-
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/38455/psn-pdf
January 02, 2017 - Clinical triggers: an alternative to a rapid response team.
January 2, 2017
Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm
J Qual Patient Saf. 2009;35(3):164-74.
https://psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
A national cam…
-
digital.ahrq.gov/national-webinars/transforming-guidelines-action-clinical-decision-support-point-care
June 15, 2023 - Transforming Guidelines into Action: Clinical Decision Support at the Point of Care
Event Date:
June 15, 2023 | 1:30pm – 3:00pm ET
Event Materials:
Presentation Slides ( PDF , 4.65 MB). Q&As ( PDF , 133 KB).
Your browser does not support inline frames. Please go to…
-
www.ahrq.gov/cpi/centers/ockt/index.html
February 01, 2025 - Office of Communications (OC)
Develops, implements, and manages programs for communicating and disseminating the results of Agency activities with the goal of changing behavior to foster improvement in the quality and safety of care.
The Director of OC is Karen Fleming-Michael . The OC promotes the communica…
-
psnet.ahrq.gov/node/73121/psn-pdf
April 07, 2021 - The impact of introducing automated dispensing
cabinets, barcode medication administration, and closed-
loop electronic medication management systems on work
processes and safety of controlled medications in
hospitals: a systematic review.
April 7, 2021
Zheng WY, Lichtner V, Van Dort BA, et al. The impact of intr…
-
psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - The team decided to develop and implement a computer system that provided prompts based on trauma algorithms
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/ehc-research-gaps-telehealth.pdf
April 01, 2023 - AHRQ Evidence-based Practice Center Program Research Gaps Summary: Telehealth
AHRQ EVIDENCE-BASED PRACTICE CENTER (EPC)
PROGRAM RESEARCH GAPS SUMMARY:
TELEHEALTH
An AHRQ EPC Program publication summarizing evidence gaps identified across recent
EPC Program reviews for select healthcare topics addressing telehea…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
April 01, 2022 - prompt removal of unnecessary urinary catheters
There are many low-tech and high-tech strategies to implement
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016162-richards-final-report-2009.pdf
January 01, 2009 - Title Page
Grant Final Report
Grant ID: UC1HS016162
Regional Approach for THQIT in Rural
Settings: Implementation
Inclusive dates: 09/30/05 - 09/29/09
Principal Investigator:
Francis M. Richards
Team members:
James M. Walker, MD, FACP
James R. Younkin
Gary Kurtz
Greg Miller
Ruth …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
January 01, 2003 - The outcomes of this study suggest that to implement, maintain, and improve
patient safety systems, … • Design and implement comprehensive, accessible, and user-friendly
systems for recording, monitoring … • Design and implement an institutional mechanism for continuous
monitoring, improvement, and sustainability
-
psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - intervention), critical analysis of a severe adverse event can help to identify and close existing gaps and implement … To improve waiting room safety, hospitals should implement strategies to improve triage accuracy, expedite
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
December 27, 2021 - Identify and implement solutions based on findings.
Figure 11.2. … Encourage the practice to use the Plan Do Study Act cycle to implement and evaluate
improvements based
-
integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/pharmacotherapy
January 01, 2019 - Clinicwide Orientation to Treating Patients with OUD
Pharmacotherapy Training
Implement … Treatment for Opioid Use Disorder
Expand Implement Treatment for Opioid Use Disorder menu.
-
psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Rethinking Root Cause Analysis
January 1, 2016
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
Annual Perspective 2016
Introduction
Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…
-
psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United States health care system remains highly
fragmented. From it…
-
psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - ECHO-Care Transitions Successfully Reduces Patient
Readmissions from Skilled Nursing Facilities, Reduces
Length of Stay
August 25, 2021
https://psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-
nursing
Summary
ECHO-Care Transitions (ECHO-CT) intends to ensure cont…
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1app.html
March 01, 2019 - Appendix: Profiles of the CHIPRA Quality Demonstration States’ Stakeholder Engagement Initiatives
Implementation Guide Number 1
This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Childr…
-
cdsic.ahrq.gov/sites/default/files/2024-12/OY2%20Innovation%20Center%20Operational%20Framework_508.pdf
January 01, 2024 - OY2 Innovation Center Operational Framework
Innovation Center:
Operational Framework –
Option Year 2
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the University of Chic…
-
www.ahrq.gov/news/newsletters/e-newsletter/954.html
April 01, 2025 - Addressing Unhealthy Alcohol Use: Resources From AHRQ
Issue Number
954
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
April 22, 2025
AHRQ Stats: Average Annual Spending on Adult Opioid Prescriptions Between 2021 and 2022, average annual total outpatient pres…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-informed-care-disposition-comments.pdf
January 14, 2025 - Disposition of Comments_Systematic Review_Trauma Informed Care: A Systematic Review
Systematic Review Disposition of Comments Report
Title: Trauma Informed Care: A Systematic Review
Draft report available for public comment from July 22, 2024, to August 22, 2024.
Citation: Nguyen-Feng VN, Ramirez M…