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psnet.ahrq.gov/node/44338/psn-pdf
November 23, 2015 - /medicare-and-medicaid-programs-reform-requirements-long-term-care-
facilities-proposed-rule
Poor safety … culture and lack of available resources to provide high-quality care can hinder safety in long-
term … requirements for long-term care facilities in areas such
as clinical practice standards, service delivery, patient-centeredness … The deadline for
officially submitting comments on the proposed rule was September 14, 2015. … medicare-and-medicaid-programs-reform-requirements-long-term-care-facilities-proposed-rule
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture
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psnet.ahrq.gov/issue/hospital-patient-safety-characteristics-best-performing-hospitals
February 03, 2011 - safety: a status report on patient safety systems. … November 21, 2021
Burnout in pediatric residents: three years of national survey … safety culture. … culture in hospital nursing units. … Nasca, MD
February 1, 2010
Measurement for improvement: a survey of current
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre/ready.html
January 01, 2024 - Safety Culture Surveys . … AHRQ has produced patient safety culture surveys for multiple healthcare settings designed to assess … what healthcare workers and patients think of institutional or site safety. … These surveys and the survey data AHRQ makes available can be used to assess perceptions of existing … safety culture, identify specific culture strengths or weaknesses, and assess improvements from survey
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psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
January 10, 2024 - Review
Impact of short-notice accreditation assessments on hospitals' patient safety … Impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture- a … Impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture- a … March 13, 2024
Issues and complexities in safety culture assessment in healthcare. … May 13, 2020
A call for the application of patient safety culture in medical humanitarian
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psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative
July 30, 2014 - 2019
Perception of safety of surgical practice among operating room personnel from survey … November 18, 2009
Workforce perceptions of hospital safety culture: development and validation … of the patient safety climate in healthcare organizations survey. … June 7, 2016
Junior doctors' views on reporting concerns about patient safety: a qualitative … August 12, 2015
Mandatory reporting of impaired medical practitioners: protecting patients
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psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region
September 29, 2010 - approach: a region-wide approach to determining a patient safety culture. … approach to determining a patient safety culture. … This study provides an example of how formal assessment of safety culture may be used to inform specific … approach to determining a patient safety culture. … May 6, 2009
Analysis of risk factors for adverse drug events in critically ill patients
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psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients
February 17, 2016 - September 29, 2021
Nursing home administrators' opinions of the resident safety culture … September 7, 2005
Assessing resident safety culture in nursing homes: using the nursing … home survey on resident safety. … June 2, 2010
Safety culture of nursing homes: opinions of top managers. … April 6, 2011
Opportunities to enhance laboratory professionals' role on the diagnostic
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psnet.ahrq.gov/issue/organizational-culture-critical-success-factors-and-reduction-hospital-errors
December 12, 2014 - surveyed 500 hospitals and identified characteristics of organizational culture that had a greater effect on … Same Author(s)
Leadership, safety climate, and continuous quality improvement: impact on … August 31, 2022
Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety … culture in a surgical inpatient unit. … January 2, 2017
Leadership, safety climate, and continuous quality improvement: impact on
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psnet.ahrq.gov/issue/impact-organizational-culture-preventability-assessment-selected-adverse-events-icu
August 15, 2016 - This study demonstrated a strong relationship between organizational safety culture and caregivers' … Utilizing 'soft signals' in the regulation of patient safety. … October 29, 2014
Positive deviance: a new tool for infection prevention and patient safety … April 18, 2012
What’s past is prologue: organizational learning from a serious patient … March 24, 2010
AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses
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psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program
January 07, 2015 - March 16, 2022
Transfers of patient care between house staff on internal medicine wards … : a national survey. … October 13, 2018
The "Seven Pillars" response to patient safety incidents: effects on … September 1, 2018
National quality program achieves improvements in safety culture and … mortality of critically ill patients.
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psnet.ahrq.gov/issue/investigation-mental-and-physical-health-nurses-associated-errors-clinical-practice
September 21, 2022 - A survey of 364 nurses found that somatic symptoms (e.g., headache, exhaustion, fatigue) had a positive … patients and healthcare professionals' perspectives: a systematic review and meta-synthesis. … : a cross-sectional survey to assess staff experiences and perceptions. … January 19, 2022
Differences between professionals' views on patient safety culture in … perceptions of patient safety culture: a cross-national cross-sectional study.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
December 01, 2017 - Completed safety culture survey (HSOPS)?
Debriefed HSOPS results to frontline safety program team? … 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. … 3
Assess Your Performance
PROCESS DATA OUTCOME DATA
What we do to patients What happens to patients
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psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety
March 13, 2013 - particularly in cases involving physicians), and proposes a working balance that not only promotes a safety … culture but also safe patient care. … Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on … April 17, 2013
A survey of the impact of disruptive behaviors and communication defects … on patient safety.
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psnet.ahrq.gov/issue/perceptions-institutional-support-second-victims-are-associated-safety-culture-and-workforce
February 01, 2023 - Perceptions of Institutional Support for “Second Victims” Are Associated with Safety Culture and Workforce … The authors also found that perceived institutional support was associated with a better safety culture … safety culture, higher employee engagement and lower burnout. … culture: a cross-sectional survey analysis. … February 3, 2021
Patient safety culture and the second victim phenomenon: connecting
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www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - one hand and the pediatric patient on the other. … We used the AHRQ Hospital Survey of Patient Safety Culture
(HSOPS) to assess caregiver attitudes about … Results: Problematic responses were common and varied by safety culture dimension. … Principal Findings/Outcomes/Discussion: Safety culture varies by type of clinical work
area and predicts … Assessing Patient Safety Culture: A Review and
Synthesis of the Measurement Tools; currently in
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psnet.ahrq.gov/issue/why-hospitals-should-fly-ultimate-flight-plan-patient-safety-and-quality-care
December 19, 2018 - culture. … May 24, 2015
Structural empowerment and patient safety culture among registered nurses … July 5, 2016
Keeping Patients Safe: Transforming the Work Environment of Nurses. … May 16, 2019
Hospital Survey on Patient Safety Culture: 2011 User Comparative Database … October 14, 2015
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help
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psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
April 21, 2010 - The success of a reporting system rests on four key components , including a supportive safety culture … and an effective mechanism for acting on reported issues. … This AHRQ-funded survey of risk managers found that most hospitals' systems did not meet these effectiveness … Same Author(s)
Adverse-event-reporting practices by US hospitals: results of a national survey … April 20, 2011
Impact of a statewide intensive care unit quality improvement initiative on
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
July 03, 2013 - This announcement calls for review and feedback from the field to guide adjustments on a new set of … May 30, 2018
Medical Office Survey on Patient Safety Culture: 2018 User Database Report … May 2, 2018
Hospital Survey on Patient Safety Culture: 2018 User Database Report. … More
Related Resources
Adverse Events in Hospitals: A Quarter of Medicare Patients … Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients
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psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
October 31, 2014 - Numerous incident reports may indicate either a high number of errors or a robust safety culture that … reporting took place where survey results indicated a positive safety culture. … December 21, 2018
Enhancing safety culture through improved incident reporting: a case … November 16, 2015
Junior doctors' views on reporting concerns about patient safety: a … March 27, 2013
National and local medication error reporting systems—a survey of practices
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psnet.ahrq.gov/issue/how-does-who-surgical-safety-checklist-fit-existing-perioperative-risk-management-strategies
March 18, 2020 - August 5, 2020
Patients and relatives as auditors of safe practices in oncology and hematology … March 31, 2021
Patient safety culture as a space of social struggle: understanding infection … prevention practice and patient safety culture within hospital isolation settings - a qualitative study … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey … June 22, 2016
The Helsinki Declaration on Patient Safety in Anaesthesiology: the past