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

The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries.

August 1, 2018

The English Patient Safety Programme.

February 10, 2010

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

May 25, 2022

Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1.

June 16, 2021

Patient Safety.

January 28, 2015

New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals.

December 16, 2021 - December 16, 2021

AHRQ's Quality Challenge.

April 21, 2005

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

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

June 8, 2016

Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program.

September 6, 2017

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

June 25, 2014

National Nursing Home COVID Action Network.

October 7, 2020

Diagnostic Safety Issue Briefs.

March 17, 2022

Ambulatory Surgery Center Survey on Patient Safety Culture.

May 29, 2023

Nursing Home Survey on Patient Safety Culture.

August 31, 2022

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

May 20, 2020

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

May 11, 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

AHRQ Safety Program for Improving Antibiotic Use.

July 26, 2017

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

March 18, 2020

Digital Healthcare Research.

April 1, 2020

SOPS Surveys.

December 28, 2020

Patient Centered Medical Home Resource Center: Quality and Safety.

May 20, 2015

AHRQ Impact Case Studies: Patient Safety.

October 14, 2015

Quality and Patient Safety.

April 6, 2016

Network of Patient Safety Databases.

July 10, 2019

Health Care–Associated Infections.

September 2, 2009

Pediatric Quality Indicators Overview.

July 15, 2009

AHRQ Safety Program for Telemedicine.

April 14, 2023 - April 14, 2023

Common Formats for Event Reporting - Diagnostic Safety Version 1.0

June 29, 2022

Common formats for patient safety data collection and event reporting.

November 3, 2010

Health Literacy.

March 31, 2010

Patient Safety Organization (PSO) Program.

March 12, 2008

Questions Are the Answer.

March 14, 2007

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

September 26, 2007

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

June 29, 2005

AHRQ Quality Indicators.

September 14, 2005

Prevention Quality Indicators Overview.

September 14, 2005

AHRQ Grants by State.

March 27, 2005

Healthcare Cost and Utilization Project (HCUP).

March 6, 2005

Patient Safety Indicators Overview.

July 1, 2022

AHRQ Safety Program for Improving Surgical Care and Recovery.

June 21, 2017

Patient and Family Engagement in Primary Care: Case Studies.

June 15, 2016

Building the Future for Patient Safety.

July 18, 2007

AHRQ Safety Program for Surgery.

January 24, 2018

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

AHRQ 2012 Annual Conference.

April 4, 2012

AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Settings.

February 25, 2015

Addressing opioid misuse.

April 2, 2014

Community-based health coaches and care coordinators reduce readmissions using information technology to identify and support at-risk Medicare patients after discharge.

August 13, 2014

Multifaceted initiative to reduce "alarm fatigue" on cardiac unit reduces alarms and increases nurse and patient satisfaction.

July 23, 2014

Alarm Fatigue in Hospital Setting.

July 2, 2014

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

March 4, 2009

Medical Liability Reform & Patient Safety Initiative.

June 23, 2010

AHRQ 2010 Annual Conference.

December 1, 2010

AHRQ 2008 Annual Conference.

January 6, 2010

AHRQ 2009 Annual Conference.

January 6, 2010

Researching Implementation and Change while Improving Quality (R18).

April 23, 2008

PSO Privacy Protection Center.

November 5, 2008

Bar-Coded Medication Administration (BCMA).

September 24, 2008

AHRQ 2007 Annual Conference.

September 10, 2008

eMedication Monitoring.

March 30, 2011

TalkingQuality.

March 23, 2011

QualityTools™.

March 6, 2005

Patient Safety Challenge Grants.

March 6, 2005

Video on Tips for Taking Medicines Safely.

January 11, 2006

Blood Thinner Pills: Your Guide to Using Them Safely.

June 21, 2006

Patient Safety Tools: Improving Safety at the Point of Care.

June 22, 2005

Patient Safety Improvement Corps: An AHRQ/VA partnership.

June 15, 2005

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

March 6, 2005

HCUPnet.

March 6, 2005

Quick Tips—When Getting A Prescription.

March 6, 2005

Twenty Tips to Help Prevent Medical Errors in Children.

March 6, 2005

20 Tips to Help Prevent Medical Errors.

March 6, 2005

Ways You Can Help Your Family Prevent Medical Errors!

March 6, 2005

Medical Office Survey: 2020 User Database Report.

April 28, 2021

Taking Charge of Your Healthcare: Your Path to Being an Empowered Patient.

July 22, 2009

Overview of Patient Safety Learning Laboratory Projects.

January 18, 2017

AHRQ Patient Safety YouTube Channel.

May 13, 2015

Healthcare 411: medication safety toolkit.

March 18, 2009

Diagnostic Safety Supplemental Item Set for Medical Office SOPS.

April 28, 2021

National Healthcare Quality and Disparities Reports.

November 7, 2022

AHRQ Health Care Innovations Exchange.

April 30, 2008

AHRQ's News Now.

March 27, 2005

Research Activities.

March 6, 2005

National Quality Measures Clearinghouse (NQMC).

March 6, 2005

AHRQ's Safety Program for Ambulatory Surgery.

May 1, 2017

Network of Patient Safety Databases Chartbook, 2020.

September 30, 2020

Choosing a Patient Safety Organization

March 1, 2020

AHRQ announces interest in research on health IT safety.

February 11, 2015

National Steering Committee for Patient Safety.

June 27, 2018

Quick Tips--When Planning for Surgery.

March 6, 2005

Health Literacy Interventions and Outcomes: An Updated Systematic Review.

April 13, 2011

Introducing the New SOPS Hospital Survey 2.0.

October 30, 2019

Related Resources

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

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

May 3, 2023

Ensuring competency and safety when onboarding newly hired professional staff.

May 3, 2023

Roadmap to Health Care Safety for Massachusetts.

May 3, 2023

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

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

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

On Patient Safety.

February 15, 2023

A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.

February 8, 2023

Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice.

December 14, 2022

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

Social risk, health inequity, and patient safety.

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

Improving diagnosis: adding context to cognition.

September 7, 2022

Positive approaches to safety: learning from what we do well.

August 31, 2022

Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care.

August 24, 2022

Speaking up or remaining silent about patient safety concerns in rehabilitation: a cross-sectional survey to assess staff experiences and perceptions.

July 6, 2022

WebM&M Cases

Management of Cardiac Arrest in Unconventional Locations.

May 16, 2022

The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff.

April 20, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

Annual Perspective

Annual Perspective: Psychological Safety of Healthcare Staff

March 31, 2022

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