-
psnet.ahrq.gov/node/837796/psn-pdf
August 10, 2022 - Association between hospital acquired harm outcomes
and membership in a national patient safety collaborative.
August 10, 2022
Coffey M, Marino M, Lyren A, et al. Association between hospital acquired harm outcomes and
membership in a national patient safety collaborative. JAMA Pediatr. 2022;176(9):924-932.
doi:10…
-
psnet.ahrq.gov/node/848818/psn-pdf
May 10, 2023 - Potential costs and consequences associated with
medication error at hospital discharge: an expert
judgement study.
May 10, 2023
Kirwan G, O’Leary A, Walsh C, et al. Potential costs and consequences associated with medication error at
hospital discharge: an expert judgement study. Eur J Hosp Pharm. 2023;30(2):86-9…
-
psnet.ahrq.gov/node/866582/psn-pdf
August 28, 2024 - The relationship between hospital patient safety culture
and performance on Centers for Medicare & Medicaid
Services value-based purchasing metrics.
August 28, 2024
Noghrehchi P, Hefner JL, Walker DM. The relationship between hospital patient safety culture and
performance on Centers for Medicare & Medicaid Servic…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - System Redesign Responses to Challenges in Safety-Net Systems
System Redesign Responses to
Challenges in Safety-Net Systems:
Summary of Field Study Research
Submitted to:
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
www.ahrq.gov
AHRQ ACTION II Contract No. H…
-
hcup-us.ahrq.gov/reports/methods/2003_04.pdf
January 01, 2003 - HCUP_methods_series_cover.ai
HCUP Methods Series
kbr33831
Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.hcup-us.ahrq.gov
For Technical Assistance with HCUP Products:
Email: hcu…
-
www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - Patient and Family Engagement
Facilitator Notes
The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed at improving patient safety. …
-
psnet.ahrq.gov/node/47640/psn-pdf
March 20, 2019 - Self-reported adherence to high reliability practices
among participants in the Children's Hospitals' Solutions
for Patient Safety Collaborative.
March 20, 2019
Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices
among participants in the Children's Hospitals' S…
-
psnet.ahrq.gov/node/44324/psn-pdf
September 09, 2015 - Prevalence, nature, severity and risk factors for
prescribing errors in hospital inpatients: prospective
study in 20 UK hospitals.
September 9, 2015
Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing
Errors in Hospital Inpatients: Prospective Study in 20 UK Hospit…
-
psnet.ahrq.gov/node/845357/psn-pdf
March 29, 2023 - Reducing hospital harm: establishing a command centre
to foster situational awareness.
March 29, 2023
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc
Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
https://psnet.ahrq.gov/innovation/reducing-hospital-harm-…
-
psnet.ahrq.gov/node/39970/psn-pdf
January 22, 2017 - Hospital board checklist to improve culture and reduce
central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce
central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2010;36(11):525-8.
htt…
-
psnet.ahrq.gov/node/37363/psn-pdf
February 03, 2011 - Effect of a rapid response team on hospital-wide mortality
and code rates outside the ICU in a children’s hospital.
February 3, 2011
Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code
rates outside the ICU in a Children's Hospital. JAMA. 2007;298(19):2267-74.
h…
-
psnet.ahrq.gov/node/45865/psn-pdf
March 15, 2017 - Exploring relationships between hospital patient safety
culture and Consumer Reports safety scores.
March 15, 2017
Smith SA, Yount N, Sorra J. Exploring relationships between hospital patient safety culture and Consumer
Reports safety scores. BMC Health Serv Res. 2017;17(1):143. doi:10.1186/s12913-017-2078-6.
http…
-
psnet.ahrq.gov/node/46015/psn-pdf
August 15, 2018 - Patient mortality during unannounced accreditation
surveys at US hospitals.
August 15, 2018
Barnett ML, Olenski AR, Jena AB. Patient Mortality During Unannounced Accreditation Surveys at US
Hospitals. JAMA Intern Med. 2017;177(5):693-700. doi:10.1001/jamainternmed.2016.9685.
https://psnet.ahrq.gov/issue/patient-mo…
-
psnet.ahrq.gov/node/43915/psn-pdf
September 27, 2017 - The quality of hospital work environments and missed
nursing care is linked to heart failure readmissions: a
cross-sectional study of US hospitals.
September 27, 2017
Carthon MB, Lasater KB, Sloane DM, et al. The quality of hospital work environments and missed nursing
care is linked to heart failure readmissions:…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-6a-tables-4-5.pdf
June 02, 2025 - Section 6.A, Tables 4 and 4
Table 4: Percent Agreement and Kappa Statistics for Inter-Rater Reliability at Three Study Sites
Site Measure Numerator/
Eligibility Criteria
Number of Records
Reviewed
N Agreed (%) Kappa
Statistic
Hospital
#1
Timely Blood Culture 7 71% -0.17
Blood culture performed
at refer…
-
hcup-us.ahrq.gov/reports/statbriefs/sb298-COVID-19-ED-visits.pdf
April 01, 2022 - Changes in Emergency Department Visits in the Initial Period of the COVID-19 Pandemic (April–December 2020), 29 States
1
STATISTICAL BRIEF #298
October 2022
Marguerite L. Barrett, M.S., Pamela L. Owens, Ph.D., and
Marc Roemer, M.S.
Introduction
In the United States in 2019, there …
-
www.ahrq.gov/patient-safety/patients-families/engagingfamilies/index.html
March 01, 2023 - Guide to Patient and Family Engagement in Hospital Quality and Safety
Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, the Agency for Healthcare Research and Quality (AHRQ) developed a guide to help…
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/sampleagenda.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued)
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…
-
www.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit
Search All Impact Case Studies
March 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Masspro, the Massachusetts Quality Improvement Organization (QIO), worked with New England Rehabilitation …
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/sampleagenda.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued)
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…