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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - High reliability principles and safety culture are too often treated as things that can be accomplished … High reliability and safety culture are fragile, and they need to be re-accomplished. … One thing that came out of COVID was a pretty consistent finding that safety culture eroded. … of all the patients currently on the unit. … The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in
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psnet.ahrq.gov/issue/psychosocial-influences-safety-climate-evidence-community-pharmacies
March 06, 2024 - November 14, 2018
Capturing patients' perspectives on medication safety: the development … on Patient Safety Culture: 2019 User Comparative Database Report. … April 17, 2019
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative … August 22, 2018
Evaluation of patient safety culture in community pharmacies. … safety culture.
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www.ahrq.gov/hai/cusp/toolkit/culture-checkup.html
December 01, 2012 - culture in a patient care area takes time. … No matter what instrument you use to assess patient safety culture, your results provide a snapshot of … items based on a unit’s assessment of patient safety culture rather than the summary scores (e.g., safety … Review the unit patient safety culture assessment results and select an item for which responses indicate … How accurately does the unit score reflect your experience on this unit?
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psnet.ahrq.gov/issue/intensive-care-unit-safety-culture-and-outcomes-us-multicenter-study
June 16, 2011 - Study
Intensive care unit safety culture and outcomes: a US multicenter study. … Intensive care unit safety culture and outcomes: a US multicenter study. … In this survey conducted in 30 intensive care units in the United States, positive perceived safety … Intensive care unit safety culture and outcomes: a US multicenter study. … A sociocultural perspective on learning from incidents in healthcare organizations.
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psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea
July 08, 2020 - Study
Nurses' perception of error reporting and patient safety culture in Korea. … Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. … Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. … Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients … August 19, 2015
Urban outpatient views on quality and safety in primary care.
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www.ahrq.gov/sites/default/files/2024-05/berry2-report.pdf
January 01, 2024 - Results: Survey respondents were primarily anesthesiologists from facilities of mixed size. … present prior to
implementation (e.g., structural factors, patient safety culture, leadership, and … PI with the
survey, and we offered to share aggregated results with respondents. … We sent all potential
respondents up to three reminders with a link to the survey at approximately 2 … Results
Principal Findings:
Quantitative Survey Study
In total, 12,722 surveys were distributed to potential
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psnet.ahrq.gov/issue/survey-impact-disruptive-behaviors-and-communication-defects-patient-safety
February 03, 2010 - and communication defects on patient safety. … A survey of the impact of disruptive behaviors and communication defects on patient safety. … Respondents strongly agreed that disruptive behavior adversely affects patient safety and the quality … A survey of the impact of disruptive behaviors and communication defects on patient safety. … August 27, 2012
Understanding safety culture in long-term care: a case study.
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psnet.ahrq.gov/issue/combined-assessment-tool-teamwork-communication-and-workload-hospital-procedural-units
August 04, 2021 - Jt Comm J Qual Patient Saf . 2024; 50 (3) :219-227 . … mixed methods toolkit (including a behavior observation tool, semi-structured interview guide, and surveys … March 5, 2025
Improving patients' intensive care admission through multidisciplinary … Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on … April 13, 2022
Effect of a cluster randomised team training intervention on adverse perinatal
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psnet.ahrq.gov/node/34087/psn-pdf
June 16, 2011 - -
center
This study determined that information captured from measuring safety culture can both evaluate … and
further drive an institution's patient safety agenda. … and the other to assess leadership perceptions on the
extent to which safety serves as a strategic … A past commentary drawing on the experiences in non-health
care industries also suggested the importance … of culture on creating high reliability organizations.
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psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
January 08, 2020 - Review
Patient safety culture in care homes for older people: a scoping review. … Patient safety culture in care homes for older people: a scoping review. … Nursing homes and other long-term care facilities struggle with establishing a safety culture . … Patient safety culture in care homes for older people: a scoping review. … October 5, 2016
Implementing a survey for patients to provide safety experience feedback
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-ve-supp-item-set-08-2022.pdf
January 01, 2022 - www.ahrq.gov/sops/databases/hospital/index.html
https://www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys … We focus on eliminating unnecessary tests
and procedures for patients. ............................ … We ask for patient or family member input on
ways to make patient visits more efficient ........ … Places a high priority on doing work efficiently
without compromising patient care ................ … I made a suggestion to management about improving patients’ care experiences ..... 1 2
7.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
April 08, 2004 - error
causation; human error; tools to assess safety and risk; systems design principles;
safety culture … systems, information technology, and improved
safety culture. … The nurse focus groups and survey respondents showed some similarities to
the physician groups, but … The nurse survey respondents’ top
five curriculum topics were as follows: proven medication safety practices … The possible causes of the similarities and differences in focus group and survey
respondent rankings
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psnet.ahrq.gov/node/47393/psn-pdf
November 28, 2018 - https://psnet.ahrq.gov/issue/still-failing-frail
Nursing home patients are vulnerable to preventable … harm due to poor safety culture, insufficient staffing
levels, lack of regulation enforcement, and … adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture … https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report … https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report
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psnet.ahrq.gov/node/39767/psn-pdf
August 18, 2010 - Improving safety culture on adult medical units through
multidisciplinary teamwork and communication … Improving safety culture on adult medical units through
multidisciplinary teamwork and communication … culture
on adult general medical wards, particularly among nurses. … Safety culture was measured using the AHRQ
Hospital Survey on Patient Safety Culture. … teamwork-training
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture
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psnet.ahrq.gov/issue/clinical-deterioration-nurse-sensitive-indicator-out-hospital-context-scoping-review
July 19, 2023 - January 6, 2016
Predictors of adverse events in patients after discharge from the intensive … surveys of nurses and patients in 12 countries in Europe and the United States. … January 4, 2015
Influences of leadership, organizational culture, and hierarchy on raising … concerns about patient deterioration: a qualitative study. … November 3, 2021
Home health staff perspectives on infection prevention and control:
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
June 11, 2003 - We needed a system that would focus on preventing errors.3 The tool,
Advances in Patient Safety: … on a blank piece
of paper, or the staff can inform the patient safety specialist in person or via e … Ongoing training is provided to all staff on patient safety programs and
requirements. … Recently, surveys were taken among the
staff on their willingness to report occurrences without fear … The
survey results found that 90 percent of the staff felt confident in their error
reporting.
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psnet.ahrq.gov/issue/effects-team-based-assessment-and-intervention-patient-safety-culture-general-practice-open
August 14, 2013 - Study
Effects of a team-based assessment and intervention on patient safety culture … Effects of a team-based assessment and intervention on patient safety culture in general practice: an … Effects of a team-based assessment and intervention on patient safety culture in general practice: an … April 19, 2023
Patient safety culture improves during an in situ simulation intervention … safety culture in 24 hospitals.
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psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-organizations-netherlands
January 07, 2015 - Although prior research has demonstrated a positive impact of walk rounds on safety culture in the … An accompanying editorial discusses the utility of walk rounds in improving the safety culture in nursing … safety culture. … December 15, 2010
Assessing resident safety culture in nursing homes: using the nursing … home survey on resident safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith3slides.pdf
June 02, 2025 - Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Questions? … • Please complete the evaluation survey—Your
feedback is important to us! … SafetyCultureSurveys@westat.com
Phone
o 1-888-324-9749
Website: www.ahrq.gov/professionals/quality-patient … patientsafetyculture/index.html
mailto:SafetyCultureSurveys@westat.com
http://www.ahrq.gov/professionals/quality-patient-safety
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-ASC_Webcast_2021-Ginsberg.pdf
January 01, 2021 - Safety Priorities
• Focus on areas of greatest impact
• Extend patient safety improvement to all settings … of patient safety culture
► the collection of data and informative reporting of patient safety culture … data
► patient safety improvement involving SOPS
9
What is Patient Safety Culture? … 10
ASC SOPS Survey
Patient Safety Culture Composite Measures
27 items assess 8 composite measures … Management Support for Patient Safety
Near-Miss Documentation
Overall Rating on Patient Safety (Excellent