The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs
医疗保健服务代写 The research that I have selected to present in this assignment has been carried out by the Agency for Healthcare Research..
Introduction
The research that I have selected to present in this assignment has been carried out by the Agency for Healthcare Research and Quality. The mission of this organization is to make . Healthcare and the services provided by healthcare institutions safer, with improved quality standards,
and greater focus on patient experience, along with making them more affordable, accessible, and equitable. Their mission is to work within the department of Health and Human Services in the US, along with other organizations/ institutions having similar interests.
译文：介绍 医疗保健服务代写
我选择在本次任务中展示的研究是由医疗保健研究和质量机构进行的。 该组织的使命是使 . 医疗保健和医疗保健机构提供的服务更安全，质量标准得到提高，
并更加关注患者体验，同时使他们更负担得起、更容易获得和更公平。 他们的使命是在美国卫生与公众服务部内与其他具有类似兴趣的组织/机构一起工作。
In July 2005,
the University of Nebraska Medical Center (UNMC) was given a proposal for a partnership, to Implement Patient Safety grant which was received from the Agency for Healthcare Research and Quality (AHRQ) to fund the project, “Implementing a Program of Patient Safety in Small Rural Hospitals.”
The primary aim of this project was to develop the organizational infrastructure for voluntarily reporting and analyzing medication errors in small rural hospitals (Jones, Skinner, Xu, Sun, Mueller, 2005).What many people do not understand is that errors and mistakes present an opportunity to learn from them and hence overcome the issues that had been previously faced.
译文：2005 年 7 月 医疗保健服务代写
内布拉斯加大学医学中心 (UNMC) 获得了一项合作伙伴关系提案，以实施从医疗保健研究和质量局 (AHRQ) 收到的患者安全赠款，以资助该项目，“在小型医院实施患者安全计划”。 农村医院。”
该项目的主要目的是开发用于自愿报告和分析小型农村医院用药错误的组织基础设施（Jones、Skinner、Xu、Sun、Mueller，2005 年）。许多人不明白的是，错误和错误会导致 有机会向他们学习，从而克服以前面临的问题。
Additionally,
it must also be understood that in most of the rural areas, the level of healthcare services being provided are not up to the mark, and people need to be able to come forward and point out mistakes, drawbacks or loopholes within the system. If such a program was to be implemented along with specific patient safety practices,
then it would help in building and developing a safety culture within the organization, thus improving the overall process. Where healthcare systems and organizations are concerned, continuous improvement is the key towards ensuring that optimal heath care solutions are provided.
The main target audience for this survey were eligible personnel from the Critical Access hospitals, which are situated at key intervals and locations within the rural areas so that proper medical facilities can be provided to the needy. In the fall of 2005, a survey was conducted in 24 critical access hospitals with the objective of obtaining .
A baseline assessment of their cultures and the level of safety they provided and how willing and acceptable they were towards adapting and adopting a safety culture. Additionally, the aim was also to make people aware of what a safety culture actually is and how it could be implemented in their respective hospitals.
译文：此外， 医疗保健服务代写
还必须了解，在大多数农村地区，医疗保健服务水平不达标，人们需要能够站出来指出系统中的错误、缺点或漏洞。如果此类计划要与特定的患者安全实践一起实施， 那么它将有助于在组织内建立和发展安全文化，从而改进整个过程。就医疗保健系统和组织而言，持续改进是确保提供最佳医疗保健解决方案的关键。 本次调查的主要对象是来自关键通道医院的合格人员，这些医院位于农村地区的关键间隔和地点，以便为有需要的人提供适当的医疗设施。 2005 年秋季，为了获得 . 对他们的文化和他们提供的安全水平的基线评估，以及他们对适应和采用安全文化的意愿和接受程度。此外，目的还在于让人们了解安全文化究竟是什么以及如何在各自的医院实施。
After two years, during the spring of 2007
21 of the previously selected critical access hospitals again participated in a reassessment which further identified the need for improvement areas and thus built an even stronger culture for safety.In both years the survey was conducted by mailing a questionnaire to all eligible personnel in the participating critical access hospitals.
Such people included those employees who were either in direct contact with the patients or dealt with patient related issues on a day to day basis. It also included those employees whose work was directly linked with patient care and affected it such as physicians, mid level service providers, nurses, managers, supervisor, and even administrative staff.
The questionnaire was created with the objective of identifying the areas in the critical access hospitals which required improvement, in particular the areas related to the errors made while administering medicine. I think that apart from the questionnaire,
译文：两年后，在 2007 年春天 医疗保健服务代写
之前选定的 21 家关键通路医院再次参加了重新评估，进一步确定了需要改进的领域，从而建立了更强大的安全文化。在这两年中，调查都是通过向所有参与关键通路的合格人员邮寄问卷的方式进行的。访问医院。
这些人包括那些与患者直接接触或每天处理与患者相关的问题的员工。它还包括那些工作与患者护理直接相关并对其产生影响的员工，例如医生、中级服务提供者、护士、经理、主管，甚至行政人员。
创建问卷的目的是确定急诊医院中需要改进的领域，特别是与给药过程中出现的错误相关的领域。我认为除了问卷，
one on one interview sessions should have also been conducted
as it would have yielded better insights, however, developing a base through the data that was gathered by these questionnaires, was not a bad decision either.The type of questions that were selected and presented for the employees to answer were all quantifiable as they were based on a scale.
This analyzing the answers and coming to a conclusion was easier as compared to a qualitative study. Additionally, the only drawback that I see in this method is that each survey was mailed to the employees of the participating critical access hospitals. Collecting every form that was sent out and then organizing that data, while at the same time,
译文：也应该进行一对一的面试 医疗保健服务代写
因为它会产生更好的洞察力，但是，通过这些问卷收集的数据建立一个基础也不是一个糟糕的决定。 选择并呈现给员工回答的问题类型都是可以量化的 基于一个尺度。
与定性研究相比，分析答案并得出结论更容易。 此外，我在这种方法中看到的唯一缺点是，每份调查问卷都会邮寄给参与的关键通路医院的员工。 收集发送的每个表格，然后组织这些数据，同时，
updating that data in a format that can be easily understood and analyzed.
This would have taken a long time, and thus the presentation of the results would have been delayed.From the answers that were submitted by the participants, it can be measured and understood how effective a system is and whether or not there is a culture of safety within the organization.
There are many places which are not even aware of what a culture of safety entails and how it can be introduced and implemented within organizations.it will also help in identifying the issues being faced by many of the critical access hospitals.The expected results of the survey were supposed to indicate how effectively the organizations are working,
whether there are any similarities between the organizations, if similar problems are being faced across the 21 different critical access hospitals, and what are the sentiments of the people who are working at these institutions regarding culture of safety. The results of the survey are also expected to increase awareness of safety culture within healthcare organizations, while improving the perception of healthcare safety culture.
译文：以易于理解和分析的格式更新该数据。 医疗保健服务代写
这会花费很长时间，因此会延迟结果的呈现。 从参与者提交的答案中，可以衡量和了解系统的有效性以及是否存在文化组织内的安全。
许多地方甚至不知道安全文化的含义以及如何在组织内引入和实施安全文化。这也将有助于确定许多关键接入医院面临的问题。调查应该表明组织的工作效率，
这些组织之间是否有任何相似之处，21 家不同的急诊医院是否面临类似的问题，以及在这些机构工作的人们对安全文化的看法如何。调查结果也有望提高医疗机构内部的安全文化意识，同时提高对医疗安全文化的认知。
In my opinion
while the survey was designed to incite a specific response, there is much that can be done to improve it. For example, holding a one on one interview session to come up with insights will yield . A better understanding of the process, and the problems being faced by the employees of these institutes.
No study should only be based on a survey alone, instead it should . Be complemented using other research tools as well, so as to reach to the bottom of the issues. Focus group and observation should be used to supplement . The study and further enhance the results by identifying insights that will be useful for improving the overall processes.
Therefore, in my opinion, the questionnaire, Needs to be supplemented using other research methods as well, that actually make sense of the findings and support them.
译文：在我看来 医疗保健服务代写
虽然调查旨在激发具体的反应，但可以做很多事情来改进它。 例如，举行一对一的面试以提出见解将产生 . 更好地了解流程以及这些机构的员工面临的问题。
任何研究都不应该仅仅基于调查，而是应该。 也可以使用其他研究工具进行补充，以便深入研究问题的根源。 应使用焦点小组和观察来补充。 该研究并通过确定对改进整体流程有用的见解来进一步增强结果。
因此，在我看来，问卷还需要使用其他研究方法进行补充，这实际上使调查结果有意义并支持它们。
Conclusion
To conclude, I would just like to state that the study chosen for this assignment, Was based on improving the reporting standards of the hospitals, and how through proper reporting a culture of safety could be developed.
It is very important to note that a research of this scale can . Take a long time to be completed and it then determines the future course . Of action for the institutions in order to . Improve their overall understanding of the process.
Additionally, it must be noted that while the questionnaire was indeed effective in gathering. The data required to assess the performance of the health care institutes, it was also a very lengthy process as . The survey was actually mailed to the employees of the participating critical access hospitals,
译文：结论 医疗保健服务代写
最后，我只想说明，为这项任务选择的研究是基于提高医院的报告标准，以及如何通过正确的报告来发展安全文化。
值得注意的是，这种规模的研究可以。 需要很长时间才能完成，然后决定未来的路线。 为机构而行动。 提高他们对流程的整体理解。
此外，必须指出的是，虽然调查问卷在收集方面确实有效。 评估医疗机构绩效所需的数据，也是一个非常漫长的过程。 该调查实际上是邮寄给参与的关键通道医院的员工，
which further lengthened the process.
The results of the survey indicated that the changes were detected . In safety culture over a period of time when managers made any changes to the processes or implemented . A change strategy for the betterment of the organization.
However, when these strategies supported the four informed components . Of a safety culture then the organization was perceived to be supportive of a safety culture. The execution and evaluation of organizational practices led . To changes in respondents’ beliefs about safety culture (Jones, Skinner, Xu, Sun, Mueller, 2005).
Therefore, hospitals, need to look at the different ways in which they can implement . A change culture, so that a system of proper reporting can be implemented, which is focused . On transparency and integrity in order to keep the patients as well as other stakeholders happy.
译文：这进一步延长了这个过程。 医疗保健服务代写
调查结果表明，这些变化被发现。 在一段时间内管理人员对流程进行任何更改或实施的安全文化中。 改善组织的变革战略。
但是，当这些策略支持四个知情组件时。 对于安全文化，组织被认为支持安全文化。 领导组织实践的执行和评估。 受访者对安全文化信念的改变（Jones、Skinner、Xu、Sun、Mueller，2005）。
因此，医院需要考虑实施的不同方式。 变革文化，以便可以实施适当的报告系统，这是重点。 为了让患者和其他利益相关者满意，在透明度和诚信方面。
References
Katherine J. Jones, Anne Skinner, Liyan Xu, Junfeng Sun, Keith Mueller, The AHRQ Hospital Survey . On Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs, retrieved 27-2-18 from;
https://www.ahrq.gov/downloads/pub/advances2/vol2/advances-jones_29.pdf
Mission and Budget, AHRQ, retrieved 27-2-18 from;
https://www.ahrq.gov/cpi/about/mission/index.html
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report, retrieved 27-2-18 from;
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