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psnet.ahrq.gov/node/849137/psn-pdf
May 17, 2023 - Medical errors kill thousands of people each year. But are
hospitals getting any safer?
May 17, 2023
Weintraub K. USA Today. May 3, 2023.
https://psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
The semi-annual Leapfrog Hospital Safety Grades are recognized across…
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psnet.ahrq.gov/node/852284/psn-pdf
August 09, 2023 - ‘Medical errors are the third leading cause of death’ and
other statistics you should question.
August 9, 2023
Jaklevic MC. HealthJournalism.org. July 27, 2023.
https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-
question
Published rates of medical errors con…
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psnet.ahrq.gov/node/46798/psn-pdf
March 14, 2018 - NHTSA Fatigue in EMS Project.
March 14, 2018
Patterson PD, ed. Prehosp Emerg Care. 2018;22(suppl 1):1-118.
https://psnet.ahrq.gov/issue/nhtsa-fatigue-ems-project
Health care worker fatigue is a persistent threat to patient safety. Articles in this special issue cover the
results of a National Highway Traffic Safet…
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psnet.ahrq.gov/node/72628/psn-pdf
January 13, 2021 - Awareness of human factors in the operating theatres
during the COVID-19 pandemic.
January 13, 2021
Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the
COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858.
https://psnet.ahrq.gov/issue/awa…
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psnet.ahrq.gov/node/43947/psn-pdf
August 28, 2015 - AHRQ Health Services Research Projects: Making Health
Care Safer in Ambulatory Care Settings and Long Term
Care Facilities (R01).
August 28, 2015
US Department of Health and Human Services. August 25, 2015. PA-15-339.
https://psnet.ahrq.gov/issue/ahrq-health-services-research-projects-making-health-care-safer-ambu…
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www.ahrq.gov/patient-safety/resources/discharge/index.html
December 01, 2017 - Improving Hospital Discharge Through Medication Reconciliation and Education
Project focused on improving the hospital discharge process.
Mark Williams, M.D., Emory University, Atlanta, GA
AHRQ Grant No. HS015882-01
Overview
This project implements a "discharge bundle" consisting of medication reconcilia…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-pro-data-ra-clinical-encounters-using-health-it-pact/final-report
January 01, 2023 - Incorporating PRO data into RA Clinical Encounters using Health-IT (PACT) - Final Report
Citation
Schmajuk G. Incorporating PRO data into RA Clinical Encounters using Health-IT (PACT) – Final Report. (Prepared by University of California, San Francisco under Grant No. R01 HS025405). Rockville, MD: Age…
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psnet.ahrq.gov/node/847733/psn-pdf
March 16, 2025 - ISMP Targeted Medication Safety Best Practices for
Community Pharmacy.
March 16, 2025
Institute for Safe Medication Practices: March 2025.
https://psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
Community pharmacies are common providers of medication delivery that harbor proc…
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digital.ahrq.gov/ahrq-funded-projects/improving-adhd-behavioral-care-quality-community-based-pediatric-settings/final-report
January 01, 2023 - Improving ADHD Behavioral Care Quality in Community-Based Pediatric Settings - Final Report
Citation
Epstein J. Improving ADHD Behavioral Care Quality in Community-Based Pediatric Settings - Final Report. (Prepared by the Cincinnati Children's Hospital Medical Center under Grant No. R18 HS024690). Roc…
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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdpa13181.html
June 01, 2018 - Individual Mentored Research Scientist Career Development Award Program in Patient-Centered Outcomes Research
AHRQ Training Projects Funded by PCOR Trust Fund
PA-13-181
This program provides support for a sustained period of protected time for intensive research career development for individual investigato…
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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdhs14004.html
June 01, 2018 - Researcher Training and Workforce Development in Methods and Standards for Conducting Patient-Centered Health Outcomes Research Studies
AHRQ Training Projects Funded by PCOR Trust Fund
RFA-HS-14-004
This project provides basic, advanced, and experiential training on the methods to conduct PCOR, particularly…
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digital.ahrq.gov/ahrq-funded-projects/geofencing-based-adaptive-messaging-system-support-patient-self-management-low/final-report
January 01, 2023 - A Geofencing-Based Adaptive Messaging System to Support Patient Self-Management of a Low-Sodium Diet in Hypertension - Final Report
Citation
Dorsch M. A Geofencing-Based Adaptive Messaging System to Support Patient Self-Management of a Low-Sodium Diet in Hypertension - Final Report. (Prepared by the U…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/fortney.html
November 01, 2022 - Subcommittee Member: John C. Fortney
John C. Fortney, Ph.D.
Professor
Director
Division of Population Health
Department of Psychiatry and Behavioral Sciences
School of Medicine University of Washington
John C. Fortney, Ph.D., is a professor in the Department of Psychiatry and Behavioral Sciences at the …
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digital.ahrq.gov/ahrq-funded-projects/information-needs-homecare-nurses-during-admission-and-care-planning/final-report
January 01, 2023 - Information Needs of Homecare Nurses During Admission and Care Planning - Final Report
Citation
Sockolow P. Information Needs of Homecare Nurses During Admission and Care Planning - Final Report. (Prepared by Drexel University under Grant No. R01 HS024537). Rockville, MD: Agency for Healthcare Researc…
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psnet.ahrq.gov/node/60929/psn-pdf
September 16, 2020 - Safer Together: A National Action Plan to Advance Patient
Safety.
September 16, 2020
Boston, MA: Institute for Healthcare Improvement: September 2020.
https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
This National Action Plan developed by the National Steering Committee for Pati…
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psnet.ahrq.gov/node/50827/psn-pdf
January 22, 2020 - Becoming a high-reliability organization through shared
learning of safety events
January 22, 2020
Klenklen J. Patient Saf Qual HCare. December 19, 2019.
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
High reliability organizations consistently examine wha…
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digital.ahrq.gov/sites/default/files/docs/page/Abridged_ReportHIT2009.pdf
November 17, 2011 - AHRQ Health Information Technology Portfolio’s 2009 Annual Report
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Health IT
AHRQ Health Information
Technology Portfolio's
2009 Annual Report
AHRQ Health Infor…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-framework-for-conceptualizing-evidence-needs_0.pdf
December 01, 2017 - The framework
categorizes the evidence needs of health systems, focusing largely on system use of external … We excluded non-English publications and those focusing on single health systems
2
using their
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program
Longitudinal Evaluation of the Patient Safety and
Medical Liability Reform Demonstration Program
Planning Grants Final Evaluation Report
Longitudinal Evaluation of the Patient Safety and
Medical Liability Re…
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www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program
Longitudinal Evaluation of the Patient Safety and
Medical Liability Reform Demonstration Program
Planning Grants Final Evaluation Report
Longitudinal Evaluation of the Patient Safety and
Medical Liability Re…