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

Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2020 User Database Report.

March 18, 2020

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

Patient Safety, Spring 2019 Final CDP Report.

March 25, 2020

Nursing Home Survey on Patient Safety Culture.

August 31, 2022

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

AHRQ's Quality Challenge.

April 21, 2005

New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals.

December 16, 2021 - December 16, 2021

The English Patient Safety Programme.

February 10, 2010

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

September 3, 2016

NQF Safe Practices: 2010 Updates.

March 17, 2010

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

April 17, 2019

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

February 20, 2019

Patient Safety in Ambulatory Settings.

November 2, 2016

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

November 23, 2016

Improving Diagnosis.

November 28, 2018

Healthcare 411: medication safety toolkit.

March 18, 2009

SOPS Medical Office Database.

March 11, 2020

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

July 15, 2020

Surveys on Patient Safety Culture.

April 27, 2023

Proceedings from the European Handover Research Collaborative.

December 5, 2012

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

March 18, 2020

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

July 8, 2020

AHRQ Safety Program for Improving Antibiotic Use.

July 26, 2017

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

April 23, 2014

Diagnostic Safety Issue Briefs.

August 1, 2023

National Nursing Home COVID Action Network.

October 7, 2020

Ambulatory Surgery Center Survey on Patient Safety Culture.

May 29, 2023

Re-Engineered Discharge (RED) Toolkit.

March 27, 2013

How PSOs Help Health Care Organizations Improve Patient Safety Culture.

September 28, 2016

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

November 18, 2015

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

December 9, 2015

Patient and Family Engagement in Primary Care: Case Studies.

June 15, 2016

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

May 20, 2020

Diagnostic Error in Medicine.

September 25, 2013

2018 John M. Eisenberg Patient Safety and Quality Awards.

July 17, 2019

2017 John M. Eisenberg Patient Safety and Quality Awards.

July 18, 2018

AHRQ Safety Program for Surgery.

January 24, 2018

Contributions from Ergonomics and Human Factors.

November 17, 2010

April 27, 2011

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

September 25, 2019

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

May 25, 2022

AHRQ's Safety Program for Ambulatory Surgery.

May 1, 2017

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

October 21, 2020

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

September 1, 2010

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

December 9, 2020

The role of automation in complex system failures.

May 11, 2005

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

July 13, 2005

Digital Healthcare Research.

April 1, 2020

Common Formats for Event Reporting - Diagnostic Safety Version 1.0

June 29, 2022

AHRQ Safety Program for Telemedicine.

April 14, 2023 - April 14, 2023

SOPS Surveys.

December 28, 2020

Network of Patient Safety Databases.

July 10, 2019

AHRQ Safety Program for Improving Surgical Care and Recovery.

June 21, 2017

Patient Safety Organization (PSO) Program.

March 12, 2008

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

September 26, 2007

Questions Are the Answer.

March 14, 2007

Patient Centered Medical Home Resource Center: Quality and Safety.

May 20, 2015

Pediatric Quality Indicators Overview.

July 15, 2009

Health Literacy.

March 31, 2010

Health Care–Associated Infections.

September 2, 2009

Quality and Patient Safety.

April 6, 2016

Common formats for patient safety data collection and event reporting.

November 3, 2010

TalkingQuality.

March 23, 2011

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

March 14, 2012

Healthcare Cost and Utilization Project (HCUP).

March 6, 2005

Patient Safety Indicators Overview.

August 1, 2023

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

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

April 2, 2014

2007 John M. Eisenberg Patient Safety and Quality Awards.

December 12, 2007

Advances in Patient Safety and Medical Liability.

September 6, 2017

AHRQ announces interest in research on health IT safety.

February 11, 2015

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

April 4, 2018

2009 John M. Eisenberg Patient Safety and Quality Awards.

November 25, 2009

Surviving a bad diagnosis.

September 28, 2016

Toolkit To Improve Antibiotic Use in Acute Care Hospitals

December 11, 2019

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

April 25, 2018

Researching Implementation and Change while Improving Quality (R18).

April 23, 2008

Video on Tips for Taking Medicines Safely.

January 11, 2006

AHRQ 2008 Annual Conference.

January 6, 2010

AHRQ 2009 Annual Conference.

January 6, 2010

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

March 4, 2009

Bar-Coded Medication Administration (BCMA).

September 24, 2008

AHRQ 2007 Annual Conference.

September 10, 2008

Medical Liability Reform & Patient Safety Initiative.

June 23, 2010

PSO Privacy Protection Center.

November 5, 2008

AHRQ 2010 Annual Conference.

December 1, 2010

Improving Patient Safety Through Simulation Research: Funded Projects.

October 12, 2011

HCUPnet.

March 6, 2005

Quick Tips—When Getting A Prescription.

March 6, 2005

Related Resources

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

November 7, 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

Challenge Competition: Impact of Patient Safety Tools.

June 14, 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

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

April 26, 2023

Patient Safety Primers

Patient Safety Indicators.

April 26, 2023

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

April 12, 2023

Patient Safety Innovations

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

March 15, 2023

AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.

February 15, 2023

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm.

November 16, 2022

Journal Article

Commentary

Critical care resource nurse team: a patient safety and quality outcomes model.

November 16, 2022

Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs.

October 5, 2022

Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators.

October 5, 2022

National Plan for Health Workforce Well-Being.

September 28, 2022

The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings.

September 14, 2022

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