-
www.ahrq.gov/research/findings/postpartumdep.html
June 01, 2018 - Efficacy and Safety of Screening for Postpartum Depression
Patients who receive screening for postpartum depression show some improved outcomes compared with patients who receive no screening, according to a new review from AHRQ’s Effective Health Care Program, but the overall effect of the improvement on long-…
-
www.ahrq.gov/topics/quality-care.html
Quality of Care
AHRQ has information on the National Quality Strategy, data on health care quality, details on quality measurement projects, and AHRQ resources on quality.
National Quality Strategy The National Quality Strategy is a national effort to align public- and private-se…
-
psnet.ahrq.gov/node/866528/psn-pdf
August 14, 2024 - First with Kids: Medication Errors.
August 14, 2024
First L. NBC5. First with Kids: Medication Errors. August 1, 2024.
https://psnet.ahrq.gov/issue/first-kids-medication-errors
Medication mistakes involving children are common. This news segment provides suggestions for parents
to help improve the safety of medica…
-
psnet.ahrq.gov/node/37767/psn-pdf
June 01, 2022 - Hospital Survey on Patient Safety Culture 2.0.
June 1, 2022
Rockville, MD: Agency for Healthcare Research and Quality; 2019.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20
The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey and accompanying toolkit were
developed to collect …
-
psnet.ahrq.gov/node/41916/psn-pdf
December 12, 2012 - Process indicators of quality clinical pharmacy services
during transitions of care.
December 12, 2012
Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services
during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi:10.1002/phar.1214.
https://psnet.ahr…
-
psnet.ahrq.gov/node/39222/psn-pdf
January 13, 2010 - Surgical site signing and "time out": issues of compliance
or complacence.
January 13, 2010
Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J
Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615.
https://psnet.ahrq.gov/issue/surgical-site-signin…
-
psnet.ahrq.gov/node/43086/psn-pdf
March 26, 2014 - International Comparisons: A Focus on Quality of Care.
March 26, 2014
Ottawa, ON: Canadian Institute for Health Information; January 23, 2014.
https://psnet.ahrq.gov/issue/international-comparisons-focus-quality-care
This report compared the quality of care in Canada with 34 other countries to identify areas in whi…
-
psnet.ahrq.gov/node/43682/psn-pdf
November 19, 2014 - Pearls, Pitfalls, and Errors in Musculoskeletal Diagnosis.
November 19, 2014
Blankenbaker DG, ed. AJR Am J Roentgenol. 2014;203(3):476-593.
https://psnet.ahrq.gov/issue/pearls-pitfalls-and-errors-musculoskeletal-diagnosis
Articles in this special issue discuss common pitfalls in musculoskeletal imaging that can con…
-
psnet.ahrq.gov/node/41872/psn-pdf
December 12, 2012 - Staffing matters—every shift.
December 12, 2012
West G, Patrician PA, Loan L. Staffing matters-every shift: data from the Military Nursing Outcomes
Database can be used to demonstrate that the right number and mix of nurses prevent errors. Am J Nurs.
2012;112(12):22-7; discussion 28. doi:10.1097/01.NAJ.0000423501.1…
-
psnet.ahrq.gov/node/44553/psn-pdf
October 07, 2015 - A medical detective story: why doctors make diagnostic
errors.
October 7, 2015
Landro L. Wall Street Journal. September 26, 2015.
https://psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors
In light of the recent IOM report on improving diagnosis, this newspaper article features an inte…
-
psnet.ahrq.gov/node/39034/psn-pdf
November 25, 2009 - AHRQ's Hospital Survey on Patient Safety Culture:
psychometric analyses.
November 25, 2009
Blegen MA, Gearhart S, O'Brien R, et al. AHRQ's hospital survey on patient safety culture: psychometric
analyses. J Patient Saf. 2009;5(3):139-44. doi:10.1097/PTS.0b013e3181b53f6e.
https://psnet.ahrq.gov/issue/ahrqs-hospital…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-f.docx
June 02, 2025 - PROMPTLY REMOVE
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix F. Urinary Catheter Decision-Making Algorithm
Is there a urinary catheter in place?
Does the patient meet criteria for catheter placement?
Avoid catheter placement.
Accepted Urinary Catheter
Placement Indications
1. Acute urinary retentio…
-
psnet.ahrq.gov/node/855439/psn-pdf
December 07, 2023 - Bringing a ‘Systemness’ Focus to Quality, Safety, and
Patient Experience.
November 15, 2023
American Hospital Association. December 7, 2023.
https://psnet.ahrq.gov/issue/bringing-systemness-focus-quality-safety-and-patient-experience
Health care organizations require a systems approach to address patient safety ch…
-
psnet.ahrq.gov/node/42345/psn-pdf
June 12, 2013 - With money at risk, hospitals push staff to wash hands.
June 12, 2013
Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety
Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Healthcare. Clinical
Infectious Diseases. 2011;54(1). doi:10.1093…
-
psnet.ahrq.gov/node/46620/psn-pdf
January 30, 2018 - Where should patient safety be installed?
January 30, 2018
Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17.
doi:10.1002/jhrm.21285.
https://psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
Organizational structure influences the prioritization of safe…
-
psnet.ahrq.gov/node/47371/psn-pdf
September 26, 2018 - When I say…diagnostic error.
September 26, 2018
Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602.
https://psnet.ahrq.gov/issue/when-i-saydiagnostic-error
Inconsistent terminology use in research, education, and measurement strategy development hinders
progress and understanding in eme…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-230-section-6-table-6-7.pdf
June 02, 2025 - CHIPRA 230: Section 6, Tables 6 and 7
Table 6: Agreement and Kappa Statistics for Inter-Rater Reliability
Variable Description
Records
Reviewed
For IRR (N)
N Agreed
(%)
Kappa
Statistic
Documentation of BMI percentile 59 58 (98) 0.982
Documentation of weight classification 59 55 (93) 0.924
…
-
psnet.ahrq.gov/node/38084/psn-pdf
September 24, 2008 - How patients perceive a doctor's caring attitude.
September 24, 2008
Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns.
2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022.
https://psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude
This study co…
-
psnet.ahrq.gov/node/38324/psn-pdf
January 14, 2009 - Effectiveness of random and focused review in detecting
surgical pathology error.
January 14, 2009
Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting
surgical pathology error. Am J Clin Pathol. 2008;130(6):905-12. doi:10.1309/AJCPPIA5D7MYKDWF.
https://psnet.ahrq.gov/is…
-
psnet.ahrq.gov/node/45134/psn-pdf
August 10, 2016 - Patient Safety: Exploring Quality of Care in the US.
August 10, 2016
ProPublica, Inc. New York, NY. 2012-2016.
https://psnet.ahrq.gov/issue/patient-safety-exploring-quality-care-us
This website provides resources exploring patient safety challenges from various perspectives, including
feature length articles and m…