-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist5.html
August 01, 2022 - Disclosure Checklist
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To provide guidance to individuals who are conducting initial or followup disclosure conversations, including key disclosure communication skills.
Who should use this tool? Disclosure Lead and any staff who will be engaged in …
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - On-Time Quality Improvement Program: On-Time Pressure Ulcer Prevention
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer prevention reports into clinical practice. A menu …
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
Rationale for Improvement Tools
Previous Page Next Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immed…
-
psnet.ahrq.gov/issue/implementation-and-adaptation-re-engineered-discharge-red-five-california-hospitals
August 04, 2021 - Study
Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study.
Citation Text:
Mitchell SE, Weigel GM, Laurens V, et al. Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a…
-
psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association
August 07, 2013 - Study
Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.
Citation Text:
Desai R, Williams CE, Greene SB, et al. Medication errors during patient transitions into nursing homes: characteristics and association with patient…
-
psnet.ahrq.gov/issue/reducing-risks-complex-care-transitions-rural-areas-grounded-theory
June 23, 2021 - Study
Reducing risks in complex care transitions in rural areas: a grounded theory.
Citation Text:
Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964. doi:10.1080/17482…
-
psnet.ahrq.gov/issue/contemporary-evidence-about-hospital-strategies-reducing-30-day-readmissions-national-study
July 19, 2010 - Study
Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.
Citation Text:
Bradley EH, Curry LA, Horwitz LI, et al. Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. J Am Coll Cardiol. 2012;6…
-
psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
January 23, 2019 - Study
Improving the discharge process by embedding a discharge facilitator in a resident team.
Citation Text:
Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…
-
www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
December 01, 2017 - Briefing and Debriefing Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010. 1 Usi…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
December 01, 2017 - Tool: Briefing and Debriefing Tool
Briefing and Debriefing Tool
Introduction
Problem Statement
Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010.1 Using National Healthcare S…
-
www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council
Chapter 2. Patient Safety Advisory Councils
The success of any team requires active participation from every member. The approach health care systems traditionally take neglects the most critical member of the team—the patient. Programs an…
-
psnet.ahrq.gov/issue/economic-evaluation-interventions-prevention-hospital-acquired-infections-systematic-review
October 19, 2022 - Review
Classic
Economic evaluation of interventions for prevention of hospital acquired infections: a systematic review.
Citation Text:
Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital Acquired Infections: A S…
-
psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - Study
Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review.
Citation Text:
Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-5-table-2.pdf
May 01, 2010 - CHIPRA 241: Section 5, Table 2
Table 2: Evidence for Communication of Weight Classification of Children Who Are Overweight or Obese
Type of Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
In 2007, the AAP, AMA, and CDC collaborated
to form an expert c…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-5-table-2.pdf
May 01, 2010 - CHIPRA 240: Section 5, Table 2
Table 2: Evidence for Parent Report of Discussion of Weight Concerns
Type of Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
Once a child’s BMI is measured, clinicians must
exercise judgment, first in assessing the child…
-
psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
March 24, 2021 - Commentary
Emerging Classic
Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.
Citation Text:
Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in th…
-
psnet.ahrq.gov/issue/development-and-validation-electronic-health-record-based-triggers-detect-delays-follow
June 21, 2016 - Study
Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings.
Citation Text:
Murphy DR, Thomas EJ, Meyer AND, et al. Development and Validation of Electronic Health Record-based Triggers to Detect Delays in Fo…
-
psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
September 07, 2022 - Study
How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care.
Citation Text:
Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open…
-
psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
March 17, 2021 - Study
The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.
Citation Text:
Co Z, Holmgren AJ, Classen DC, et al. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital…
-
psnet.ahrq.gov/issue/national-drug-shortages-worsen-during-covid-19-crisis-proposal-comprehensive-model-monitor
April 06, 2022 - Commentary
National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages.
Citation Text:
Piatek OI, Ning JC-min, Touchette DR. National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive mo…