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psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
April 11, 2011 - This AHRQ–funded study used methodology similar to a prior study in adult intensive care unit patients … Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients … January 5, 2017
Impact of a drug shortage on medication errors and clinical outcomes … May 27, 2011
Risk management, or just a different risk: a national survey of newborn … units following a patient safety alert.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - According to the 2012 American Congress of Obstetricians and Gynecologists liability survey— 4
77% … Patient and Family Engagement (CUSP Module). … interpret, communicate, and document fetal heart rate (FHR) and uterine contraction patterns for all patients … Slide 17: Key Safety Elements: Patient and Family Engagement
Engaging patient in decisions to … [Reaffirmed 2015]
American Congress of Obstetricians and Gynecologists. 2012 ACOG Survey on Professional
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pptx
January 01, 2008 - surveys of patient experience such as the CAHPS® Hospital Survey (HCAHPS)
Meeting and exceeding the Joint … and families as advisors on short-term projects, typically on an as-needed basis
Patients and families … Involving advisors from the start is much more effective than relying on focus groups and surveys later … [2 or 3 respondents]
What is one strength you are comfortable sharing with the group? … [2 or 3 respondents ]
Ask the group – Why do you think this attitude/behavior is important?
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www.ahrq.gov/teamstepps-program/welcome-guides/experienced-trainers.html
July 01, 2023 - Patient Focus: How to involve patients and family caregivers in care processes and decision making is … TeamSTEPPS focuses on maximizing patient safety and makes connections between effective teamwork and … For updates on research related to teamwork and its components, use the Patient Safety Network (PSNet … , and safety culture. … , why safety culture and effective teamwork are essential, and how TeamSTEPPS enhances patient safety
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psnet.ahrq.gov/issue/containing-covid-19-emergency-department-role-improved-case-detection-and-segregation-suspect
May 05, 2021 - Both the initial official case criteria and the broadened case definition, which included patients presenting … March 10, 2021
Effects on resident work hours, sleep duration and work experience in … March 27, 2024
Evaluation of clinical practice guidelines on fall prevention and management … Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey
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psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong
September 01, 2010 - Organizational readiness to change as a leverage point for improving safety: a national nursing home survey … November 3, 2012
Focusing on Medical Errors. … March 6, 2005
Special Issue on Falls. … May 11, 2011
View More
Related Resources
On Patient Safety. … to patients.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/sampleagenda.html
March 01, 2013 - Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on … Re-Engineered Discharge to Diverse Populations
Tool 5: How To Conduct a Postdischarge Followup Phone Call
Patient … Outcome Survey (phone version)
Patient Outcome Survey (mailed version)
Tool 6: How To Monitor RED … Introductions
9:05 - 10:20
Background of the RED
Objectives:
Introduce the patient … Patient related.
Medical team related.
Develop strategies to overcome challenges.
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/sampleagenda.html
March 01, 2013 - Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on … Re-Engineered Discharge to Diverse Populations
Tool 5: How To Conduct a Postdischarge Followup Phone Call
Patient … Outcome Survey (phone version)
Patient Outcome Survey (mailed version)
Tool 6: How To Monitor RED … Introductions
9:05 - 10:20
Background of the RED
Objectives:
Introduce the patient … Patient related.
Medical team related.
Develop strategies to overcome challenges.
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www.ahrq.gov/cpi/about/timeline/index.html
March 01, 2025 - Based on the topics studied by the Patient Outcomes Research Teams (PORTs), the guidelines represented … MEPS – a set of large-scale surveys of families and individuals, their medical providers (doctors, hospitals … The new questionnaire added to AHRQ’s Medical Expenditure Panel Survey indicates that while the majority … The toolkit focuses on 17 Patient Safety Indicators and the 28 Inpatient Quality Indicators. 2013 Patient … On June 5, 2018, AHRQ released data showing continued progress in patient safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
March 01, 2020 - In a pre-intervention survey of nurses, Herring et al. found that 88.6 percent of respondents reported … Data were
collected on 1,326
patients who were
administered 2008
infusions.
16 NHS
trusts,
England … Sample of nurses
that responded to
the surveys: pre-
implementation
survey (n=190,
response rate: … -
implementation
surveys. … United States
The majority of survey
respondents agreed
or strongly agreed that
training and education
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
January 24, 2008 - Evaluation was
based on direct experience with the MMOR and participants’ responses to a questionnaire … Such
capabilities make it ideal for simulating different types of patients. … For the study addressed in this
article, only one scale comprising seven items on the post-session questionnaire … Error, stress,
and teamwork in medicine and aviation: Cross
sectional surveys. … In Anca Jr JM, ed, Multimodal safety
management and human factors.
-
www.ahrq.gov/teamstepps-program/welcome-guides/frontline-providers.html
July 01, 2023 - Patient Focus: How to involve patients and family caregivers in care processes and decision making is … TeamSTEPPS focuses on maximizing patient safety and makes connections between effective teamwork and … For updates on research related to teamwork and its components, use the AHRQ Patient Safety Network … , and safety culture. … , why safety culture and effective teamwork are essential, and how TeamSTEPPS enhances patient safety
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psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
August 02, 2017 - J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398. … Researchers conducted a survey study of 120 surgeons in the United Kingdom and found significant variation … associations between work–life balance behaviours, teamwork climate and safety climate: cross-sectional survey … July 6, 2022
Burnout in the NICU setting and its relation to safety culture. … an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients
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www.ahrq.gov/teamstepps-program/welcome-guides/preprofessional-students.html
June 01, 2023 - Patient Focus: How to involve patients and family caregivers in care processes and decision making is … TeamSTEPPS focuses on maximizing patient safety and makes connections between effective teamwork and … For updates on research related to teamwork and its components, use the AHRQ Patient Safety Network … , and safety culture. … , why safety culture and effective teamwork are essential, and how TeamSTEPPS enhances patient safety
-
www.ahrq.gov/teamstepps-program/welcome-guides/administrators.html
July 01, 2023 - Patient Focus: How to involve patients and family caregivers in care processes and decision making … TeamSTEPPS focuses on maximizing patient safety and makes connections between effective teamwork and … For updates on research related to teamwork and its components, use the AHRQ Patient Safety Network … , and safety culture. … , why safety culture and effective teamwork are essential, and how TeamSTEPPS enhances patient safety
-
www.ahrq.gov/teamstepps-program/welcome-guides/new-trainers.html
July 01, 2023 - Patient Focus: How to involve patients and family caregivers in care processes and decision making is … TeamSTEPPS focuses on maximizing patient safety and makes connections between effective teamwork and … For updates on research related to teamwork and its components, use the AHRQ Patient Safety Network … , and safety culture. … , why safety culture and effective teamwork are essential, and how TeamSTEPPS 3.0 enhances patient safety
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psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
March 14, 2022 - increase formal reporting of incivility events (e.g., bullying, racist language, hostility) committed by patients … May 31, 2017
A national survey assessing the number of records allowed open in electronic … wrong-patient order errors: a randomized clinical trial. … patient safety and clinician satisfaction. … November 2, 2022
Evaluating incident learning systems and safety culture in two radiation
-
psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - regulatory requirements, cumbersome electronic health records,
increased expectations of availability from patients … professional feelings of exhaustion and cynicism and they can become distant and cold when facing the
patients … and
family complaints and patient dissatisfaction. … taking-action-against-clinician-burnout-systems-approach-professional-well-being
https://psnet.ahrq.gov/issue/burnout-nicu-setting-and-its-relation-safety-culture … contributing to healthcare professional burnout during
the COVID-19 pandemic: a rapid turnaround global survey
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-slides.html
December 01, 2017 - Recognize the patient care unit’s readiness for sustainment. … Patient comfort
Nurse convenience
Incontinence
No indication
Slide 23
Passion
Image: … Elderly woman with the hand of a health professional on her shoulder. … acquired condition penalties
Slide 42
Evaluation
Use data to assess progress:
Hospital Survey … on Patient Safety
Infection rates
Process measures
Organizational and team culture
Slide 43
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psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-team-members-defining-teamwork-competencies
September 27, 2016 - Resources From the Same Author(s)
Does clinical supervision of health professionals improve patient … September 27, 2016
Australian hospital leaders on the provision of safe care: implications … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey … November 17, 2021
Effects of a brief team training program on surgical teams' nontechnical … October 16, 2013
A 'Communication and Patient Safety' training programme for all healthcare