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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…
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psnet.ahrq.gov/issue/patient-safety-improving-national-trends-patient-safety-indicators-1998-2007
March 21, 2012 - Study
Is patient safety improving? National trends in patient safety indicators: 1998–2007.
Citation Text:
Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi…
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psnet.ahrq.gov/issue/development-and-pilot-evaluation-electronic-health-record-usability-and-safety-self
December 21, 2022 - Study
Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.
Citation Text:
Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;…
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digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/annual-summary/2011
January 01, 2011 - Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications - 2011
Project Name
Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications
Principal Investigator
Wolf, Michael
Organization
Nort…
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psnet.ahrq.gov/issue/improving-medication-reconciliation-comprehensive-evaluation-veterans-affairs-skilled-nursing
May 19, 2021 - Study
Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility.
Citation Text:
Baughman AW, Triantafylidis LK, O'Neil N, et al. Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing …
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digital.ahrq.gov/ahrq-funded-projects/using-it-improve-quality-cardiovascular-disease-cvd-prevention-and-management/annual-summary/2010
January 01, 2010 - Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention & Management - 2010
Project Name
Using IT to Improve the Quality of Cardiovascular Disease (CVD) Prevention and Management
Principal Investigator
Williams, Andrew
Organization
Kaiser Foundation Researc…
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp4.html
August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions
Conclusions
Previous Page Next Page
Table of Contents
High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Key Findings
Conclusions
References
Table 1. Case Study Sites
Table 2. Summary of Key …
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psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing
December 18, 2019 - Review
Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis.
Citation Text:
Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescrib…
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psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results-choice-experiment
October 28, 2020 - Study
Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey.
Citation Text:
Roope LSJ, Buchanan J, Morrell L, et al. Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. …
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psnet.ahrq.gov/issue/predictors-response-rates-safety-culture-questionnaires-healthcare-systematic-review-and
September 01, 2021 - Review
Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis.
Citation Text:
Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. BMJ …
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psnet.ahrq.gov/issue/non-technical-skills-surgery-during-covid-19-pandemic-observational-study
December 06, 2023 - Study
Non-technical skills in surgery during the COVID-19 pandemic: an observational study.
Citation Text:
Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Non-technical skills in surgery during the COVID-19 pandemic: an observational study. Int J Surg. 2022;98:106210. doi:10.1016/j.ijsu.20…
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psnet.ahrq.gov/issue/information-management-goals-and-process-failures-during-home-visits-middle-aged-and-older
November 15, 2023 - Study
Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study.
Citation Text:
Arbaje AI, Hughes A, Werner N, et al. Information management goa…
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psnet.ahrq.gov/issue/speaking-about-patient-perceived-serious-visit-note-errors-patient-and-family-experiences-and
February 15, 2023 - Study
Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations.
Citation Text:
Lam BD, Bourgeois FC, Dong ZJ, et al. Speaking up about patient-perceived serious visit note errors: Patient and family experiences and recommendations.…
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psnet.ahrq.gov/issue/hospitalization-due-adverse-drug-events-older-adults-cancer-retrospective-analysis
May 17, 2017 - Study
Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis.
Citation Text:
Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101…
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit4.html
July 01, 2018 - How to Use This Checklist
Public Health Emergency Preparedness
All staff responsible for preparing and operating an emergency surge expansion facility at a previously closed or partially closed hospital should inspect any candidate facility now. The Facility Checklist is intended to help with this inspection,…
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psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
November 15, 2011 - Study
Classic
Learning from mistakes: factors that influence how students and residents learn from medical errors.
Citation Text:
Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-study-elements.docx
June 02, 2025 - Quality Improvement Study Framework
Element
Definition
Things To Keep in Mind
The Purpose
Define the problem and why it is important.
· Avoid suggesting causes in the purpose statement. Cause determination will come later after the data have been analyzed.
· Speculating about the cause of a problem before a th…
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psnet.ahrq.gov/issue/claims-errors-and-compensation-payments-medical-malpractice-litigation
March 02, 2011 - Study
Classic
Claims, errors, and compensation payments in medical malpractice litigation.
Citation Text:
Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33.…
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-1
September 30, 2020 - Study
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018.
Citation Text:
Pedersen CA, Schneider PJ, Ganio MC, et al. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2018. Am J Health Syst …
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psnet.ahrq.gov/issue/medical-engagement-organisation-wide-safety-and-quality-improvement-programmes-experience-uk
February 01, 2011 - Study
Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative.
Citation Text:
Parand A, Burnett S, Benn J, et al. Medical engagement in organisation-wide safety and quality-improvement programmes: experience in t…