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www.ahrq.gov/news/newsroom/ahrq-stats.html
July 01, 2025 - (Source: Chartbook on Patient Safety .) … (Source: Chartbook on Patient Safety .) … (Source: Chartbook on Patient Safety .) … Patient Safety Culture in Nursing Homes Nursing home staff completing AHRQ's Nursing Home Survey on Patient … Safety Culture in 2019 gave the highest positive response— 85 percent—to "overall perceptions of nursing
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psnet.ahrq.gov/web-mm/moving-pains
August 17, 2017 - , so another nurse and the respiratory therapist placed the patient on the NRM. … in acute medical wards, the issues surrounding patient safety for transport for non-ICU patients have … ill patients. … Focus initial efforts on the most frequent source units and patient types (ages, clinical diagnoses). … August 17, 2017
Survey of nurses' experiences applying The Joint Commission's medication
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - It's about the patient, and such a focus might be a distraction from patient safety. … So you're no longer taking care of four patients; you're sitting on your butt waiting for your back to … Real and lasting progress in improving workplace safety can only be achieved by changing the safety culture … implementing Job Safety Behavioral Observation teams and adopting a robust, repeatable process can improve the safety … culture of the workplace and result in fewer injuries.
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psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - safety and then devise strategies to minimize the risk to
future patients. … The increasing use of standardized patients is a welcome
addition to health care professional education … A survey of emergency physician and nurse
attitudes. … constraints (could limit staff
training time)
B
Goals, policies, and standards Probably not a factor -
Safety … culture and priorities
Reactive culture (eg, address problems only when they
occur) - Proactive approach
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014882-ferranti-final-report-2008.pdf
January 01, 2008 - The system focused on the detection and intervention of medication-related patient harm. … It has since been fully operationalized and continues to survey all of the inpatient
medication and … culture which solely relied on qualitative data, as reported by the voluntary reporting system, for … on their patients,
documenting ADEs and recommending interventions.(2) Although this has proven to … The leadership and safety culture differences in
academic versus community based hospitals observed
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pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
January 01, 2020 - • According to a 2018 survey conducted by HHS’ Office of the
Inspector General (OIG), 59% of general … • COVID-19
► Increased stress on healthcare systems
► Potential new patient safety issues
• PSOs … ► Reduce burden on your organization: Use the PSO’s expertise to
analyze and aggregate patient safety … ”
– John Foster Dulles
Best Practice Sharing
2019
• Our Recent TJC Survey Experience
• Eliminating … What do these patients look like?
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/coaching.html
December 01, 2013 - Prioritize patient visits for the day:
New patients—while discharge planning should always "begin … Already enrolled patients—monitor status and anticipate discharge needs. … Round briefly on all patients daily to assess for changes in status and new needs. … Maintain patient confidentiality at all times if teaching in an open setting. … This step is done using a survey tool that was developed based on the Care Transitions Measure of Eric
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/coaching.html
December 01, 2013 - Prioritize patient visits for the day:
New patients—while discharge planning should always "begin … Already enrolled patients—monitor status and anticipate discharge needs. … Round briefly on all patients daily to assess for changes in status and new needs. … Maintain patient confidentiality at all times if teaching in an open setting. … This step is done using a survey tool that was developed based on the Care Transitions Measure of Eric
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - Our study looking at data from the National Ambulatory Medical Care Survey showed that 0.5% of all … There is a real need for being able to tailor these interventions on the provider side and on the patient … We talked about safety culture. Then we interviewed him again about a year ago. … And he said he wasn't focusing much on safety culture anymore because people were so burned out that … We really need to work on our patient experience.
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6u.html
June 01, 2014 - Canadian Survey of Experiences with Primary Health Care Questionnaire
66. … Interpersonal Processes of Care Survey
67.
Brief 5 A’s Patient Survey
68. … Relational and Management Continuity Survey in Patients with Multiple Long-Term Conditions
70. … Primary Care Questionnaire for Complex Pediatric Patients
74. … Canadian Survey of Experiences with Primary Health Care Questionnaire (CSEPHC)
Purpose: To measure
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026877-vandenberg-final-report-2022.pdf
January 01, 2022 - About 40% of the ED patients are on Medicaid. … About 28% of its patients are on Medicaid. … About 24% of its
patients are on Medicaid. … on CFIR Constructs: Surveys were administered to characterize the implementation
environment and identify … These findings will inform
a larger analysis underway on the survey-identified CFIR factors associated
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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - As the detrimental impact of poorly functioning teams on patient safety has been recognized, it has been … Why does health care depend so much on the experiences of others to improve safety? … A third area would be AHRQ's Hospital Survey on Patient Safety Culture —more and more organizations … We don't just struggle with this in patient safety, we struggle with it on the U.S. … safety program on compensation payments and sentinel events.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
April 01, 2022 - any actual patient or hospital information. … Yes, because all patients on diuretics need a urinary catheter
Yes, because the floor physician will … any actual patient or hospital information. … bundle in seven Swiss acute care hospitals: results of a before/after survey study. … Catheter-associated urinary tract infections in adult patients.
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psnet.ahrq.gov/node/49769/psn-pdf
September 01, 2016 - About 10 minutes later, the nurse returned to check on the patient and found her to be unresponsive and … Patients and families will
often identify patient safety risks that are not detected by other mechanisms … who has been harmed, but also the risk of
harm to future patients. … Patient complaints offer just one window on poor performance and should be considered in the
context … A
national survey of Physician Health Programs. J Subst Abuse Treat. 2009;37:1-7.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-transcript.doc
April 09, 2013 - Before we begin, we'd like to remind everyone about completing our evaluation survey at the end of this … your feedback in shaping future content calls, so please take a moment after the call and complete the survey … CUSP is simply an intervention to help local teams learn from mistakes and improve safety culture for … or one family or input from patients and families on one floor. … they're advisors that on the Patient Advisory Council.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
June 01, 2014 - access on 4 measures, and better access on 3 measures … ■ Hispanics received worse care for 8% of Patient Safety measures. … NQS Priority: Patient Safety
Postoperative Sepsis
Postoperative sepsis per 1,000 adult discharges … Provider-patient communication among adults receiving home
health care, by language spoken at home, … Provider-patient communication among adults receiving home health
care, by race/ethnicity, 2013
50
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - In this commentary, I reflect on the interface between patient safety and health information technology … On some level, the defensiveness is understandable.( 8 ) Problems of patient safety are so devastating … I enumerate only four:
Health IT was promoted on the basis of a survey of hospital IT needs that … There were no questions or answer options on the survey that focused on what appear to be the real … Committee on Patient Safety and Health Information Technology; Institute of Medicine.
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - A third area would be AHRQ's Hospital Survey on Patient Safety Culture —more and more organizations … We don't just struggle with this in patient safety, we struggle with it on the U.S. … As the detrimental impact of poorly functioning teams on patient safety has been recognized, it has been … Why does health care depend so much on the experiences of others to improve safety? … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015362-littman-final-report-2007.pdf
January 01, 2007 - Survey respondents were
asked to rate the value of various registry features to their organizations … The survey compiled
quantitative and qualitative data on the value and usability of the registry; as … On average the respondents were only
“somewhat satisfied” with the registry. … On the positive side, respondents praised the ease of use of the online version of the registry
and … Patient information sheets were also developed informing patients on their right to opt out of the
registry
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - The patient was transferred to the ward on hospital day 20. … In this case, the patient developed clinical signs and symptoms of an intra-abdominal process on the … Effect of a comprehensive surgical safety system on patient outcomes. … A two-site survey of clinicians to identify practices and preferences of intensive care unit transfers … Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey