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psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - National Scorecard on Rates of Hospital-Acquired
Conditions 2010 to 2015: Interim Data From National
Efforts … psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-
national-efforts … psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts … psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
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psnet.ahrq.gov/node/41821/psn-pdf
November 07, 2012 - Death of a boy prompts new medical efforts nationwide.
November 7, 2012
Dwyer J. New York Times. … https://psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
Reporting on the death … https://psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
https://psnet.ahrq.gov/
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psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
April 18, 2018 - Study
Efforts to improve the safety culture of the elderly in nursing homes: a qualitative … Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. … Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study.
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim1.html
July 01, 2013 - Device Days x 1,000)
Future work will include both additional analyses and continued improvement efforts … Ongoing efforts continue to increase culture-related data submission, and future analyses will be conducted … the project and have either shown a reduction in CAUTI or maintained a zero-CAUTI rate from baseline, efforts … These efforts alongside the progress made toward achieving the project's stated goals are encouraging
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdf
September 30, 2015 - more generally, helped to bring
a pediatric focus to a broad range of
Federal quality measurement efforts … Practice-level
quality measures aim to help providers
target areas for QI efforts and assess the
impact … Demonstration
States made substantial efforts to involve
providers from child-serving practices
to … efforts. … Practice-
level reporting efforts could be accelerated
through the provision of technical
assistance
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www.ahrq.gov/hai/quality/tools/cauti-ltc/infection-prevention.html
March 01, 2017 - They support learning and implementation efforts to improve safety culture and practices in long term … Facility Action Plan ( Word , 292.1 KB)
This tool supports teams in quality improvement efforts by
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - developed a measure to track unintended harm in acute care hospitals, a toolkit to accompany reduction
efforts … , and reports that assess the results of improvement efforts and provide data analysis.
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psnet.ahrq.gov/print/pdf/node/867658
January 26, 2022 - Current
efforts to improve opioid safety have primarily focused on safe opioid prescribing. … undergoing surgical procedures who received
perioperative opioid analgesics to aid in pain and sedation efforts … undergoing surgical procedures who received
perioperative opioid analgesics to aid in pain and sedation efforts … Current
efforts to improve opioid safety have primarily focused on safe opioid prescribing.
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psnet.ahrq.gov/issue/innovative-use-electronic-health-record-support-harm-reduction-efforts
July 31, 2013 - Study
Innovative use of the electronic health record to support harm reduction efforts … Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts. … Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem.pptx
December 01, 2017 - Comprehensive Unit-based Safety Program (CUSP) Premortem Tool to identify risks to sustaining your efforts … premortem for sustainability focuses the safety team’s attention on the longevity of their intervention efforts … Premortem Exercise
Step 1
Imagine that you are 2 years into the future, and despite all of the team’s efforts … Surgery -- Sustainability
SAY:
Imagine that you’re 2 years into the future, and despite all of your best efforts … Two years after your safe surgery project has started, what would the worst-case scenario for your efforts
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-nm.html
April 01, 2015 - in New Mexico
AHRQ's IMPaCT grants were designed to support State-level primary care improvement efforts … New Mexico's IMPaCT grant drew on existing community-based efforts to address social determinants of … These efforts provided a new employment opportunity while also meeting the workforce needs of low-resource … Dissemination Efforts to Partner States
"We helped a lot of small practices... obtain resources they … to build, and it has invited other States, including Michigan, Utah, and Georgia, to learn from its efforts
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nm.pdf
April 01, 2015 - in New Mexico
AHRQ’s IMPaCT grants were designed to support State-level
primary care improvement efforts … New Mexico’s IMPaCT grant drew on existing community-based
efforts to address social determinants of … These efforts provided a new employment opportunity while also
meeting the workforce needs of low-resource … Dissemination Efforts to Partner States
The New Mexico IMPaCT project did not seek to
replicate its … to build, and it has invited other States,
including Michigan, Utah, and Georgia, to learn from its efforts
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psnet.ahrq.gov/node/60162/psn-pdf
March 25, 2020 - patient-safety-improvement-act-2020
This bill submits amendments to existing US federal law to strengthen state-organized efforts … to improve
health care-associated infection control efforts, pediatric safety initiatives, care transitions
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-oregon-state-snapshot.pdf
January 01, 2018 - For this demonstration,
CMS awarded 10 grants that supported efforts in 18 States
to identify effective … • Incorporated child-focused quality measures into
its health system transformation efforts. … In addition, as a result of
their efforts related to medical home transformation, the
practices reported … MHI = Medical Home Index
Continuing Efforts in Oregon
After Oregon’s CHIPRA quality demonstration grant … more information on the measures tracked in Oregon’s
Public Health and Health System Transformation efforts
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/co-statesum.pdf
July 01, 2015 - For this 5-year demonstration, CMS awarded 10 grants
that supported efforts in 18 States to identify … With this
support, SBHCs—
• Used quality reports to guide QI efforts. … In addition to
the efforts described above, SBHCs pursued several other
QI activities. … As a result of their efforts, the State’s
Medicaid program recognized all 11 participating SBHCs
as … Continuing Efforts in Colorado
Following the CHIPRA quality demonstration grant—
• Colorado plans to
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psnet.ahrq.gov/issue/evaluating-inpatient-mortality-new-electronic-review-process-gathers-information-front-line
February 18, 2011 - Early efforts to characterize patient safety included the review of individual cases of patient deaths … ; mortality reviews remain a core aspect of hospital safety efforts. … review can provide and underscores the need to improve existing clinical documentation to support safety efforts
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psnet.ahrq.gov/issue/more-words-patients-views-apology-and-disclosure-when-things-go-wrong-cancer-care
May 29, 2012 - continues to generate significant attention as health care organizations and their providers increase efforts … These efforts have included implementation of formal disclosure policies , such as Harvard’s When Things … patients appreciated expressions of remorse, empathy and caring, acknowledgment of responsibility, and efforts
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psnet.ahrq.gov/issue/what-attributes-patients-affect-their-involvement-safety-key-opinion-leaders-perspective
June 02, 2010 - Efforts to engage patients in safety efforts have thus far achieved mixed results, with several studies … leaders to identify key traits of patients who could effectively partner with clinicians in safety efforts
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www.ahrq.gov/evidencenow/projects/urinary/resources/recruiting-practices-change-initiatives.html
May 01, 2018 - Recruiters, initiative leaders, and funders must now consider how their efforts align with ongoing initiatives … to successfully recruit and engage practices, ease practice burden, and encourage participation in efforts
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-2-brady-2018.pdf
January 01, 2018 - as a central body to galvanize
stakeholders and act as a focal point to
prioritize patient safety efforts … focusing on foundational issues such
as leadership and culture
• AHRQ’s SOPS Program aligns with these efforts