Patient Safety Culture

AHRQ Medical Office Survey on Patient Safety Culture – Success Stories

    Posted in AHRQ, Patient Safety Culture, Patient Safety Survey    |    Comments Off

To prevent adverse events from occurring, the Agency for Healthcare Research and Quality (AHRQ) recommends you measure your patient safety culture.  AHRQ’s patient safety culture surveys provide feedback on your organization’s communication, teamwork, patient safety, leadership, and staff engagement.  The results can be used to measure your current culture and provide insight into the most effective methods to improve the patient safety culture at your healthcare organization.  The survey is available for medical offices, LTC, hospitals, and pharmacies.

AHRQ recently hosted a webinar, discussing the results of the 2014 Medical Office User Comparative Database Report.  On the webinar, survey users also shared how they have successfully applied the survey results to improve patient safety culture at their medical offices.  View the recording.

For more information about the Medical Office Survey on Patient Safety Culture, visit AHRQ or learn more about the Center for Patient Safety’s survey services.

Center releases Fall 2014 EMS PSO Newsletter

    Posted in Culture of Safety, EMS, EMS PSO, Events, Patient Safety Culture, PSES, PSO, PSO case law, PSWP, Sponsor/vendor    |    Comments Off

Fall EMS 2014The latest newsletter from the Center for Patient Safety has been released. The Fall 2014 EMS PSONews contains information on the recently released PSO Safety Alert and EMS Safety Watch, articles on the legal environment to help maximize federal protections from the PSO, patient safety culture topics, and much more!  Download the newsletter or view on Issuu.

AHRQ Webinar Praises Effectiveness of "Stop and Watch" and CS for LTC Safety

    Posted in AHRQ, Communication, Patient Safety Culture    |    Comments Off

Communicating effectively about changes in a resident’s condition is always difficult.  However, in long-term care it is complicated by staffing patterns and the subtlety of the changes that can signal significant health events.  The Agency for Healthcare Research and Quality has hosted a series of webinars (accessible here) to support staff training for improvement in this critical area.

Participants on the webinars described how the “Stop and Watch” form (a part of the INTERACT program, form available here) can support efforts by all staff, but particularly CNAs and other non-licensed individuals, to spot the subtle changes that can indicate a need for intensified observation or care for residents.

They also found the C-U-S communication tool very helpful, especially with families.   That tool simply lists three ways to start communicating:  “I am Concerned, “  “I am Uncomfortable,” and, for more serious situations, “I believe the resident’s Safety is at risk.”  (The C-U-S tool is available here.) Organizations reported that they put C-U-S and/or Stop and Watch forms near the sign-in book to facilitate communication with family members or visitors about changes they notice.

AHRQ also offers training modules and tools for staff development on identifying and  communicating significant changes in resident condition, as well as fall prevention and management, on its website.  And all of their resources are available at no charge.

Leadership WalkRounds – a great thing?

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Wait a minute, not if there is no follow through on identified issues. If that’s the case, front line staff may become more cynical and perceptions of safety culture may actually worsen according to a recent study of 44 neonatal ICUs. When done appropriately, however, they can contribute to an improvement in safety culture.

Check out this recent article from AHRQs PSNet:Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout

How does your culture measure up?

    Posted in AHRQ, Patient Safety Culture, Survey on Patient Safety    |    Comments Off

True or False?  Safety culture impacts error rates.  TRUE!  AHRQ’s recent Safety Primer on Safety Culture reinforces the need to assess and improve the safety culture.  The enhanced focus is also appearing as safety culture assessments are being mandated by National Quality Forum’s Safe Practices for Healthcare and the Leapfrog Group.

True or False?  It’s more efficient and effective to assess my entire organization rather than assess individual units or departments.  FALSE!  While it’s easy to survey an entire organization, the Center makes it even easier to survey your organization by individual units and departments.  It’s been found that the most meaningful results come from unit-level analysis.

True or False?  Only hospitals survey their culture.  FALSE!  The Center administers culture surveys  in standard AHRQ formats for physician offices, long-term care facilities, and pharmacies in addition to hospitals.  Some surveys are also available in Spanish.

Our services remove the administrative burden from your organization and make it easier and more meaningful to conduct the survey on patient safety culture.  The Center’s services include electronic templates for posters and emails; an online, secure, and anonymous survey platform; and, detailed reports including trend information from the previous survey.  It’s well worth the investment to continually know how you measure up in the patient safety arena.

Contact us or check out our website for more information about our survey services!

June 12th is National Time-out Day

    Posted in Patient Safety, Patient Safety Culture    |    Comments Off

AORNInitiated by the Association of PeriOperative Registered Nurses (AORN) in 2004, and consistently supported by The Joint Commission, the World Health Organization, and the Council on Surgical and Perioperative Safety (CSPS), National Time-out Day supports surgical nurses’ ability to speak up for safe practices in the operating room.  This year, AORN urges members to evaluate how their time out fits into broader efforts to provide high quality care to every patient, every time. A poorly executed time out or lack of team communication may indicate areas for improvement within a safety culture.  For more information, educational toolkits, as well as promotional materials, visit the AORN website.

Sorry Works! Template to Improve Patient/Provider Dialog

    Posted in Medical Error, Patient Safety Culture    |    Comments Off

SorryWorks! has been promoting transparency and disclosure since 2005 and has outstanding tools to support that effort.  But often we struggle with setting patient expectations and opening up communication from the patient’s side.  SorryWorks! has developed a letter that physicians and other providers can use as a temple for their own handout  to open a dialog about how to communicate.  The template is available here.

Survey on Patient Safety Culture

    Posted in AHRQ, Culture of Safety, Patient Safety Culture, Patient Safety Survey, Survey on Patient Safety    |    Comments Off

In the Fall of 2011, the Missouri Center for Patient Safety started a new service line to promote the AHRQ Survey on Patient Safety in an online format. Since implementation, the affordable service has received much interest from facilities in Missouri as well as other states across the country. The survey is an excellent tool to measure the safety culture of hospitals and medical staff offices.

The Center now provides the capability to conduct the AHRQ Hospital Survey on Patient Safety for an entire hospital, or just for individual departments, on a quarterly or annual basis.  The survey is provided in an online format, allowing staff to take the survey in an anonymous, convenient, online environment. No more paper, no more data entry, no more hand tabulations!


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