Skip Navigation
The Collection >
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Classic icon
Shekelle PG, Wachter RM, Pronovost PJ, eds. Rockville, MD: Agency for Healthcare Research and Quality; March 2013. AHRQ Publication No. 13-E001-EF.

The seminal AHRQ Making Health Care Safer report, issued in 2001, used evidence-based medicine principles to identify key patient safety practices (PSPs). Although its recommendations were somewhat controversial, the report galvanized patient safety efforts at hospitals nationwide and provided a stimulus for further rigorous research on PSPs. In doing so, the report laid the foundation for the most prominent successes of the safety field. This newly issued follow-up report combines traditional systematic review methodology with the judgments of key stakeholders and technical experts in the field. The authors critically examine the evidence supporting 41 separate PSPs and ultimately arrive at a list of 10 strongly encouraged practices. These practices, if implemented, should result in reduced harm from a wide range of safety threats, including health care–associated infections, medication errors, and pressure ulcers. The report also examines how cost, implementation, and contextual considerations may affect the real-world effectiveness of PSPs, details how foundational concepts such as human factors engineering should be incorporated into safety efforts, and provides a blueprint for future research in patient safety. Formal systematic reviews of 10 key PSPs are also being published simultaneously in a special supplement to the Annals of Internal Medicine.

PubMed citation icon indicating hyperlink to external website
Information icon indicating hyperlink to external website
Free full text (PDF) icon indicating hyperlink to external website
Executive summary icon indicating hyperlink to external website
white box
Related Resources
COMMENTARY
Poor Prognosis.
Lamont EB. AHRQ WebM&M [serial online]. September 2004.
BOOK/REPORT
Guide to Patient and Family Engagement: Environmental Scan Report.
Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0042-EF.
SPECIAL OR THEME ISSUE
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.
Cambridge, MA: Institute for Healthcare Improvement; June 2012.
REVIEW
Double checking the administration of medicines: what is the evidence? A systematic review.
Alsulami Z, Conroy S, Choonara I. Arch Dis Child. 2012;97:833-837.
View all related resources...
white box
Download: Adobe Reader   email icon Email
tan box
Find Related Resources by...
Resource Type   
 style=
Target Audience  
 style=
Clinical Area  
 style=
Approach to Improving Safety  
 style=
Origin/Sponsor  
white box