- CEO/Senior Leader Checklist
Who should use this tool? Senior leaders.
Checklist Items
Leader Responsible
Date
Initiated
1. Ensure all current and new employees receive Science of Safety training.
2. Assign a senior executive (Chief Executive Officer or another leader) as an active member of each
psnet.ahrq.gov/node/43016/psn-pdf
May 28, 2014 - Identification of serious and reportable events in home
care: a Delphi survey to develop consensus.
May 28, 2014
Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi
survey to develop consensus. Int J Health Care Qual. 2014;26(2):136-143. doi:10.1093/intqhc/mzu00…
psnet.ahrq.gov/node/47603/psn-pdf
March 20, 2019 - Electronic patient identification for sample labeling
reduces wrong blood in tube errors.
March 20, 2019
Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong
blood in tube errors. Transfusion (Paris). 2019;59(3):972-980. doi:10.1111/trf.15102.
https://psnet.ahrq.g…
psnet.ahrq.gov/node/46986/psn-pdf
June 27, 2018 - A multi-hospital before–after observational study using a
point-prevalence approach with an infusion safety
intervention bundle to reduce intravenous medication
administration errors.
June 27, 2018
Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational Study Using a Point-
Prevalence A…
psnet.ahrq.gov/node/45730/psn-pdf
December 14, 2016 - Identification of priorities for improvement of medication
safety in primary care: a PRIORITIZE study.
December 14, 2016
Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety
in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):160.
https://psnet.ah…
psnet.ahrq.gov/node/46842/psn-pdf
June 22, 2018 - Do EPs change their clinical behaviour in the hallway or
when a companion is present? A cross-sectional survey.
June 22, 2018
Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a
companion is present? A cross-sectional survey. Emerg Med J. 2018;35(7):406-411.
doi:10.…
psnet.ahrq.gov/node/45804/psn-pdf
August 03, 2017 - Meaningful use of health information technology and
declines in in-hospital adverse drug events.
August 3, 2017
Furukawa MF, Spector WD, Limcangco R, et al. Meaningful use of health information technology and
declines in in-hospital adverse drug events. J Am Med Inform Assoc. 2017;24(4):729-736.
doi:10.1093/jamia/…
psnet.ahrq.gov/node/844801/psn-pdf
January 01, 2021 - A mixed-methods study of challenges experienced by
clinical teams in measuring improvement.
September 11, 2019
Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical
teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048.
https:/…
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/core-discussion-key.html
March 01, 2017 - Training Module 2 — Core Team Discussion Guide: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Clean Equipment and Environment: Knowledge and Practice
Directions
Answer the following questions to help reflect on how you can prepare to discuss cleaning and disinfection pra…
psnet.ahrq.gov/node/44208/psn-pdf
July 16, 2015 - Preventability of voluntarily reported or trigger
tool–identified medication errors in a pediatric institution
by information technology: a retrospective cohort study.
July 16, 2015
Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in
a Pediatric Institution …
psnet.ahrq.gov/node/40640/psn-pdf
December 01, 2011 - Safety hazards in cancer care: findings using three
different methods.
December 1, 2011
Lipczak H, Knudsen JL, Nissen A. Safety hazards in cancer care: findings using three different methods.
BMJ Qual Saf. 2011;20(12):1052-6. doi:10.1136/bmjqs.2010.050856.
https://psnet.ahrq.gov/issue/safety-hazards-cancer-care-fi…
psnet.ahrq.gov/node/45323/psn-pdf
June 28, 2017 - Effects of health information technology on patient
outcomes: a systematic review.
June 28, 2017
Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a
systematic review. J Am Med Inform Assoc. 2016;23(5):1016-36. doi:10.1093/jamia/ocv138.
https://psnet.ahrq.gov/i…
psnet.ahrq.gov/node/44112/psn-pdf
November 03, 2015 - Unexpected death within 72 hours of emergency
department visit: were those deaths preventable?
November 3, 2015
Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit:
were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x.
https://psnet…
psnet.ahrq.gov/node/43914/psn-pdf
March 13, 2015 - Medication-related emergency department visits in
pediatrics: a prospective observational study.
March 13, 2015
Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a
prospective observational study. Pediatrics. 2015;135(3):435-43. doi:10.1542/peds.2014-1827.
http…
psnet.ahrq.gov/node/844790/psn-pdf
January 01, 2020 - Effectiveness of double checking to reduce medication
administration errors: a systematic review.
September 18, 2019
Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication
administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603. doi:10.1136/bmjqs-2019-
00955…
psnet.ahrq.gov/node/866961/psn-pdf
October 16, 2024 - Patient safety and the COVID-19 pandemic: a qualitative
study of perspectives of front-line clinicians.
October 16, 2024
Schulson L, Bandini J, Bialas A, et al. Patient safety and the COVID-19 pandemic: a qualitative study of
perspectives of front-line clinicians. BMJ Open Qual. 2024;13(3):e002692. doi:10.1136/bmjo…
www.ahrq.gov/hai/cauti-tools/phys-championsgd/appa.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Appendix A. Teamwork and Communication Definitions and Tools
Previous Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Dev…
psnet.ahrq.gov/node/45097/psn-pdf
May 09, 2017 - Changes in prescription and over-the-counter medication
and dietary supplement use among older adults in the
United States, 2005 vs 2011.
May 9, 2017
Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and
Dietary Supplement Use Among Older Adults in the United States, 2005 …