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psnet.ahrq.gov/node/867699/psn-pdf
June 01, 2023 - Toolkit for Improving Surgical Care and Recovery.
June 1, 2023
Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June
2023.
https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
Improving patient experience fosters better communication, trust, and col…
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psnet.ahrq.gov/node/39783/psn-pdf
August 25, 2010 - Ethics, oversight and quality improvement initiatives.
August 25, 2010
Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and
Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034.
https://psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initia…
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psnet.ahrq.gov/node/41523/psn-pdf
July 18, 2012 - Long-term reduction in adverse drug events: an evidence-
based improvement model.
July 18, 2012
Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement
model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902.
https://psnet.ahrq.gov/issue/long-term-reduction-ad…
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psnet.ahrq.gov/node/40694/psn-pdf
October 31, 2011 - Improving RCA performance: the Cornerstone Award and
the power of positive reinforcement.
October 31, 2011
Bagian JP, King BJ, Mills PD, et al. Improving RCA performance: the Cornerstone Award and the power of
positive reinforcement. BMJ Qual Saf. 2011;20(11):974-82. doi:10.1136/bmjqs.2010.049585.
https://psnet.ah…
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psnet.ahrq.gov/node/41419/psn-pdf
September 26, 2012 - Ten challenges in improving quality in healthcare:
lessons from the Health Foundation's programme
evaluations and relevant literature.
September 26, 2012
Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the
Health Foundation's programme evaluations and relevant li…
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psnet.ahrq.gov/node/45638/psn-pdf
January 01, 2019 - Measures to improve diagnostic safety in clinical practice.
November 2, 2016
Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf.
2019;15(4):311-316. doi:10.1097/PTS.0000000000000338.
https://psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practic…
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Value and Patient Safety
Curated Library
Foundations
Safety is the preservation of value.
Vandeskog B. J Safety Res. 2024;89:105-115.
Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among safety
resea…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
September 01, 2022 - The “Sometimes Antibiotics” Diagnoses: Acute Otitis Media in Children – Slides
AHRQ Safety Program for Improving Antibiotic Use
The "Sometimes
Antibiotics" Diagnoses:
Acute Otitis Media in Children
Ambulatory Care
AHRQ Pub. No. 17(22)-0030
September 2022
Otitis Media
AHRQ Safety Program for Improving Antibiot…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/slides.html
October 01, 2020 - Sustainability Module
Slide 1: Sustainability Module
Sustainability Module
Slide 2: Learning Objectives
Image: Define sustainability.
Understand the link between sustainability and spread.
Create and implement a sustainability plan.
Establish a sustainability measurement plan.
Learn from examples …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/infection-prevention.html
March 01, 2017 - Implement an Infection Prevention Quality Improvement Project
Start with the Implementation Guide , and then consult the Sustainability Guide
Long -Term Care Safety Toolkit Modules
Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety…
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psnet.ahrq.gov/node/863222/psn-pdf
February 28, 2024 - Systematic review of morbidity and mortality meeting
standardization: does it lead to improved professional
development, system improvements, clinician
engagement, and enhanced patient safety culture?
February 28, 2024
Steel EJ, Janda M, Jamali S, et al. Systematic review of morbidity and mortality meeting standar…
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psnet.ahrq.gov/node/46291/psn-pdf
July 26, 2017 - Experiences with Lean Six Sigma as improvement
strategy to reduce parenteral medication administration
errors and associated potential risk of harm.
July 26, 2017
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to
reduce parenteral medication administration erro…
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psnet.ahrq.gov/node/74720/psn-pdf
February 02, 2022 - Improving medical residents’ self-assessment of their
diagnostic accuracy: does feedback help?
February 2, 2022
Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic
accuracy: does feedback help? Adv Health Sci Edu. 2022;27(1):189-200. doi:10.1007/s10459-021-10080…
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psnet.ahrq.gov/node/45214/psn-pdf
July 13, 2016 - Recognizing quality improvement and patient safety
activities in academic promotion in departments of
medicine: innovative language in promotion criteria.
July 13, 2016
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in
Academic Promotion in Departments of Medici…
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digital.ahrq.gov/principal-investigator/shoemaker-sarah
January 01, 2023 - Shoemaker, Sarah
Development of the Patient Education Materials Assessment Tool (PEMAT): A new measure of understandability and actionability for print and audiovisual patient information.
Citation
Shoemaker SJ, Wolf MS, Brach C. Development of the Patient Education Materials…
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digital.ahrq.gov/organization/visiting-nurse-service-new-york
January 01, 2023 - Visiting Nurse Service of New York
Development of Dashboards to Provide Feedback to Home Care Nurses
Description
This project designed and conducted a usability evaluation of dashboards that provide feedback to home care nurses to improve the care of patients with chronic hear…
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psnet.ahrq.gov/node/41920/psn-pdf
October 08, 2013 - Review of computerized physician handoff tools for
improving the quality of patient care.
October 8, 2013
Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of
patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988.
https://psnet.ahrq.gov/issue/review-com…
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psnet.ahrq.gov/node/44092/psn-pdf
November 16, 2015 - Does lean management improve patient safety culture?
An extensive evaluation of safety culture in a
radiotherapy institute.
November 16, 2015
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive
evaluation of safety culture in a radiotherapy institute. Eur J Oncol …
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psnet.ahrq.gov/node/44444/psn-pdf
September 02, 2015 - Clinical communities at Johns Hopkins Medicine: an
emerging approach to quality improvement.
September 2, 2015
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An
Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;41(9):387-395.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/866866/psn-pdf
October 02, 2024 - New Analysis Shows Hospitals Improving Performance
on Key Patient Safety Measures Surpassing Pre-
pandemic Levels.
October 2, 2024
New Analysis Shows Hospitals Improving Performance On Key Patient Safety Measures Surpassing Pre-
Pandemic Levels. Chicago, IL: American Hospital Association; September 2024.
https://…