-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
June 02, 2025 - Culture Check-Up Tool
Problem statement: Improving safety culture in a patient care area takes time.
What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, create the culture. No matter what instrument you use to assess patient safety culture, your results provide a snapshot of th…
-
psnet.ahrq.gov/issue/sustained-improvement-neonatal-intensive-care-unit-safety-attitudes-after-teamwork-training
March 26, 2015 - Study
Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training.
Citation Text:
Murphy T, Laptook A, Bender J. Sustained Improvement in Neonatal Intensive Care Unit Safety Attitudes After Teamwork Training. J Patient Saf. 2018;14(3):174-180. doi:10.10…
-
psnet.ahrq.gov/issue/increased-mortality-associated-weekend-hospital-admission-case-expanded-seven-day-services
March 02, 2012 - Study
Increased mortality associated with weekend hospital admission: a case for expanded seven day services?
Citation Text:
Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a case for expanded seven day services? BMJ. 2015;351:h4596.…
-
psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration
October 13, 2021 - Commentary
Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm.
Citation Text:
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce pa…
-
psnet.ahrq.gov/issue/ten-strategies-improve-management-abnormal-test-result-alerts-electronic-health-record
April 14, 2011 - Commentary
Ten strategies to improve management of abnormal test result alerts in the electronic health record.
Citation Text:
Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the electronic health record. J Patient Saf. 2010;6(2)…
-
psnet.ahrq.gov/issue/checking-all-boxes-checklist-when-and-how-use-checklists-effectively
June 29, 2022 - Commentary
Checking all the boxes: a checklist for when and how to use checklists effectively.
Citation Text:
Alfred M, Barg-Walkow LH, Keebler JR, et al. Checking all the boxes: a checklist for when and how to use checklists effectively. BMJ Qual Saf. 2024;33(10):673-681. doi:10.1136/bm…
-
digital.ahrq.gov/population/public-health-worker
January 01, 2023 - Public Health Worker
Advancing Population and Public Health Reporting and Outcomes with Vaccination Data Exchange (APPROVE) – Final Report
Citation
Rajamani S. Advancing Population and Public Health Reporting and Outcomes with Vaccination Data Exchange (APPROVE) – Final Report…
-
psnet.ahrq.gov/issue/armstrong-institute-academic-institute-patient-safety-and-quality-improvement-research
September 27, 2017 - Commentary
The Armstrong Institute: an academic institute for patient safety and quality improvement, research, training, and practice.
Citation Text:
Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement…
-
psnet.ahrq.gov/issue/state-science-and-future-directions-improve-diagnostic-safety-older-adults
January 22, 2025 - Book/Report
State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults.
Citation Text:
Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research a…
-
psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states
March 03, 2011 - Study
National pediatric anesthesia safety quality improvement program in the United States.
Citation Text:
Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.000…
-
psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders
September 05, 2018 - Commentary
Latent risk assessment tool for health care leaders.
Citation Text:
Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316.
Copy Citation
Format:
DOI Google S…
-
psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
August 25, 2010 - Commentary
Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…
-
psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience
April 27, 2019 - Commentary
Emerging Classic
Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience.
Citation Text:
Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…
-
psnet.ahrq.gov/issue/evidence-review-conducted-agency-healthcare-research-and-quality-safety-program-improving
June 21, 2015 - Review
Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.
Citation Text:
Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Heal…
-
psnet.ahrq.gov/issue/focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-safety
January 03, 2017 - Commentary
FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room.
Citation Text:
Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and…
-
psnet.ahrq.gov/issue/health-system-resilience-accreditation-high-quality-care-and-continuous-quality-improvement
November 25, 2020 - Commentary
Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there?
Citation Text:
Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality improveme…
-
psnet.ahrq.gov/issue/infection-preventionist-checklist-improve-culture-and-reduce-central-line-associated
January 15, 2014 - Commentary
Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and reduce central line-associated bloodstream i…
-
psnet.ahrq.gov/node/72705/psn-pdf
February 03, 2021 - Systems approach to health service design, delivery and
improvement: a systematic review and meta-analysis.
February 3, 2021
Komashie A, Ward JR, Bashford T, et al. Systems approach to health service design, delivery and
improvement: a systematic review and meta-analysis. BMJ Open. 2021;11(1):e037667.
doi:10.1136/…
-
psnet.ahrq.gov/node/43333/psn-pdf
January 15, 2017 - A multidisciplinary, multifaceted improvement initiative to
eliminate mislabelled laboratory specimens at a large
tertiary care hospital.
January 15, 2017
Seferian EG, Jamal S, Clark K, et al. A multidisciplinary, multifaceted improvement initiative to eliminate
mislabelled laboratory specimens at a large tertiary…
-
psnet.ahrq.gov/node/863221/psn-pdf
February 28, 2024 - Using artificial intelligence to improve primary care for
patients and clinicians.
February 28, 2024
Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA
Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965.
https://psnet.ahrq.gov/issue/using-a…