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1081. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet
      psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
      August 05, 2020 - August 5, 2020 Patients who die by suicide: a study of treatment patterns and patient … May 4, 2022 Safety culture and the positive association of being a primary care training … May 25, 2022 Development, pilot study, and psychometric analysis of the AHRQ Surveys … on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals. … patient safety.

1082. Slide Presentation - Progress Update: The National Action Alliance for Patient and Workforce Safety—What, Why and How? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-slides.pdf
      January 01, 2024 - , patients and families, and others to achieve the aims of the National Action Alliance? … culture surveys • Patient and Family Engagement • Actively engaged PFACs • Analyzing data using “equity … on Patient Safety Culture (tool) Patient and Family Engagement • TeamSTEPPS 3.0 (tool & implementation … : Culture of Safety & Learning Health System • Hospital conducts hospital-wide culture of safety survey … Yogiraj Charles Bates’ Hospital Deterioration Experience A Widow’s Perspective on Patient Safety

1083. Appendix A | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14apa.html
      June 01, 2014 - Medical Office Survey on Patient Safety Culture Appendix A Previous Page Next Page Table … of Contents Medical Office Survey on Patient Safety Culture Executive Summary Chapter 1. … Average Percentage of Respondents Giving Their Medical Office an Overall Rating on Patient Safety by … Average Percentage of Respondents Giving Their Medical Office an Overall Rating on Patient Safety by … Average Percentage of Respondents Giving Their Medical Office an Overall Rating on Patient Safety by

1084. Resources by the CMS Patient Safety Structural Measure Domains | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/resources/measure-domains.html
      April 01, 2025 - Domain 5: Patient and Family Engagement: Patient and Family Advisory Council (PFAC) provides input on … AHRQ Patient Safety Indicators AHRQ’s Patient Safety Indicators (PSIs) provide information on potentially … AHRQ Surveys on Patient Safety Culture® (SOPS®) Hospital Survey and Additional Resources The SOPS Hospital … Survey is a validated survey that provides a hospital-wide assessment of culture of safety from the … Implementation of the tools and resources can improve teamwork, safety culture, and patient safety outcomes

1085. Primary care closed claims experience of Massachusetts malpractice insurers. | PSNet
      psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
      August 14, 2017 - The authors note a high prevalence of failure-to-diagnose claims and recommend further emphasis on … August 14, 2017 Doing right by our patients when things go wrong in the ambulatory setting … Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys … July 31, 2013 Better medical office safety culture is not associated with better scores … on quality measures.

1086. Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. | PSNet
      psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
      June 10, 2018 - Citation Related Resources From the Same Author(s) Drug shortages: national survey … August 7, 2024 IV push medications survey results—part 1 and part 2. … 27, 2018 Assessing medication safety in settings not designated solely for pediatric patients … July 20, 2021 New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental … June 24, 2020 Introducing the New SOPS Hospital Survey 2.0.

1087. Market-based control mechanisms for patient safety. | PSNet
      psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety
      June 30, 2010 - This commentary expands on all of the drivers for change in the context of market forces, drawing on … The authors discuss the design of a patient safety "market," measuring and putting a price on safety … successes and failures: qualitative surveys and interviews with international experts. … December 6, 2023 Issues and complexities in safety culture assessment in healthcare. … 23, 2011 View More Related Resources Perspectives on

1088. SOPS Nursing Home Survey Version 2.0 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.pdf
      June 05, 2025 - • For the survey items grouped according to the safety culture composite measures they are intended … • To participate in the AHRQ Nursing Home Survey on Patient Safety Culture Database, you must have … https://www.ahrq.gov/sops/surveys/nursing-home/index.html https://www.ahrq.gov/sops/surveys/nursing-home … /index.html mailto:SafetyCultureSurveys@westat.com 1 Nursing Home Survey on Resident Safety (Version … , and harm to residents or patients in the nursing home.

1089. SOPS Medical Office Survey (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-survey-english-2023.docx
      January 01, 2023 - · For the survey items grouped according to the safety culture composite measures they are intended … on Patient Safety Culture Database, you must have administered the survey in its entirety without modifications … Last updated: March 2023 Medical Office Survey on Patient Safety SURVEY INSTRUCTIONS Think … They place a high priority on improving patient care processes 1 2 3 4 5 9 4. … They make decisions too often based on what is best for the office rather than what is best for patients

1090. SOPS Nursing Home Survey Version 2.0 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.docx
      June 05, 2025 - For the survey items grouped according to the safety culture composite measures they are intended to … · To participate in the AHRQ Nursing Home Survey on Patient Safety Culture Database, you must have … Nursing Home Survey on Resident Safety (Version 2.0) Survey Instructions This survey asks for your … and harm to residents or patients in the nursing home. … Overall, how would you rate this nursing home on resident safety?

1091. Final Progress Report: (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/friese-report.pdf
      January 01, 2024 - In the patient questionnaires, patients were asked to report symptoms related to their chemotherapy … Measures Patient Survey Measures. … , with higher scores indicating greater actions consistent with a safety culture. … In a linear regression model examining factors associated with actions consistent with a safety culture … as eligible respondents by practice study champions, 2,245 individuals (63%) completed surveys.

1092. Nursing Home Compare. | PSNet
      psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-cms-nursing-home-compare
      May 26, 2021 - May 26, 2021 Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis … February 15, 2023 Hospital Survey on Patient Safety Culture 2.0. … July 1, 2020 Organisation Patient Safety Incident Reports. … April 17, 2013 Global Patient Safety Alerts. … February 23, 2011 View More See More About The Topic Long-Term Care Patients

1093. CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
      January 01, 2017 - culture using surveys or questionnaires is quickly becoming an industry norm in health care. … If your organization has not conducted a safety culture survey, such as the Hospital Survey on Patient … Safety culture questionnaires elicit frontline providers’ attitudes and perceptions about patient safety … Culture Check-Up Tool Use to debrief patient safety culture survey scores and turn data into action. … Safety culture survey results 2.

1094. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. | PSNet
      psnet.ahrq.gov/issue/measuring-patient-safety-culture-assessment-clustering-responses-unit-level-and-hospital
      February 20, 2013 - Study Measuring patient safety culture: an assessment of the clustering of responses … Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital … Analysis of responses to the Hospital Survey on Patient Safety Culture revealed that safety culture … October 14, 2009 The psychometric properties of the 'Hospital Survey on Patient Safety … June 15, 2011 What is patient safety culture? A review of the literature.

1095. The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases. | PSNet
      psnet.ahrq.gov/issue/efficacy-medical-team-training-improved-team-performance-and-decreased-operating-room-delays
      October 06, 2016 - In addition to OR team function, adherence to guidelines for prophylactic antibiotics improved, and surveys … noted improved perceptions of teamwork and safety culture . … benefits of teamwork training programs, particularly when combined with an active debriefing process, on … Citation Related Resources From the Same Author(s) Effect of distractions on … July 5, 2013 Effect of a comprehensive surgical safety system on patient outcomes.

1096. An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
      September 10, 2015 - Providing guidance on how to report an event, including requested patient information, where the event … Resources available to help your organization engage patients and families include: AHRQ’s Guide to Patient … the safety culture Module 4 17 The desired outcomes of the CANDOR Event Investigation and Analysis … Support of the patient and family—providing patients and families with honest and transparent information … Ultimately the new process can have a positive effect on the organization’s safety culture, as shifting

1097. Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. | PSNet
      psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovation-hubs
      September 13, 2023 - President’s Council of Advisors on Science and Technology. … President’s Council of Advisors on Science and Technology. … September 29, 2017 Oversight Hearing on Recent Patient Safety Issues. … September 23, 2015 Partnering with Patients to Drive Shared Decisions, Better Value, … March 16, 2022 New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental

1098. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-470
      December 31, 2024 - Study Longitudinal analysis of culture of patient safety survey results in surgical … The Agency for Healthcare Research and Quality Surveys on Patient Safety Culture™ (SOPS®) are used for … assessing patient safety culture and can show trends when completed at multiple points in time. … When patients, carers, and healthcare providers describe potential patient safety consequences of technology … Qualitative analysis of feedback surveys highlighted the value of learning about patient outcomes, detailed

1099. Toolkit to Promote Safe Surgery. | PSNet
      psnet.ahrq.gov/issue/toolkit-promote-safe-surgery
      May 01, 2017 - This toolkit builds on the success of the Comprehensive Unit-based Safety Program to initiate change … August 1, 2012 Advances in Patient Safety and Medical Liability. … November 30, 2018 Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory … December 18, 2008 Action Planning Tool for the AHRQ Surveys on Patient Safety Culture … January 24, 2018 Advances in Patient Safety: From Research to Implementation.

1100. We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. | PSNet
      psnet.ahrq.gov/issue/we-cant-do-alone-role-patients-family-members-and-general-public-play-advancing-patient
      June 01, 2023 - The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. … The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. … The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. … July 20, 2021 New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental … June 3, 2020 Introducing the New SOPS Hospital Survey 2.0.