AHRQ’s PSNet provides access to patient safety resources, toolkits, opportunities for continuing education and trainings. The evidence reports are part of the agency’s Making Healthcare Safer Reports, ...

The purpose of diagnostic excellence measurement is to identify potential opportunities to improve the diagnostic process at a health system or geographic level. AHRQ welcomes comments on the ...

Robert Otto Valdez, Ph.D., M.H.S.A., and Stephen Raab, M.D. As we celebrate Patient Safety Awareness Week 2024, AHRQ again places particular emphasis on an aspect of healthcare delivery increasingly ...

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Health care delivery systems throughout the United States are employing the triple aim (improving the experience of care, improving the health of populations, and reducing per capita costs of health ...

Because pressure ulcer care is complex, efforts to improve pressure ulcer prevention require a system approach that will involve organizational change. Bringing about organizational change of any type ...

After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System, the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal ...

The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP). The ...

Many organizations are uncertain about how to proceed with designing a workable solution for medication reconciliation. This chapter provides helpful information and tools for designing or redesigning ...

The Role of the Nurse Manager module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit addresses the role of nursing leaders for your quality improvement initiative. This module ...

Care coordination means different things to different people; no consensus definition has fully evolved. A recent systematic review identified over 40 definitions of the term "care coordination." 2 ...

This module will cover the Translating Research Into Practice (TRIP) framework. The TRIP framework lets us dig deeper into implementing the evidence-based interventions. We will also discuss gap ...