-
www.ahrq.gov/hai/tools/surgery/index.html
December 01, 2017 - Toolkit To Promote Safe Surgery
The Toolkit To Promote Safe Surgery helps perioperative and surgical units in hospitals identify opportunities to improve care and safety practices and implement evidence-based interventions to prevent surgical site infections. The toolkit has evidence-based, practical resources…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - PowerPoint Presentation
Changing the System To Improve Patient Safety
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Changing the System
1
Objectives
Use barriers as opportunities to improve systems and prevent problems from recurring.
List factors that may comp…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8b.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 8: The Care Management Evidence Base (continued)
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management …
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Decolonization Implementation
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Decolonization Implementation
SAY:
Hello. Welcome to this presentation on the implementa…
-
www.ahrq.gov/news/newsletters/e-newsletter/946.html
February 01, 2025 - New Predictive Model May Help Hospitals Reduce Length of Antibiotic Treatment
Issue Number
946
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
February 18, 2025
AHRQ Stats: Transportation Access Among Adults About 6 percent of U.S. adults reported that a lack…
-
www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
January 01, 2025 - Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery
Principal Investigator: Ken Catchpole, Ph.D., Medical University of South Carolina, Charleston, SC Co-PI: James Abernathy, M.D., M.P.H., Johns Hopkins University, Baltimore, MD AHRQ Grant No.: HS26625 Project Period: 09/30/18-07…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
April 01, 2017 - Learn From Defects - Implementation Guide
AHRQ Safety Program for Ambulatory Surgery
Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety.
Who should use this tool? Seni…
-
psnet.ahrq.gov/node/47937/psn-pdf
July 31, 2019 - Special Issue on Medication Safety.
July 31, 2019
Chui MA, Pohjanoksa-Mäntylä M, Snyder ME, eds. Res Social Adm Pharm. 2019;15(7):811-906.
https://psnet.ahrq.gov/issue/special-issue-medication-safety
Medication safety is a worldwide challenge. This special issue discusses factors affecting the reliability of
the o…
-
psnet.ahrq.gov/node/35909/psn-pdf
October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing
Harm to Patients.
October 7, 2008
McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006.
https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
This report presents ten case studies to illustrate interventions that address p…
-
psnet.ahrq.gov/node/845642/psn-pdf
March 08, 2023 - Recognizing our biases, understanding the evidence, and
responding equitably: application of the socioecological
model to reduce racial disparities in the NICU.
March 8, 2023
McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application of
the socioecological model to reduce…
-
psnet.ahrq.gov/node/853610/psn-pdf
September 20, 2023 - Ten years later, alarm fatigue is still a safety concern.
September 20, 2023
Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN
Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662.
https://psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-sa…
-
psnet.ahrq.gov/node/844768/psn-pdf
September 11, 2019 - Standardized orders for titrating vasopressors: do efforts
to improve safety slow delivery of care?
September 11, 2019
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow
Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
-
www.ahrq.gov/hai/cusp/modules/identify/index.html
July 01, 2018 - Identify Defects Through Sensemaking
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
This module includes—
Facilitator N…
-
www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality Measures to Quality Care: Examples of Quality Improvement at Work
Previous Page Next Page
Table of Contents
The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality …
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects
SAY:
Welcome to this presentation on Learning From Defects as part of an o…
-
www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
January 01, 2024 - Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department
1. TITLEPAGE
Title: Conference Proceedings: Interventions to Improve Quality in the Crowded
Emergency Department
Co-Principal Investigators:
Jesse M. Pines, MD, MBA, MSCE, George Washington Un…
-
psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
July 8, 2022
Innovation
Contact
…
-
psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
September 18, 2019 - Study
Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital.
Citation Text:
Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…
-
psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
August 04, 2021 - Study
Classic
Reducing adverse drug events: lessons from a breakthrough series collaborative.
Citation Text:
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…
-
psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
March 20, 2019 - Study
A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items.
Citation Text:
Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient…