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- Agency for Healthcare Research and Quality (AHRQ)
- Facility and Group Administrators
Journal Article > Commentary
Ricciardi R, Shofer M. J Nurs Care Qual. 2018;33:195-199.
In this commentary, Agency for Healthcare Research and Quality staff summarize how agency activities have evolved over time. The authors review AHRQ efforts to designed to understand and improve patient safety in outpatient environments, engage patients and families in care activities, and build learning communities.
Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0030-EF.
A vibrant culture of safety is critical to achieving high reliability in health care. Organizations with stronger safety culture boast lower in-hospital mortality and fewer surgical site infections. The AHRQ Medical Office Survey on Patient Safety Culture was designed to evaluate safety culture in outpatient clinics. The 2018 comparative database report assessed 10 safety culture domains in nearly 2500 ambulatory care practices. Respondents reported high rates of teamwork and strong systems for patient follow-up. Many practices identified productivity pressures and work pace as safety hazards. Although the practices surveyed are not nationally representative, they do allow leaders and scientists to compare safety culture across practices and time. A past WebM&M commentary examined safety hazards associated with productivity pressures in health care.
Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-EF.
Clinician burnout can affect patient safety. This report highlights AHRQ-supported research to examine burnout in health care as well as efforts to develop and test interventions for managing and reducing burnout in the care environment. Key findings include the high prevalence of burnout among United States clinicians and the identification of factors that contribute to burnout, such as short visits, complicated patients, and electronic health record stress. The report also outlines interventions that require additional testing to effectively reduce clinician burnout. An Annual Perspective discussed the relationship between burnout and patient safety and reviewed strategies to address burnout among clinicians.
Journal Article > Study
Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1:23-32.
This AHRQ-funded study describes the development of a Web-based, voluntary, and anonymous reporting system. The investigators aimed to create an easy-to-use system that assists in characterizing captured incidents and allows opportunity for feedback. Discussion includes details of the design features, a table of the system-based factors contributing to reported incidents, and several screen shots of the reporting system itself. Initial data collected after implementation demonstrated wide variability in use, but consistency existed in the types of incidents reported—nearly one of every two being a near miss. The authors suggest that wide adoption of this type of reporting system, coordinated by a professional organization, may lead to data-generated improvements in care.