-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/webinars.html
October 01, 2017 - Pressure Injury Prevention in Hospitals—Webinars
Training Webinars
Staff Roles and Training for Your Pressure Ulcer Prevention Program (62 min) ( PDF of the Slides , 1.49 MB).
Conducting a Comprehensive Skin Assessment (54 min) ( PDF of the Slides , 1.8 MB).
Using Pressure Ulcer Risk Assessment Tools …
-
psnet.ahrq.gov/node/73495/psn-pdf
July 14, 2021 - Implementation strategies in the context of medication
reconciliation: a qualitative study.
July 14, 2021
Stolldorf DP, Ridner SH, Vogus TJ, et al. Implementation strategies in the context of medication
reconciliation: a qualitative study. Implement Sci Commun. 2021;2(1):63. doi:10.1186/s43058-021-00162-5.
https:/…
-
psnet.ahrq.gov/node/866083/psn-pdf
June 05, 2024 - An invisible disability: communication, patient safety and
dual sensory impairment in older persons.
June 5, 2024
Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual
sensory impairment in older persons. J Adv Nurs. 2024;Epub Mar 22. doi:10.1111/jan.16159.
https://p…
-
digital.ahrq.gov/location/usa-hi-honolulu
January 01, 2023 - USA, HI, Honolulu
Holomua Project-Improving Patient Hand-Offs in Hawaii
Description
Developed approaches to share data on patient clinical and diagnostic information across systems and created an implementation plan for systems integration.
Grant Number
P20 HS015248
…
-
psnet.ahrq.gov/node/841766/psn-pdf
December 21, 2022 - Accuracy in patient understanding of common medical
phrases.
December 21, 2022
Gotlieb R, Praska C, Hendrickson MA, et al. Accuracy in patient understanding of common medical
phrases. JAMA Netw Open. 2022;5(11):e2242972. doi:10.1001/jamanetworkopen.2022.42972.
https://psnet.ahrq.gov/issue/accuracy-patient-understa…
-
www.ahrq.gov/practiceimprovement/delivery-initiative/arragranteepubs.html
December 01, 2017 - Delivery System Research Initiative
Presentations and Publications by Recipients of ARRA Delivery System Grants (HHSA290200710069T)
Bundled Episode Payment and Gainsharing Demonstration Project (Principal Investigator: Tom Williams)
Comparative Effectiveness of Comprehensive Care for Adults with SMI (P…
-
psnet.ahrq.gov/node/46651/psn-pdf
January 17, 2018 - Piloting a patient safety and quality improvement co-
curriculum.
January 17, 2018
Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co-
curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357.
doi:10.1080/20009666.2017.1403830.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/39351/psn-pdf
March 10, 2010 - Effectiveness of patient safety training in equipping
medical students to recognise safety hazards and
propose robust interventions.
March 10, 2010
Hall LW, Scott SD, Cox KR, et al. Effectiveness of patient safety training in equipping medical students to
recognise safety hazards and propose robust interventions. …
-
www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/cusp-modules.html
April 01, 2022 - CUSP Onboarding Modules
The Comprehensive Unit-based Safety Program (CUSP) modules highlight effective strategies to implement a quality improvement project including engaging the team and obtaining leadership buy-in, identifying gaps, creating an action plan, monitoring progress, and identifying defects. These…
-
psnet.ahrq.gov/node/42536/psn-pdf
August 13, 2014 - Levels of reflective thinking and patient safety: an
investigation of the mechanisms that impact on student
learning in a single cohort over a 5 year curriculum.
August 13, 2014
Ambrose LJ, Ker J. Levels of reflective thinking and patient safety: an investigation of the mechanisms that
impact on student learning i…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sicklecell-clinic-followup.pdf
June 02, 2025 - Sample Sickle Cell Clinic Follow-Up Care Process (2c.5)
Sample Sickle Cell Clinic Follow-Up Care Process (2c.5)
This diagram illustrates the process for reviewing the patient master list and identifying and contacting
individuals who require an annual TCD screen.
…
-
www.ahrq.gov/talkingquality/distribute/promote/act-early/index.html
June 01, 2019 - Early Decisions Shape Promotion of a Healthcare Quality Report
Many decisions you make and actions you take early in your reporting project have significant consequences for the effectiveness of your promotional efforts. These include:
Defining the Audience for Promotional Purposes
Researching the Audie…
-
psnet.ahrq.gov/node/45162/psn-pdf
August 15, 2016 - Partial codes—when "less" may not be "more."
August 15, 2016
Rousseau P. Partial Codes-When "Less" May Not Be "More". JAMA Intern Med. 2016;176(8):1057-8.
doi:10.1001/jamainternmed.2016.2522.
https://psnet.ahrq.gov/issue/partial-codes-when-less-may-not-be-more
The complexity around end-of-life care increases risks…
-
psnet.ahrq.gov/node/838029/psn-pdf
September 07, 2022 - Emergency preparedness: be ready for unanticipated
electronic health record (EHR) downtime.
September 7, 2022
ISMP Medication Safety Alert! Acute care edition! August 25, 2022:27(17)1-6.
https://psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-
downtime
Unanticipated…
-
psnet.ahrq.gov/node/44924/psn-pdf
April 15, 2016 - Assessment of fidelity in interventions to improve hand
hygiene of healthcare workers: a systematic review.
April 15, 2016
Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of
Healthcare Workers: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(5):567-75…
-
digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesWeissman2010.pdf
December 31, 2007 - In response to this issue and to increase patient safety, two
health plans in Massachusetts helped physicians … with the lowest cost sharing appear in
green, more expensive medications still covered by the health
plans
-
digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
January 01, 2007 - Engagement of
hospitals, health plans, employers, and primary care physicians is up considerably from … outreach through hospital systems, medical societies,
quality improvement organizations or health plans … structures and organizations, advancement in the
development and implementation of business plans … engages multiple stakeholders, including clinicians, consumer and patient groups, employers,
health plans
-
digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - Working-Group
Volunteer eHealth Initiative
Starting Points
Medicaid
Uninsured
Employers
Plans … government => Driven by Medicaid costs
The financial transaction infrastructure
Left to the market and plans … infrastructure
Modeled on a “hybrid” version of the Indianapolis work
The last mile
Left to the market and plans … initiatives
Threats to sustainability will require greater commitment from employers, other payers, and plans
-
digital.ahrq.gov/sites/default/files/docs/page/Keenan.ppt
January 01, 2004 - Planning Methodology (Pre- GO LIVE)
RN Objectives:
Successfully creates admission and update care plans … anonymous error reporting
Enter 1) nurse shift info, 2) patient care time
Use your submitted Care Plans … Refer to historical care plans and patient progress noted across time, explain rationale
-
digital.ahrq.gov/sites/default/files/docs/page/2006Welebob_051711comp.pdf
June 06, 2006 - Engaging health plans- 74% of
respondents perceived the engagement
of health plans as a very difficult … as they get defined
June 6, 2006 Page 14
Key Take-aways
• Engaging your purchasers and health
plans