performance improvement system and into patient … For years, PDC had used several internal surveys to measure how employees perceived the safety culture … At the same time, Sanne Holbrook Henninger, Ed.D., PDC’s Director of Patient Experience, observed that … the practice lacked a formal teamwork model to support a safety culture or assist teams in distress. … To advise leaders how to select and apply TeamSTEPPS tools to strengthen a safety culture.
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www.ahrq.gov/patient-safety/resources/learning-lab/owll-long-desc.html
August 01, 2025 - Focusing on pediatric dental sedation, the project was implemented at two large academic dental institutions … Researchers used a mixed-methods approach that included safety culture surveys, root cause analysis, … Surveys and focus groups showed that providers viewed the interventions as helpful, with 71 percent at … The OWLL team’s work highlights the value of engaging patients, families, and providers in safety innovation … J Patient Saf 2023;19(5):305-312. Zouaidi K, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-plenary.pdf
September 28, 2016 - Safety
AHRQ Research Summit on Diagnostic Safety
September 28, 2016
Presentation Agenda
• National … Safety
Culture
Patient
Engagement
Alignment
with
Requirements
& Incentives
Reduce
Patient … triggers
(unexpected return visits after initial primary care visit) Singh et al., 2013
• Conduct survey … testing and follow-
up
• Includes surveys, survey scoring sheets, and patient
handouts
► Surveys … handout (English and Spanish)
• Users can choose among these surveys and tools to
select the ones
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psnet.ahrq.gov/issue/what-measure-safe-hospital-medication-errors-missed-risk-management-clinical-staff-and
September 27, 2017 - The authors assess the validity of licensing and accreditation surveys of medication error rates by comparing … June 29, 2009
View More
Related Resources
Patient Safety … February 16, 2011
Designing and implementing a comprehensive quality and patient safety … management model: a paradigm for perioperative improvement. … safety founded on evidence-based protocols.
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psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
September 09, 2015 - Book/Report
The Report of the Short Life Working Group on Reducing Medication-related … Citation Text:
The Report of the Short Life Working Group on Reducing Medication-related Harm. … The authors suggest an emphasis on technology , teamwork, and safety culture to enable sustained improvements … Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys … December 6, 2011
Patient Safety.
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psnet.ahrq.gov/node/38964/psn-pdf
November 27, 2009 - Development of a measure of patient safety event
learning responses. … A 2008 survey found that only a minority of US
hospitals had a structured system for following up on … This mixed-methods study used a
combination of surveys, focus groups, and expert panels to define measurements … for how organizations
respond to patient safety events. … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
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psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - Other methods to prospectively uncover safety hazards rely on qualitative approaches that emphasize the … at all levels, through formal safety culture surveys or more informal methods
such as leadership walk … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture … https://psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture … Similarly, an institution's picture of patient safety will hinge on which
method they emphasize for
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psnet.ahrq.gov/issue/challenges-communication-referring-clinicians-pathologists-electronic-health-record-era
June 29, 2011 - September 18, 2019
Epidemiology, patterns of care, and mortality for patients with acute … March 9, 2016
Association of safety culture with surgical site infection outcomes. … June 21, 2016
Modified Early Warning System improves patient safety and clinical outcomes … December 1, 2021
Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace … August 14, 2019
Data omission by physician trainees on ICU rounds.
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psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
December 24, 2008 - A second toolkit focused on high-risk surgical services is planned for spring 2025, and a third toolkit … focused on long-term care settings is anticipated in fall 2025. … December 24, 2008
2022 Updated Results for the AHRQ Surveys on Patient Safety Culture … October 9, 2013
Tennessee Center for Patient Safety. … September 10, 2013
Eliminating CLABSI: A National Patient Safety Imperative.
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psnet.ahrq.gov/issue/assessing-patients-perceptions-safety-culture-hospital-setting-development-and-initial
June 09, 2021 - of the Patients' Perceptions of Safety Culture Scale. … of the Patients' Perceptions of Safety Culture Scale. … Safety Culture Survey. … March 22, 2023
Patient safety culture: the impact on workplace violence and health worker … January 19, 2022
Differences between professionals' views on patient safety culture in
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www.ahrq.gov/news/newsletters/e-newsletter/905.html
March 01, 2024 - Data Submissions Begin June 3 for Survey on Patient Safety Culture® Hospital Database . … Access the chartbook , which includes assessments of patient safety culture and the impacts of COVID … Data Submissions Begin June 3 for Survey on Patient Safety Culture® Hospital Database
Voluntary data … submission for AHRQ’s Surveys On Patient Safety Culture® (SOPS®) Hospital Database is open June 3–21 … and percentiles on the survey items and composite measures.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - the female patient. … Being new to this setting and assuming different practices were used in pediatric patients, the student … the Totem Pole
On postoperative day 3, the student found that the patient had been febrile overnight … Error, stress and teamwork in medicine and aviation: cross sectional surveys. … Error, stress and teamwork in medicine and aviation: cross sectional surveys.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/improve.html
March 01, 2017 - AHRQ Nursing Home Survey on Patient Safety Culture
A survey available for nursing homes that helps … Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture … on Patient Safety Culture. … Nursing Home Survey on Patient Safety Culture Survey Administration Materials and Results Discussion … on Patient Safety Culture.
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psnet.ahrq.gov/issue/ahrq-2007-annual-conference
December 24, 2008 - December 18, 2008
Advances in Patient Safety: New Directions and Alternative Approaches … September 29, 2017
Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … April 30, 2008
Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report … The Evolution of Root Cause Analysis
February 26, 2025
SOPS Surveys … November 28, 2023
Advances in Patient Safety: From Research to Implementation.
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psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations
November 26, 2008 - in up to 37% of cases at one hospital, and at another, clinical information was missing for 27% of patients … Surgical checklist implementation project: the impact of variable WHO checklist compliance on … May 6, 2015
The WHO surgical safety checklist: survey of patients' views. … November 26, 2014
Comparing two safety culture surveys: Safety Attitudes Questionnaire … and Hospital Survey on Patient Safety.
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www.ahrq.gov/patient-safety/news-events/psaw-2020/index.html
December 01, 2023 - among health professionals, patients, and families. … Subscribe to AHRQ's Patient Safety email update or AHRQ News Now to get the latest information on … Jeff Brady M.D. , Director of AHRQ’s Center for Quality Improvement and Patient Safety, on LinkedIn. … Surveys on Patient Safety Culture® (SOPS®) Medical Office Survey: 2020 User Database Report (PDF, 441 … Patients
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psnet.ahrq.gov/node/865678/psn-pdf
April 24, 2024 - Jt Comm J Qual Patient Saf.
2024;50(8):560-568. doi:10.1016/j.jcjq.2024.03.004. … I-PASS tool has been implemented in a variety of healthcare settings to improve communication during
patient … After I-PASS
training, tool adherence improved from 42% to 71% and perceived handoff scores improved on … safety
culture surveys.
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psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
April 08, 2011 - April 8, 2011
Improving patient safety governance and systems through learning from successes … and failures: qualitative surveys and interviews with international experts. … June 23, 2015
The impact of trained assistance on error rates in anaesthesia: a simulation-based … March 2, 2011
View More
Related Resources
Safety culture across … October 8, 2014
Tracing the foundations of a conceptual framework for a patient safety
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www.ahrq.gov/sites/default/files/wysiwyg/SOPS-International-Languages-September-2022-508-rev.pdf
January 01, 2022 - SOPS® Has Been Translated Into
As of September 2022, there are 56 known translations for the AHRQ Surveys … on Patient Safety Culture™ (SOPS®)
Surveys and Supplemental Item Sets. … 2.0
Medical
Office
Nursing
Home
Community
Pharmacy
Ambulatory
Surgery
Center
Health IT
Patient … PDFXRegistryName ()
/PDFXTrapped /False
/CreateJDFFile false
/Description <<
/ENU ([Based on … '508 PDF'] [Based on '[Press Quality]'] Use these settings to create Adobe PDF documents best suited
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psnet.ahrq.gov/issue/general-practitioners-attitudes-toward-reporting-and-learning-adverse-events-results-survey
September 13, 2023 - s)
Handling polypharmacy--a qualitative study using focus group interviews with older patients … February 17, 2021
Review: application of the Safety Attitudes Questionnaire (SAQ) in … experiential knowledge related to patient safety culture at the nursing home front line: cocreative … November 13, 2024
Unannounced versus announced hospital surveys: a nationwide cluster-randomized … December 29, 2014
Toward increased patient safety?