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www.ahrq.gov/talkingquality/translate/scores/index.html
March 01, 2016 - Generating Health Care Quality Scores That Show Differences
The critical link between collecting performance information and sharing that information with others is the process of generating scores. The nature of the score is often inherent in the measure (e.g., an overall rating on a 1-10 scale). But even in…
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www.ahrq.gov/nursing-home/materials/leadership/index.html
June 01, 2022 - Leadership, Management, and Quality Improvement
Nursing home administrators and others may benefit from the following specific resources that address leadership and quality improvement.
Leadership and Management
Leading By Example Learning Module
This learning module offers ideas to help boost mora…
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www.ahrq.gov/nursing-home/learning-modules/support.html
December 01, 2022 - Emotional and Organizational Support for Staff series
This series of three learning modules features strategies to help nursing home teams recognize and manage stress, work together to tackle common challenges, and practice open communication.
Module 1: Identifying & Overcoming Anxiety
We all experience st…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/index.html
April 01, 2022 - Overcome Common Challenges
This section helps teams discover actionable strategies to overcome four common challenges in making changes to patient safety culture. Tools are shown in various formats and located on several pages of the toolkit to flexibly support users in addressing their question. Making It Work…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/index.html
April 01, 2022 - Implementing CLABSI and CAUTI Prevention
The implementation guide will help your team be supported with resources to move through a program that enhances previous CUSP resources to reduce central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) in the hospit…
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www.ahrq.gov/cpi/about/nac/snac-shenkman.html
November 01, 2019 - SNAC Member: Elizabeth A. Shenkman, Ph.D.
Professor and Chair
Department of Health Outcomes and Biomedical Informatics
University of Florida College of Medicine
Elizabeth A. Shenkman, Ph.D., is the chair of the Department of Health Outcomes and Biomedical Informatics and the co-director of the University of…
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psnet.ahrq.gov/node/73441/psn-pdf
June 30, 2021 - Assessment of patient-preferred language to achieve
goal-aligned deprescribing in older adults.
June 30, 2021
Green AR, Aschmann H, Boyd CM, et al. Assessment of patient-preferred language to achieve goal-
aligned deprescribing in older adults. JAMA Netw Open. 2021;4(4):e212633.
doi:10.1001/jamanetworkopen.2021.26…
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psnet.ahrq.gov/node/60898/psn-pdf
September 09, 2020 - Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system.
September 9, 2020
Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
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psnet.ahrq.gov/node/864849/psn-pdf
March 20, 2024 - Medication errors in pediatric emergency departments: a
systematic review and recommendations for enhancing
medication safety.
March 20, 2024
Alsabri M, Eapen D, Sabesan V, et al. Medication errors in pediatric emergency departments: a systematic
review and recommendations for enhancing medication safety. Pediatr …
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psnet.ahrq.gov/node/45787/psn-pdf
February 01, 2017 - Infusion medication error reduction by two-person
verification: a quality improvement initiative.
February 1, 2017
Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person
Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6).
https://psnet.ahrq.gov/issue/infusio…
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psnet.ahrq.gov/node/34916/psn-pdf
March 09, 2009 - Using a claims data-based sentinel system to improve
compliance with clinical guidelines: results of a
randomized prospective study.
March 9, 2009
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance
with clinical guidelines: results of a randomized prospective st…
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psnet.ahrq.gov/node/866433/psn-pdf
August 07, 2024 - Sepsis alert systems, mortality, and adherence in
emergency departments: a systematic review and meta-
analysis.
August 7, 2024
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments:
a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823.
doi:10…
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psnet.ahrq.gov/node/851070/psn-pdf
June 28, 2023 - Diagnostic Safety Across Transitions of Care Throughout
the Healthcare System: Current State and a Call to Action.
June 28, 2023
Santhosh L, Cornell E, Rojas JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2023. AHRQ Publication No. 23-0040-1-EF.
https://psnet.ahrq.gov/issue/diagnostic-s…
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psnet.ahrq.gov/node/45296/psn-pdf
September 21, 2016 - Comparison of medication safety systems in critical
access hospitals: combined analysis of two studies.
September 21, 2016
Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals:
Combined analysis of two studies. Am J Health Syst Pharm. 2016;73(15):1167-73.
doi:10.214…
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psnet.ahrq.gov/node/45095/psn-pdf
May 09, 2017 - Effect of pharmacist counseling intervention on health
care utilization following hospital discharge: a
randomized control trial.
May 9, 2017
Bell SP, Schnipper JL, Goggins K, et al. Effect of Pharmacist Counseling Intervention on Health Care
Utilization Following Hospital Discharge: A Randomized Control Trial. J …
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psnet.ahrq.gov/node/73587/psn-pdf
August 11, 2021 - Effects of a brief team training program on surgical
teams' nontechnical skills: an interrupted time-series
study.
August 11, 2021
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams'
nontechnical skills: an interrupted time-series study. J Patient Saf. 2021;17(5):e4…
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psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - Improving medication safety during hospital-based
transitions of care.
April 25, 2016
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care.
Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
https://psnet.ahrq.gov/issue/improving-medication-safety-…
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psnet.ahrq.gov/node/35300/psn-pdf
March 04, 2011 - How strong is the evidence for the use of perioperative
beta blockers in non-cardiac surgery? Systematic review
and meta-analysis of randomised controlled trials.
March 4, 2011
Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative ?
blockers in non-cardiac surgery? Sys…
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psnet.ahrq.gov/node/867011/psn-pdf
October 23, 2024 - Outcomes of Michigan Medicine's integrated patient
safety and communication and resolution program,
2013–2022.
October 23, 2024
Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and
communication and resolution program, 2013–2022. J Patient Saf Risk Manag. 2024;29(5):…
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psnet.ahrq.gov/node/837892/psn-pdf
January 01, 2023 - Teamwork before and during COVID-19: the good, the
same, and the ugly….
August 24, 2022
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the
ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
https://psnet.ahrq.gov/issue/teamwork-and-during-c…