Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report.

Special or Theme Issue

Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report.

September 2, 2020

J Patient Saf. 2020;16(3S Suppl 1):s1-s56.

View more articles from the same authors.

The patient safety evidence base has been growing exponentially for two decades with noted expansion into the non-acute care environment. This special issue highlights eight articles illustrating the range of practices examined in the AHRQ Making Healthcare Safer III report, including rapid response teams and failure to rescue, deprescribing practices and opioid stewardship.

PubMed citations

Table of contents

Introduction

Related Resources From the Same Author(s)

Making Healthcare Safer III.

March 18, 2020

Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series.

August 9, 2023

2022 Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace Safety Supplemental Item Set for Hospitals.

December 7, 2022

Implementing a Program of Patient Safety in Small Rural Hospitals.

January 16, 2008

Health Literacy Interventions and Outcomes: An Updated Systematic Review.

April 13, 2011

Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report.

June 8, 2016

Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report.

May 11, 2016

Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report.

June 25, 2014

Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis.

February 17, 2021

The value of learning from near misses to improve patient safety: a scoping review.

January 25, 2023

Nursing Home Survey on Patient Safety Culture.

August 31, 2022

NQF Safe Practices: 2010 Updates.

March 17, 2010

New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals.

December 16, 2021 - December 16, 2021

The English Patient Safety Programme.

February 10, 2010

AHRQ's Quality Challenge.

April 21, 2005

Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.

September 3, 2016

Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report.

April 17, 2019

AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report.

November 23, 2016

AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report.

February 20, 2019

Patient Safety in Ambulatory Settings.

November 2, 2016

Improving Diagnosis.

November 28, 2018

The 2019 John M. Eisenberg Patient Safety and Quality Awards.

July 8, 2020

A review of adverse event reports from emergency departments in the Veterans Health Administration.

March 18, 2020

Healthcare 411: medication safety toolkit.

March 18, 2009

Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand.

July 15, 2020

SOPS Medical Office Database.

March 11, 2020

Surveys on Patient Safety Culture.

April 27, 2023

Proceedings from the European Handover Research Collaborative.

December 5, 2012

Ambulatory Surgery Center Survey on Patient Safety Culture.

May 29, 2023

National Nursing Home COVID Action Network.

October 7, 2020

Diagnostic Safety Issue Briefs.

January 28, 2024

2017 John M. Eisenberg Patient Safety and Quality Awards.

July 18, 2018

AHRQ Safety Program for Improving Antibiotic Use.

July 26, 2017

Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report.

April 23, 2014

2018 John M. Eisenberg Patient Safety and Quality Awards.

July 17, 2019

Re-Engineered Discharge (RED) Toolkit.

March 27, 2013

Diagnostic Error in Medicine.

September 25, 2013

Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01).

May 20, 2020

Patient and Family Engagement in Primary Care: Case Studies.

June 15, 2016

How PSOs Help Health Care Organizations Improve Patient Safety Culture.

September 28, 2016

Saving Lives and Saving Money: Hospital-Acquired Conditions Update.

December 9, 2015

2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013.

November 18, 2015

Contributions from Ergonomics and Human Factors.

November 17, 2010

Unleash the power of patients to make care safer around the world: an essay by Helen Haskell.

September 25, 2019

AHRQ Safety Program for Surgery.

January 24, 2018

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

October 21, 2020

April 27, 2011

The role of automation in complex system failures.

May 11, 2005

Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

December 9, 2020

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events.

May 25, 2022

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

July 13, 2005

Patient safety for global health - developing safe, effective and accessible technologies.

September 1, 2010

AHRQ's Safety Program for Ambulatory Surgery.

May 1, 2017

2007 John M. Eisenberg Patient Safety and Quality Awards.

December 12, 2007

2009 John M. Eisenberg Patient Safety and Quality Awards.

November 25, 2009

Surviving a bad diagnosis.

September 28, 2016

Common formats for patient safety data collection and event reporting.

November 3, 2010

Health Literacy.

March 31, 2010

TalkingQuality.

March 23, 2011

Health Care–Associated Infections.

September 2, 2009

Pediatric Quality Indicators Overview.

July 15, 2009

Quality and Patient Safety.

April 6, 2016

Patient Centered Medical Home Resource Center: Quality and Safety.

May 20, 2015

SOPS Surveys.

November 28, 2023

Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO).

March 14, 2012

AHRQ Safety Program for Improving Surgical Care and Recovery.

June 21, 2017

Network of Patient Safety Databases.

July 10, 2019

AHRQ Safety Program for Telemedicine.

June 14, 2024 - December 14, 2025

Diagnostic Safety Supplemental Item Set for Medical Office SOPS.

March 4, 2024

Digital Healthcare Research.

April 1, 2020

Common Formats for Event Reporting - Diagnostic Safety Version 1.0

June 29, 2022

Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.

September 26, 2007

Patient Safety Organization (PSO) Program.

March 12, 2008

Questions Are the Answer.

March 14, 2007

AHRQ Quality Indicators.

September 14, 2005

Prevention Quality Indicators Overview.

September 14, 2005

2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.

June 29, 2005

AHRQ Grants by State.

March 27, 2005

Healthcare Cost and Utilization Project (HCUP).

March 6, 2005

Patient Safety Indicators Overview.

August 1, 2023

Health Care Equity

January 31, 2024

Taking National Action to Prevent and Eliminate Healthcare-Associated Infections.

April 2, 2014

Risk and Event Assessment.

August 4, 2010

Standardising wristbands improves patient safety.

August 1, 2007

Advances in Patient Safety and Medical Liability.

September 6, 2017

Knowledge for Improvement.

April 27, 2011

Hospital Survey on Patient Safety Culture: 2018 User Database Report.

April 4, 2018

AHRQ announces interest in research on health IT safety.

February 11, 2015

AHRQ 2008 Annual Conference.

January 6, 2010

AHRQ 2009 Annual Conference.

January 6, 2010

AHRQ 2010 Annual Conference.

December 1, 2010

Medical Liability Reform & Patient Safety Initiative.

June 23, 2010

Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18).

April 25, 2018

Improving Patient Safety Through Simulation Research: Funded Projects.

October 12, 2011

Toolkit To Improve Antibiotic Use in Acute Care Hospitals

December 11, 2019

10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs.

March 4, 2009

PSO Privacy Protection Center.

November 5, 2008

Bar-Coded Medication Administration (BCMA).

September 24, 2008

Video on Tips for Taking Medicines Safely.

January 11, 2006

AHRQ WebM&M: Morbidity & Mortality Rounds on the Web.

March 6, 2005

Related Resources

Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.

April 22, 2024

AHRQ EPC Program Grand Rounds - Making Healthcare Safer.

April 29, 2024 - April 29, 2024

Annual Perspective

Communication During Transitions of Care

March 27, 2024

Patient Safety Primers

National Patient Safety Goals

March 27, 2024

2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report.

March 20, 2024

Special Section: IEA Health Care 2021.

February 28, 2024

Nutrition Support Safety.

February 7, 2024

Perspective

Patient Safety in Office-Based Care Settings

January 31, 2024

Interview

In Conversation with...Richard Ricciardi about Office-Based Patient Safety

January 31, 2024

Challenge Competition: Impact of Patient Safety Tools.

December 12, 2023

WebM&M Cases

“Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records

October 31, 2023

Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive.

October 18, 2023

Why admitting to mistakes can help doctors (and patients).

October 4, 2023

Global Knowledge Sharing Platform for Patient Safety.

September 20, 2023

In search of an international multidimensional action plan for second victim support: a narrative review.

September 13, 2023

Annual Speak Up Data Reports.

September 6, 2023

Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad To Improve Diagnostic Safety.

August 16, 2023

Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series.

August 9, 2023

Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3.

July 26, 2023

Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada.

June 28, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Towards a unified model of accident causation: refining and validating the systems thinking safety tenets.

May 10, 2023

Ensuring competency and safety when onboarding newly hired professional staff.

May 3, 2023

Events that inspired change: the importance of sharing what happened to stop it from happening again.

May 3, 2023

Medical line entanglement: the unspoken patient safety hazard of medical devices.

May 3, 2023

Roadmap to Health Care Safety for Massachusetts.

May 3, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Patient Safety Primers

Patient Safety Indicators.

April 26, 2023

Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment.

April 26, 2023

Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt.

April 12, 2023

See More About The Topic

Hospitals

Long-Term Care

Home Care

Ambulatory Clinic or Office

Health Care Providers