-
www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
December 01, 2012 - Holds staff accountable for reducing patient harms.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2024.xlsx
January 01, 2024 - Device or Medical/Surgical Supply including Health Information Technology Dashboard
Introduction
Introduction-Device or Medical/Surgical Supply including Health Information Technology
The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
September 01, 2015 - Contributing other resources that will help ensure success
Monitoring HAI rates or events and other harms … the CUSP: Stop HAI hospital units that successfully lowered their infection rates and other
patient harms … Staff Safety Assessment
Another very useful way for units to learn about potential harms or defects,
-
www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
September 01, 2015 - Contributing other resources that will help ensure success
Monitoring HAI rates or events and other harms … the CUSP: Stop HAI hospital units that successfully lowered their infection rates and other
patient harms … Staff Safety Assessment
Another very useful way for units to learn about potential harms or defects,
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - Chartbook on Patient Safety
Network of
Patient Safety
Databases
Chartbook, 2020
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2020. Rockville, MD: Agency for H…
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - Network of Patient Safety Databases Chartbook, 2021
Network of
Patient Safety
Databases
Chartbook, 2021
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2021. Rockvi…
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - Network of Patient Safety Databases Chartbook, 2019
Network of
Patient Safety
Databases
Chartbook, 2019
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2019. Rockvi…
-
www.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html
April 01, 2022 - All Cause Harm Prevention in Nursing Home—Events Related to Infections
Resource: All Cause Harm Prevention in Nursing Home—Events Related to Infections
This document is a section of the All Cause Harm Prevention in Nursing Homes Change Package. It provides a description and list of successful practices of…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - Although AEs most
often result in transient harms, some lead to permanent injury and death. … Potential for Quality Improvement
Key strategies for reducing preventable harms in children include … CMS has also created incentives for reducing harms through reimbursement policies. … For example, evidence shows that patients who experience health care-related harms have
greater odds … A new, evidence-based estimate of patient harms associated with hospital care.
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - By understanding all the contributing factors of a defect, harms can be mitigated or eliminated. … Look at each of these system factors and consider how each can carry a defect that leads to patient harms
-
www.ahrq.gov/news/newsletters/e-newsletter/946.html
February 01, 2025 - AHRQ in the Professional Literature Modeling nursing home harms from COVID-19 staff furlough policies
-
www.ahrq.gov/news/newsletters/e-newsletter/920.html
July 01, 2024 - and primary care experts—issues recommendations based on the latest research about the benefits and harms
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - 2024 Network of Patient Safety Databases Chartbook
2024 Network
of Patient Safety
Databases
Chartbook:
Medication and Other
Substance Events
2024 NETWORK OF PATIENT SAFETY DATABASES
CHARTBOOK: MEDICATION AND OTHER SUBSTANCE
EVENTS
U.S. DEPARTMENT OF
…
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
January 01, 2023 - Network of Patient Safety Databases Falls Chartbook, 2023
Network of
Patient Safety
Databases Falls
Chartbook, 2023
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. S…
-
www.ahrq.gov/news/newsletters/e-newsletter/908.html
April 01, 2024 - in AHRQ’s Making Healthcare Safer IV Report , a suite of rapid evidence reports on patient safety harms
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
What Can Leaders Achieve by Prioritizing Diagnostic Safety?
Previous Page Next Page
Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagno…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2024.xlsx
January 01, 2024 - Blood Dashboard Data
Introduction
Introduction-Blood or Blood Product
The tables in this workbook present data on Blood or Blood Product reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. They include the relative frequen…
-
www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Learn From Defects Tool—Perioperative Setting
AHRQ Safety Program for Surgery
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statement: …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docx
January 01, 2017 - By understanding all the contributing factors of a defect, harms can be mitigated or eliminated. … Look at each of these system factors and consider how each can carry a defect that leads to patient harms
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-slides.pdf
January 01, 2024 - Network
Best Practice
Implementation
Research
Support
Aligned
with VBP
Outcomes
By 2026, Reduce Harms