-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
June 02, 2025 - Action Planning for the SOPS Surveys-Overview
6
Overview of AHRQ’s Patient Safety
Priorities
Jeff Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality (AHRQ)
Rear Admiral, Assistant Surgeon General, U.S. Public Health Service
AHRQ’s Core Compet…
-
psnet.ahrq.gov/node/36768/psn-pdf
July 14, 2010 - Hospital leadership and quality improvement: rhetoric
versus reality.
July 14, 2010
Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf.
2008;3(1). doi:10.1097/pts.0b013e3180311256.
https://psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-r…
-
psnet.ahrq.gov/node/846161/psn-pdf
March 15, 2023 - Ten years of online incident reporting and learning using
CPiRLS: implications for improved patient safety.
March 15, 2023
Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS:
implications for improved patient safety. Chiropr Man Therap. 2023;31(1):9. doi:10.1186/s12998-023-…
-
digital.ahrq.gov/medical-condition/xerostomia
January 01, 2023 - Xerostomia
Decision Support to Improve Dental Care for Medically Compromised Patients - Final Report
Citation
Fricton, J. Decision Support to Improve Dental Care for Medically Compromised Patients - Final Report. (Prepared by HealthPartners Research Foundation under Grant No. …
-
digital.ahrq.gov/principal-investigator/matthews-karen
January 01, 2023 - Matthews, Karen
The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology - Final Report
Citation
Fox K. The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes O…
-
psnet.ahrq.gov/node/38079/psn-pdf
February 15, 2011 - Development and evaluation of the Institute for
Healthcare Improvement global trigger tool.
February 15, 2011
Classen DC, Lloyd RC, Provost LP, et al. Development and Evaluation of the Institute for Healthcare
Improvement Global Trigger Tool. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e318183a475.
https://psne…
-
www.ahrq.gov/evidencenow/tools/pdsa-form.html
November 01, 2018 - Fillable Plan Do Study Act (PDSA) Tool for Health Care Quality Improvement (QI)
Resource: Plan Do Study Act (PDSA) Form (PDF, 971 KB, 2 pages)
Practices can use this fillable Plan Do Study Act (PDSA) tool to design and test changes to improve health care quality. Using this form can be helpful to primary c…
-
psnet.ahrq.gov/node/46221/psn-pdf
July 02, 2017 - Tools and methods for quality improvement and patient
safety in perinatal care.
July 2, 2017
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care.
Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
https://psnet.ahrq.gov/issue/tools-and-methods-q…
-
psnet.ahrq.gov/node/838925/psn-pdf
March 03, 2025 - Improving Quality and Safety in Healthcare.
March 3, 2025
Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025.
https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
Improvement activities are complex initiatives that require synergistic actions by organizations to be
s…
-
psnet.ahrq.gov/node/39047/psn-pdf
October 28, 2009 - ProvenCare: quality improvement model for designing
highly reliable care in cardiac surgery.
October 28, 2009
Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly
reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. doi:10.1136/qshc.2007.025056.
htt…
-
psnet.ahrq.gov/node/44848/psn-pdf
April 22, 2016 - Ambulatory medication reconciliation: using a
collaborative approach to process improvement at an
academic medical center.
April 22, 2016
Keogh C, Kachalia A, Fiumara K, et al. Ambulatory Medication Reconciliation: Using a Collaborative
Approach to Process Improvement at an Academic Medical Center. Jt Comm J Qual …
-
psnet.ahrq.gov/node/41862/psn-pdf
January 18, 2013 - Increasing reporting of adverse events to improve the
educational value of the morbidity and mortality
conference.
January 18, 2013
McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the
educational value of the morbidity and mortality conference. J Am Coll Surg. 2013;216(1):…
-
psnet.ahrq.gov/node/42277/psn-pdf
July 02, 2014 - Improving the quality of the surgical morbidity and
mortality conference: a prospective intervention study.
July 2, 2014
Mitchell EL, Lee DY, Arora S, et al. Improving the quality of the surgical morbidity and mortality conference:
a prospective intervention study. Acad Med. 2013;88(6):824-30. doi:10.1097/ACM.0b013…
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
May 01, 2018 - Maintaining and improving functional status, such as patients' ability to ambulate, improves quality
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief-2014.pdf
January 01, 2014 - How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement
1
Issue Brief
How Two Provider Groups Are Using the CAHPS® Clinician & Group
Survey for Quality Improvement
This brief shares the experiences of two
provider groups using the 12-Month version of
the CAHPS Clinician & …
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-stewardship.pdf
September 01, 2022 - Implementation Guide for Ambulatory Care Antibiotic Stewardship
AHRQ Safety Program for Improving Antibiotic Use
Introduction
Developing or improving antibiotic stewardship activities in ambulatory practices can take time. If you
are just starting to implement antibiotic stewardship activities in your practice, …
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/cgcahps-webcast-brief-2014.pdf
January 01, 2014 - How Two Provider Groups Are Using the CAHPS® Clinician & Group Survey for Quality Improvement
1
Issue Brief
How Two Provider Groups Are Using the CAHPS® Clinician & Group
Survey for Quality Improvement
This brief shares the experiences of two
provider groups using the 12-Month version of
the CAHPS Clinician & …
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Module 8: Organizational Learning and Sustainability
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
Module 8, the last module in the CANDOR Toolkit, provides an overview of organizational learning and how an organization can develop a sustainability plan to assure the CANDO…
-
digital.ahrq.gov/organization/university-massachusetts-medical-school
January 01, 2023 - University of Massachusetts Medical School
Open & Act: Tracking Health Care Team Response to EHR Asynchronous Alerts
Description
This project analyzed secondary data to identify factors associated with timely opening of electronic health record-based asynchronous alerts, timel…
-
psnet.ahrq.gov/issue/acog-committee-opinion-320-partnering-patients-improve-safety
July 15, 2010 - Commentary
ACOG Committee Opinion #320: partnering with patients to improve safety.
Citation Text:
ACOG Committee Opinion #320: partnering with patients to improve safety. ACOG Committee on Quality Improvement and Patient Safety.
Copy Citation
Save
Save to you…