-
www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/resources.html
July 01, 2022 - experts who have honed their approaches through working on quality improvement (QI) and practice redesign initiatives
-
www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - safety culture strengths and areas for improvement, to evaluate the impact of patient safety improvement initiatives
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-254-rural-telehealth-executive-summary.pdf
December 01, 2022 - Strategy: statewide or regional initiatives with government or
philanthropic support.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
April 01, 2025 - Engage: Actively involve both leadership and personnel in safety initiatives to foster open communication
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
January 17, 2025 - • AI initiatives:
o Bridge2AI
o AI/ML Consortium to Advance Health Equity and Researcher
Diversity
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-slides-ny.html
March 01, 2021 - EvidenceNOW: Recruitment Slides
New York City Cooperative
Resource: HealthyHearts NYC: Primary Care Partnerships Advancing Heart Health (PDF, 644 KB, 20 pages)
This document provides an example of an EvidenceNOW Cooperative's recruitment slides that include a project summary, project goals and measures, e…
-
psnet.ahrq.gov/node/35557/psn-pdf
June 08, 2010 - Building and sustaining a systemwide culture of safety.
June 8, 2010
Yates GR, Bernd DL, Sayles SM, et al. Building and sustaining a systemwide culture of safety. Jt Comm J
Qual Patient Saf. 2005;31(12):684-689.
https://psnet.ahrq.gov/issue/building-and-sustaining-systemwide-culture-safety
The authors describe the…
-
psnet.ahrq.gov/node/36137/psn-pdf
September 29, 2010 - Rapid response teams: ten essentials leaders need to
know.
September 29, 2010
Dahlen GM, Benz BA. Rapid response teams. Ten essentials leaders need to know. Healthcare executive.
2006;21(4):28-32, 34.
https://psnet.ahrq.gov/issue/rapid-response-teams-ten-essentials-leaders-need-know
The authors list ten points fo…
-
psnet.ahrq.gov/node/41409/psn-pdf
November 26, 2014 - Do first opinions affect second opinions?
November 26, 2014
Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med.
2012;27(10). doi:10.1007/s11606-012-2056-y.
https://psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions
This study found some evidence that the r…
-
psnet.ahrq.gov/node/46397/psn-pdf
August 30, 2017 - Making Dialysis Safer for Patients Coalition.
August 30, 2017
Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition
Dialysis is a common procedure that carries risks if not performed correctly. This initiative represents a
collective effort that aims to d…
-
psnet.ahrq.gov/node/38931/psn-pdf
April 18, 2011 - Patient safety in intensive care medicine: the Declaration
of Vienna.
April 18, 2011
Moreno RP, Rhodes A, Donchin Y. Patient safety in intensive care medicine: the Declaration of Vienna.
Intensive Care Med. 2009;35(10). doi:10.1007/s00134-009-1621-2.
https://psnet.ahrq.gov/issue/patient-safety-intensive-care-medic…
-
psnet.ahrq.gov/node/37099/psn-pdf
October 04, 2011 - Errors in the MRI evaluation of musculoskeletal tumors
and tumorlike lesions.
October 4, 2011
Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and
tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33.
https://psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskelet…
-
www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/cpcq-scoring.html
March 01, 2021 - EvidenceNOW: Change Process Capability Questionnaire Scoring
Oregon Cooperative
Resource: Scoring the Change Process Capability Scoring the Change Process Capability (PDF, 215 KB, 11 pages)
This document, prepared by the National Evaluation team, provides guidance to the seven cooperatives on how to score…
-
psnet.ahrq.gov/node/38253/psn-pdf
December 17, 2008 - Medical emergency team implementation: experiences of
a mentor hospital.
December 17, 2008
Jamieson E, Ferrell C, Rutledge DN. Medical emergency team implementation: experiences of a mentor
hospital. Medsurg Nurs. 2008;17(5):312-6, 323.
https://psnet.ahrq.gov/issue/medical-emergency-team-implementation-experiences…
-
psnet.ahrq.gov/node/36119/psn-pdf
January 05, 2017 - A leadership framework for culture change in health care.
January 5, 2017
Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt
Comm J Qual Patient Saf. 2006;32(8):433-42.
https://psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
The authors describ…
-
psnet.ahrq.gov/node/34595/psn-pdf
January 04, 2017 - Mary Lanning Memorial Hospital: communication is key.
January 4, 2017
Lindblad B, Chilcott J, Rolls L. Mary Lanning Memorial Hospital: communication is key. Joint Commission
journal on quality and safety. 2004;30(10):551-8.
https://psnet.ahrq.gov/issue/mary-lanning-memorial-hospital-communication-key
This rural ho…
-
psnet.ahrq.gov/node/41275/psn-pdf
April 04, 2012 - Medication reconciliation campaign in a clinic for
homeless patients.
April 4, 2012
Moczygemba LR, Gatewood SBS, Kennedy AK, et al. Medication reconciliation campaign in a clinic for
homeless patients. Am J Health Syst Pharm. 2012;69(7):558, 560-2. doi:10.2146/ajhp110334.
https://psnet.ahrq.gov/issue/medication-re…
-
psnet.ahrq.gov/node/42107/psn-pdf
January 01, 2015 - Creating a culture of safety by using checklists.
March 13, 2013
Huang LC, Kim R, Berry WR. Creating a culture of safety by using checklists. AORN J. 2013;97(3):365-8.
doi:10.1016/j.aorn.2012.12.019.
https://psnet.ahrq.gov/issue/creating-culture-safety-using-checklists
This commentary reveals how implementing peri…
-
psnet.ahrq.gov/node/867769/psn-pdf
March 12, 2025 - Lessons from Event Reports.
March 12, 2025
Lessons from Event Reports. Patient Safety Authority.
https://psnet.ahrq.gov/issue/lessons-event-reports
Small successes can inform and motivate actions leading to sustainable, evidence-based change. This
searchable collection of projects initiated in response to event re…
-
psnet.ahrq.gov/node/42385/psn-pdf
June 26, 2013 - Identifying and addressing preventable process errors in
trauma care.
June 26, 2013
Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma
care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9.
https://psnet.ahrq.gov/issue/identifying-and-addressing-pre…