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pbrn.ahrq.gov/research/findings/factsheets/quality/qipc/index.html
November 01, 2020 - Safety
Evidence-based Practice Center Reports
Fact Sheets
Medical Errors and Patient … Safety
Minority Health
Primary Care
Quality
Translating Research Into Practice … National Healthcare Quality & Disparities Reports
Making Healthcare Safer Reports … Advances in patient safety: new directions and alternative approaches . … Available at: Advances in Patient Safety: New Directions and Alternative Approaches (PDF File, 19 KB
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pbrn.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/jack/jack.pptx
January 01, 2011 - Hospital discharge is not-standardized
“Perfect Storm" of Patient Safety
3
N summary – there is great … A Real Discharge Instruction Sheet
4
Patient Safety Has Collided with Policy
MedPAC (March ’ … National Quality Forum
as one of 30
"Safe Practices" (SP-11)
Enrollment
N=750
Randomization
RED … Role of Senior Leadership
Align with organization’s strategies & priorities
Set the vision and the goal … rolled out
Monitor progress to provide feedback
Monitor sustainability
25
25
“Culture Eats Strategy
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
January 01, 2011 - Improving Patient Safety Systems for Limited English Proficiency Patients
Improving Patient Safety Systems … of Medicine Report Crossing the Quality Chasm defined patient safety as one of the essential components … of high-quality health care
Patient safety efforts are now a central component of strategies to improve … quality of care for all patients
What We Know About Patient Safety and LEP
Research demonstrates … Patient Safety, Quality, and Cost Drivers
Greater risk of line infections, surgical infections, falls
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - /patient-
safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
The National Patient … /professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4 … /Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Patient-Safety/Patient-Safety-Products-And-Services … 2019 National Patient Safety Goals Hospital Program
Acuity-Adjusted Staffing: A Proven Strategy To Optimize … Safety
“Ticket to Ride” Protects Patients Off the Unit
Transforming Care at the Bedside
VA National
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pbrn.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
July 01, 2023 - Safety
Evidence-based Practice Center Reports
Fact Sheets
National Healthcare Quality … Analysis of Patient Safety Practices. … What is the patient safety practice?
Why should this practice work? … Agency for Healthcare Research and Quality, Rockville, MD. … Accessibility
Disclaimers
EEO
Electronic Policies
FOIA
HHS Digital Strategy
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pbrn.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
September 01, 2016 - communication, and
the conflicting priorities of health care executives and
patient safety managers … Patient Safety
• North Carolina Quality Center
• The PSO Advisory
“Providing a debriefing of safety … for sharing accounts of patient safety events at the local,
regional, or national levels. … following are examples
of topics that have
been discussed during
Safe Table events:
■ Failure to inform patients … Promoting a culture of safety as a patient safety
strategy: a systematic review.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-march2013.pptx
January 01, 2013 - The Role of Patients in Patient Safety
Most patient safety strategies are focused on error prevention … Patient Safety) have begun to highlight role that patients can play in improving safety and quality … And what about the role of patients in patient safety? … Safety & Clinical Quality Executive Committee; minutes and activities reviewed by Patient Safety and … and priorities of the Five Year Plan for Quality and Patient Safety
“To provide every patient with the
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
January 01, 2011 - Chasm
defined patient safety as one of
the essential components of high-
quality health care
Patient … Patient Safety, Quality, and Cost
Drivers
Greater risk of line infections, surgical infections, … for quality, patient safety, and hospital costs
Hospitals are beginning to engage in a systematic … Washington: National Academies Press; 2000.
Institute of Medicine, Committee on Quality of Health Care … LEP Patients
Improving Patient Safety Systems for LEP Patients
What We Know About Patient Safety and
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pbrn.ahrq.gov/funding/fund-opps/index.html
April 01, 2024 - Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities … for supporting research to improve the quality, effectiveness, accessibility, and cost effectiveness … Safety by Improving Healthcare Worker Safety and Well-Being (R01 Clinical Trial Optional)
PA-23 … AHRQ Mentored Research Scientist Career Development Award (K01)
PA-22-251
AHRQ-sponsored National … Agency for Healthcare Research and Quality, Rockville, MD.
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pbrn.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/asthmaqual/index.html
October 01, 2014 - for States
The Agency for Healthcare Research and Quality (AHRQ) has developed Asthma Care Quality … on why States should consider asthma as a priority for State action, presents analysis of State and national … A list of over 100 separate national, State, and local efforts to improve asthma care quality is included … implementing asthma care quality improvement plans using a State-led quality improvement framework. … https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/asthmaqual/index.html
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pbrn.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
December 01, 2012 - Patient Safety Systems for LEP Patients Slide 2: Improving Patient Safety Systems for LEP Patients ( … The Institute of Medicine Report Crossing the Quality Chasm defined patient safety as one of the essential … Patient safety efforts are now a central component of strategies to improve quality of care for all patients … Patient Safety, Quality, and Cost Drivers
Greater risk of line infections, surgical infections, falls … for quality, patient safety, and hospital costs.
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Quality Measures … Reports
Engaging Patients and Families
About AHRQ's Quality & Patient Safety Work … Guide to Patient and Family Engagement in Hospital Quality and Safety
Research shows that when patients … Improving Patient Safety Systems for Patients with Limited English Proficiency
This TeamSTEPPS guide … patient and staff satisfaction and safety, quality of care, and employee retention, and results in a
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
April 02, 2020 - prominent in the national
conversation on patient safety. … Although a coordinated
national strategy to measure
diagnostic safety remains
an aspirational goal … National Quality Forum. … National Quality Forum. Improving Diagnostic Quality and Safety Final Report. … Two decades since To Err Is Human: an assessment of progress and emerging
priorities in patient safety
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/guide/index.html
June 01, 2017 - SHARE:
More topics in this section
Patient Safety … Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital … Measures
Reports
Engaging Patients and Families
About AHRQ's Quality & Patient Safety … Work
Patient Safety News and Events
Education & Training
Resources … https://www.ahrq.gov/patient-safety/settings/hospital/resource/guide/index.html
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pbrn.ahrq.gov/cpi/about/mission/strategic-plan/CHStratPlan.html
December 01, 1999 - Anniversary
Profile
Mission and Budget
AHRQ’s Core Competencies
Health Equity
National … Advisory Council for Healthcare Research and Quality
National Action Alliance for Patient and … Workforce Safety
Careers at AHRQ
Maps and Directions
Other AHRQ Web Sites
Other … Knowledge-base development: AHRQ works in partnership with the National Institutes of Health, the Centers … Asthma Education and Prevention Program, and with other national and regional initiatives, to translate
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pbrn.ahrq.gov/news/newsletters/e-newsletter/861.html
April 01, 2023 - The webinar is part of an HHS series sponsored by the National Action Alliance To Advance Patient Safety … ET: Involving Patients and Families in Safety .
Aug. 22, 2–3 p.m. … Highlights From AHRQ’s Patient Safety Network
AHRQ’s Patient Safety Network (PSNet) highlights journal … articles, books and tools related to patient safety. … Articles featured this week include:
Integrating implementation science in a quality and patient safety
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
May 01, 2023 - /Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Patient-Safety … /patient-
safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
The National Patient … /Access-Cost-Quality-and-Safety/Quality-And-
Safety-of-Healthcare/Patient-Safety/Patient-Safety-Products-And-Services … National Action Plan To Advance Patient Safety
https://www.ihi.org/Engage/Initiatives/National-Steering-Committee-Patient … National Action Plan To Advance Patient Safety
8.
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-kaiser.html
July 01, 2022 - Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities … detailed plan that guides clinicians through evidence-based care of specific conditions informed by national … and safety implications for hospitalized children. … and safety. … multidisciplinary pediatric hospital medicine clinicians, clinical and health services researchers, patients
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - of health care, and priorities of the National Quality Strategy. … Priorities of the National Quality Strategy. … Six Chartbooks Organized Around Priorities of the National Quality
Strategy
1. … Quality by NQS Priorities and Access
Overall: Females received better care than males for Patient … Healthcare Quality and Disparities Report
Patient Safety
Inappropriate Prescriptions for Older Adults
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-dykes.html
September 01, 2022 - Funding & Grants
Notice of Funding Opportunities
Research Policies
Funding Priorities … Safety) toolkit, which she had helped to develop through an AHRQ Patient Safety Learning Lab . … They also place laminated posters in patients’ rooms to engage patients across health literacy levels … : A Quality Improvement Initiative for Nursing Facilities
Principal Investigator: Patricia Dykes, … Agency for Healthcare Research and Quality, Rockville, MD.