-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults
Reducing Adverse Drug Events in Older Adults 9-1
9. Reducing Adverse Drug Events in Older Adults
Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P.
Reviewers: Scott Winiecki, M.D…
-
www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
January 01, 2024 - Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture
AHRQ Grant Final Progress Report
Title of Project: Using Team Simulation to Improve Error Disclosure to Patients and Safety
Culture
Principal Investigator: Thomas H. Gallagher, MD
Co-Investigators: Sarah Shann…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Items for Hospitals
2022 Updated Results for the AHRQ
Surveys on Patient Safety CultureTM (SOPS®)
Workplace Safety Supplemental Item Set for
Hospitals
Prepared for:
Agency for Healthcare Research and Qua…
-
www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
January 01, 2025 - Final Progress Report: Immersive Simulation for Design and Evaluation of an Emergency Department IT System
Immersive Simulation for Design and Evaluation of an
Emergency Department IT System
Principal Investigator:
Ann Bisantz, PhD1
Co-Investigators:
Rollin J. Terry Fairbanks, MD1, 2,5
Li Lin, PhD1
A. Zachary He…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide-brochure.pdf
March 01, 2016 - Resources for Advanced Practices
Resources
for Advanced
Practices
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
Introduction ......................................................................1
Shared Decisionmaking .................…
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
May 13, 2025 - Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare
Creating and Maintaining a Culture of Safety Series
(Session 3)
Measuring and Responding to Safety Culture Across Healthcare
NATIONAL WEBINAR SERIES
April 15, 2025
Housekeeping Instructi…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - Slide 1
Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change
*
Sanjay Saint, MD, MPH
M. Todd Greene, MPH, PhD
University of Michigan Medical School
Ann Arbor VA Medical Center
Learning Objectives
Describe the methods to engage clinicians in CAUTI prevention
Describe methods to engage l…
-
www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events
Weingart, 1 K08 HS11644
Partnering with Patients to Find Adverse Events
Saul N. Weingart, MD, PhD
VP for Patient Safety
Dana-Farber Cancer Institute, and
Associate Professor of Medicine
Harvard Medical School
44 Binney St.
Boston, MA 02…
-
www.ahrq.gov/sites/default/files/2024-12/reeves-report.pdf
January 01, 2024 - Final Progress Report: Developing a Rational Clinical Approach to the Disposition of TIA Cases in the ED
1
1. TITLE PAGE
April 10th, 2012
Final Report Grant No: 1R03HS017740-01
Project Period: 07/01/2009 – 06/30/2010 (with 1-year no cost extension)
Title: Developing a Rational Clinical Approach to the Dispositio…
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2018_cg_cahps_chartbook.pdf
January 01, 2018 - 2018 CAHPS Clinician & Group Survey Database Chartbook
THE CAHPS DATABASE
CAHPS Clinician & Group Survey Database
2018 Chartbook
This document is in the public domain and may be used and reprinted without permission in the United States
for noncommercial purposes, unless materials are clearly noted as copyri…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gallbladder-booklet.pdf
November 01, 2023 - Recovering After Emergency Gallbladder Surgery
Recovering After
Emergency Gallbladder
Surgery
e
Recovering After Emergency
Gallbladder Surgery
Patient Name __________________________________________________________________
Surgeon Name _________________________________________________________________
…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Science of Safety:
Principles in Practice
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Science of Safety: Principles in Practice
SAY:
Welcome to this prese…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
August 11, 2021 - Emergency Visits for Opioid Use Rose White Treatment for Illicit Drug Use Remained Unchanged
Emergency Visits for
Opioid Use Rose While
Treatment for Illicit
Drug Use Remained
Unchanged
This data spotlight was developed by AHRQ in collaboration with the Substance Abuse a…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/appendectomy-booklet.pdf
November 01, 2023 - Recovering After Emergency Appendectomy
Recovering After
Emergency Appendectomy
e
Emergency Appendectomy Patient Education Guide 1
Recovering After Emergency
Appendectomy
Patient Name ___________________________________________________________________
Surgeon Name _________________________________________…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/consolidation-ownership-slides.pdf
April 03, 2025 - The Impact of Consolidation and Ownership on Primary Care - Slide Presentation
National Center for Excellence in Primary Care
Research
National Center for Excellence in Primary Care Research
Presents
The Impact of Consolidation and Ownership on Primary Care
April 3, 2025
Presented by:
Amelia Bond, PhD
E. Ma…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/King.pdf
January 01, 2002 - Systemwide Deployment of Medical Team Training: Lessons Learned in the Department of Defense
425
Systemwide Deployment of Medical
Team Training: Lessons Learned
in the Department of Defense
Heidi B. King, Beth Kohsin, Mary Salisbury
Abstract
Advancing to a culture of safety requires a systems change. Teamw…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning
Leveraging Existing Assessments of Risk Now
(LEARN) Safety Analysis: A Method for Extending
Patient Safety Learning
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Jon Young, MS;
Sally Reynolds, M…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians
353
Physician Event Reporting: Training
the Next Generation of Physicians
Quang-Tuyen Nguyen, Joanna Weinberg, Lee H. Hilborne
Abstract
Physician reporting of adverse events and unsafe situations remains extremely
low, despite the increa…
-
www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
January 01, 2024 - AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance
AHRQ GRANT FINAL PROGRESS REPORT
Title: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance
Principal Investigator:
Geb W. Thomas, Ph.D.
Professor of Mechanical & Industrial Engineering
The Universit…
-
www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
January 01, 2024 - Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children
Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children
PI: Stuart L. Goldstein, M.D.
Team Members
David Askenazi M.D., University of Alabama-Birmingham
Patrick Brophy, M.D., University of…