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Showing results for "surveys on patient safety culture".
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5721. Another Fall | PSNet
      psnet.ahrq.gov/web-mm/another-fall
      June 01, 2010 - rails.( 15 ) Coagulopathic patients may represent a patient category in whom special precautions are … who are on life-sustaining treatments. … Case & Commentary: Part 3 The patient was found on the floor with no sign of injury. … Walking, however, is critical to patients’ well-being. … June 24, 2020 A qualitative survey of factors shaping the role of a safety professional

5722. ECRI_Penn EPC FINAL Environ Cleaning Protocol 08_21_14 CC[1] (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/healthcare-infections_research-protocol.pdf
      January 01, 2014 - for assessing compliance may include use of checklists, direct observation (open or covert), and surveys … of personnel and patients. … of patients (family/guests)? … Studies will be included if they address a guiding question; present data on adult patients admitted … OR "patient rooms" OR "patients rooms" OR "health care setting" OR "health care settings" OR ward OR

5723. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - Several minutes later, when she re-entered the room of the leukemia patient, she forgot what she had … The patient experienced no adverse effects—presumably he received none of the Diprivan, given the air … A 2003 survey of nurses and pharmacists reported that almost 90% had experienced intimidating behavior … threatening body language.( 10 ) Such experiences alter caregivers' behaviors; almost three quarters of respondents … For those higher in authority, the focus is on avoiding potentially intimidating behaviors and on actively

5724. FRN 22: Future Research Needs for Strategies To Reduce Cesarean Birth in Low-Risk Women (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/cesarean-birth_research.pdf
      January 01, 2020 - Conduct studies that allow stratification on patient characteristics such as nulliparity and multiparity … Once the surveys were completed, we totaled points for each item, ranked items based on number of points … Throughout the teleconferences and Web-based surveys, stakeholders provided valuable input on research … • Observations that some of the methodologic improvements listed on the survey are basic clinical … Conduct studies that allow stratification on patient characteristics such as nulliparity and multiparity

5725. All in the History | PSNet
      psnet.ahrq.gov/web-mm/all-history
      February 28, 2011 - He began advanced life support—the patient was intubated and placed on mechanical ventilation, and given … Simply leaving the patient on an ED gurney does not constitute an appropriate transfer of care and may … In a recent survey of emergency and internal medicine providers from a large academic medical center, … 29% of respondents reported that a patient of theirs had experienced an adverse event or near miss after … Respondents identified numerous contributing factors including inaccurate or incomplete information (

5726. Infectious Disease Including HIV/AIDS #09 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/infectious-disease-horizon-scan-high-impact-1412.pdf
      December 22, 2014 - responses to a questionnaire regarding HIV risk factors), and lack of linkage to followup care. … Physician surveys reported that many hepatologists had been “warehousing” patients, waiting for effective … Clinical trials: In a diagnostic substudy of a TB prevalence survey conducted in gold mining companies … per patient. … Performance characteristics of the Cepheid Xpert MTB/RIF test in a tuberculosis prevalence survey

5727. A Loss of Trust and a Missed Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
      October 31, 2023 - producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on … Based on the most recent back pain guidelines, treatment for nonspecific low back pain at the initial … National Ambulatory Medical Care Survey: 2018 National Summary Tables, 2018. … 2013 Perspective Our Maturing Understanding of Safety … Culture: How to Change It and How It Changes Safety March 1, 2017 Incident

5728. Regional Health eDecisions: A Guide to Connecting Health Information Exchange in Primary Care (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdf
      August 06, 2013 - respondents said that HIE allowed them to reduce redundant tests; reduce patient admissions to hospitals … Only patients who had an active appointment on file in Task Order practices in the next 6 months were … upon the assumption that patients and clinicians address all items on the sequential recommendation … Surveys and on-site assessment of your initial practices will be critical during this phase to understand … ❑ Complete in-depth surveys and on-site assessment of the practices in their depth of implementation

5729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836850/psn-pdf
      March 31, 2022 - Among patients who were prescribed amiodarone or methotrexate, the prevalence of MDIs on medication … A national survey of older adults found that patients prefer deprescribing language that includes an … Patient interviews in this study revealed that patients had little awareness of the potential for serious … did not apply to patients diagnosed with cancer or to patients receiving palliative care. … In addition, an analysis of AHRQ’s Medical Expenditure Panel Survey (MEPS) data from 2013 to 2017 demonstrated

5730. 147-Cusp-Roles-Responsibilities-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
      June 02, 2025 - Who Is on Your Core CUSP Team? … · Helps CUSP Facilitator and their teams develop strategies for successful patient safety improvement … · Function as a subject matter expert for CUSP. · Help teams develop strategies for successful patient … safety. · Provide safety culture survey support for teams (e.g., result interpretation, debriefing, … Participating in a walking round of the unit or work area relevant to my CUSP team, talking to staff and patients

5731. 127-Roles-Responsibilities-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/127-roles-responsibilities-tool.docx
      April 01, 2025 - Who Is on Your Core CUSP Team? … · Helps CUSP Facilitator and their teams develop strategies for successful patient safety improvement … · Function as a subject matter expert for CUSP. · Help teams develop strategies for successful patient … safety. · Provide safety culture survey support for teams (e.g., result interpretation, debriefing, … a walking round of the surgical service or work area relevant to my CUSP team, talking to staff and patients

5732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33693/psn-pdf
      February 01, 2010 - Entering the second decade of the patient safety movement: the field matures: comment on "disclosure … Patterns of communication breakdowns resulting in injury to surgical patients. … The educational impact of ACGME limits on resident and fellow duty hours: a pre-post survey study. … Limiting residents' work hours does no harm to patients. Ann Intern Med. 2007;147:143-144. … Transfers of patient care between house staff on internal medicine wards: a national survey.

5733. Learning from Errors in Ambulatory Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
      February 01, 2004 - Medications are a special source of concern for pediatric patients. … Because of the age of pediatric patients, when an error leads to injury it may have an impact on the … In a brief post-study survey, the clinicians expressed a very high degree of satisfaction with the ease … Medical domain categories Example error report Patient identification “Information on the wrong patient … There was a warning message written on the outside of the chart RE two patients with same name, but

5734. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
      June 30, 2025 - Many have focused on improving care coordination for patients transitioning from one care setting (often … In this study, while not significant, prioritizing on discharging patients first led to an increased … Nutrition, mobility, perfusion, hydration, and skin problems on admission, as well as patient age, … The H3TQ uniquely captures both patient and provider perspectives on transition quality shortly after … families; (2) network structures; and (3) feedback from user surveys.

5735. A Framework for Conceptualizing Evidence Needs of Health Systems (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-framework-for-conceptualizing-evidence-needs_0.pdf
      December 01, 2017 - Ellen 201445,46 201347 used surveys and qualitative studies to determine the barriers and facilitators … care system depends on evidence to promote improvements in care delivery processes and patient care … VHA Survey of VHA leaders on their use of Evidence Synthesis Program’s Rapid Reviews on policy or organizational … (VHA) Survey of VHA leaders on their use of Evidence Synthesis Program’s Rapid Reviews on policy or … organizational barriers to use of evidence (49 articles included in this study, there were 29 cross-sectional surveys

5736. Primary Care Practice Facilitation Curriculum Module 2: Practice Facilitation as a Resource for Practice Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-2-pf-as-a-resource.pdf
      September 01, 2015 - NOTE: It is helpful to enter the items into an online survey platform and use this to collect and monitor … approach (i.e., identify both strengths and weaknesses) • Collect data from multiple sources, including surveys … Effect of facilitation on practice outcomes in the National Demonstration Project Model of the patient-centered …  patient work­ups nmlkj nmlkj nmlkj nmlkj Education for  mlkj mlkj mlkj mlkj patients/families Prevention … areas: Not at all confident Somewhat confident Confident Very confident Creating a database for  survey

5737. Primary Workaround, Secondary Complication | PSNet
      psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
      January 24, 2018 - However, hospital safety leaders realized that this practice was common for hospitalized patients as … well, potentially putting many patients at risk. … Data on the use of workarounds can be used by managers, patient safety officers, and frontline staff … safety culture and patient experience in hospital settings: a scoping review. … September 4, 2024 Identifying safety practices perceived as low value: an exploratory survey

5738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33847/psn-pdf
      August 01, 2017 - Through their reputation survey, they essentially do that work for you of asking people, "Where do you … A lot of us fault the reputation survey and dislike it for a number of reasons, but it is filling a void … to open that data spigot for patients. … And patient experience measures added to that. … Patients want detailed data on every type of condition and every type of operation and want to know

5739. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
      March 01, 2017 - In a literature review on CAUTI, it was reported that 26 percent of patients who have indwelling urinary … [endnoteRef:4] Moreover, chronically catheterized patients (30 days or more) have bacteriuria 99 percent … [endnoteRef:5] Some patients with bacteriuria and a urinary catheter will develop symptomatic CAUTI, … prevention, and treatment of CAUTI includes the following recommendations for a patient with an indwelling … The type of management program depends on many factors.

5740. Final Progress Report: Human Factors and Systems Integration in High Technology Surgery (HF-SIgHTS) (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
      January 01, 2025 - Impact of the activity was assessed using surveys and debriefs. … outlet - Patient wristband on CN desk - Latex glove near patient who is Latex allergic - Infusion … arm falling off table - Glove cut open and blood on floor - Scrub cap on floor - Patient name not … the patient - Undock the robot - Transfer the patient to the OR bed - Navigate the patient on the OR … , a postexperience closed-ended reaction questionnaire, an open-ended postexperience questionnaire,