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High Reliability Organizations

Transforming the culture, systems and processes of hospitals, health systems and clinicians to ensure safe, equitable care provided each and every time.

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AHRQ Safety Program for Ambulatory Surgery

The Agency for Healthcare Research and Quality (AHRQ) funded a multi-cohort, quality improvement (QI) collaborative for the ambulatory surgery environment entitled AHRQ Safety Program for Ambulatory Surgery. HRET was tasked with the management of the project contract over a 4-year period from September 30, 2012, to September 29, 2016. The purpose of the contract was to adapt the Comprehensive Unit-based Safety Program (CUSP), which was initially developed for the acute care setting, for use in ASCs. The project was a collaborative effort with key partners, including Harvard T.H. Chan School of Public Health (HSPH), Ambulatory Surgery Center Association (ASCA), ASC Quality Collaboration (ASC QC), South Carolina Hospital Research and Education Foundation (SCHREF), Institute for Healthcare Improvement (IHI), and Westat. The program goals were to reduce infections and surgical harms in ASCs through use of a surgical safety checklist and to improve safety culture through teamwork and communication. This program was the first of its kind to focus on a national implementation of a QI intervention within the ambulatory surgery setting.

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