- CEO/Senior Leader Checklist
Who should use this tool? Senior leaders.
Checklist Items
Leader Responsible
Date
Initiated
1. Ensure all current and new employees receive Science of Safety training.
2. Assign a senior executive (Chief Executive Officer or another leader) as an active member of each
www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-resources.html
February 01, 2023 - Resources
Toolkit for Reducing CAUTI in Hospitals
The Resources module of the Toolkit for Reducing CAUTI in Hospitals links to additional resources for CAUTI prevention and safety culture improvement.
Tools
Preventing CAUTI in the ICU Setting
This four-module narrated presentation is designed for inte…
www.ahrq.gov/cpi/about/nac/pcortf-snac/knapp.html
November 01, 2022 - Subcommittee Member: Caprice Knapp
Caprice Knapp, Ph.D.
Principal
Health Management Associates
Caprice Knapp, Ph.D., joined Health Management Associates (HMA) in October 2022. A health economist and evaluator, she has more than 20 years of experience working on Medicaid and the Children’s Health Insurance…
psnet.ahrq.gov/node/45380/psn-pdf
November 11, 2016 - Innovative patient safety curriculum using iPad game
(PASSED) improved patient safety concepts in
undergraduate medical students.
November 11, 2016
Kow AWC, Ang BLS, Chong CS, et al. Innovative Patient Safety Curriculum Using iPAD Game (PASSED)
Improved Patient Safety Concepts in Undergraduate Medical Students. Wo…
psnet.ahrq.gov/node/40167/psn-pdf
January 22, 2017 - Trainees' perceptions of patient safety practices:
recounting failures of supervision.
January 22, 2017
Ross PT, McMyler ET, Anderson SG, et al. Trainees' perceptions of patient safety practices: recounting
failures of supervision. Jt Comm J Qual Patient Saf. 2011;37(2):88-95.
https://psnet.ahrq.gov/issue/trainees…
psnet.ahrq.gov/node/45319/psn-pdf
September 01, 2018 - Special Issue: Progress at the Intersection of Patient
Safety and Medical Liability.
September 1, 2018
Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648.
https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
Medical liability refor…
psnet.ahrq.gov/node/46203/psn-pdf
June 14, 2017 - Prescription errors related to the use of computerized
provider order-entry system for pediatric patients.
June 14, 2017
Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider
order-entry system for pediatric patients. Int J Med Inform. 2017;103:15-19.
doi:10.1016/j…
psnet.ahrq.gov/node/39213/psn-pdf
October 03, 2017 - Using patient safety morbidity and mortality conferences
to promote transparency and a culture of safety.
October 3, 2017
Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to
promote transparency and a culture of safety. Jt Comm J Qual Patient Saf. 2010;36(1):3-9.
h…
psnet.ahrq.gov/node/43076/psn-pdf
June 17, 2014 - Inpatient safety outcomes following the 2011 residency
work-hour reform.
June 17, 2014
Block L, Jarlenski M, Wu AW, et al. Inpatient safety outcomes following the 2011 residency work-hour
reform. J Hosp Med. 2014;9(6). doi:10.1002/jhm.2171.
https://psnet.ahrq.gov/issue/inpatient-safety-outcomes-following-2011-resi…
psnet.ahrq.gov/node/46173/psn-pdf
August 20, 2018 - Advances in Patient Safety and Medical Liability.
August 20, 2018
Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality;
2017. AHRQ Publication No. 17-0017-EF.
https://psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
This publication describes the re…
psnet.ahrq.gov/node/46612/psn-pdf
February 22, 2018 - Influencing organisational culture to improve hospital
performance in care of patients with acute myocardial
infarction: a mixed-methods intervention study.
February 22, 2018
Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital
performance in care of patients with acute …
psnet.ahrq.gov/node/47916/psn-pdf
May 29, 2019 - Incivility and patient safety: a longitudinal study of
rudeness, protocol compliance, and adverse events.
May 29, 2019
Riskin A, Bamberger P, Erez A, et al. Incivility and Patient Safety: A Longitudinal Study of Rudeness,
Protocol Compliance, and Adverse Events. Jt Comm J Qual Patient Saf. 2019;45(5):358-367.
doi:…
psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - The first U.S. study on nurses' evidence-based practice
competencies indicates major deficits that threaten
healthcare quality, safety, and patient outcomes.
August 20, 2018
Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice
Competencies Indicates Major Deficit…
psnet.ahrq.gov/node/44353/psn-pdf
November 03, 2015 - Evaluation of symptom checkers for self diagnosis and
triage: audit study.
November 3, 2015
Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage:
audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h3480.
https://psnet.ahrq.gov/issue/evaluation-symptom-checkers-self…
psnet.ahrq.gov/node/847717/psn-pdf
April 19, 2023 - Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19
pandemic: a "zero harm" approach.
April 19, 2023
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19 pan…
psnet.ahrq.gov/node/45814/psn-pdf
March 22, 2017 - Emergency medical services responders' perceptions of
the effect of stress and anxiety on patient safety in the
out-of-hospital emergency care of children: a qualitative
study.
March 22, 2017
Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions of the effect
of stress and anxi…
psnet.ahrq.gov/node/60552/psn-pdf
June 03, 2020 - Personal protective equipment for preventing highly
infectious diseases due to exposure to contaminated
body fluids in healthcare staff.
June 3, 2020
Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infectious
diseases due to exposure to contaminated body fluids in healthc…
psnet.ahrq.gov/node/45905/psn-pdf
December 22, 2017 - Safe practice recommendations for the use of copy-
forward with nursing flow sheets in hospital settings.
December 22, 2017
Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward
with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qual Patient Saf. 2017;43(8):375…