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- Review 1
- Study 1
- Slideset 1
- Book/Report 4
- Toolkit 3
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- Grant 3
- Meeting/Conference 2
- Press Release/Announcement 1
- Communication Improvement 4
- Culture of Safety 5
Education and Training
- Students 1
- Error Reporting and Analysis 4
- Human Factors Engineering 1
- Legal and Policy Approaches 1
- Logistical Approaches 1
- Quality Improvement Strategies 1
- Specialization of Care 1
- Teamwork 2
- Technologic Approaches 3
- Device-related Complications 1
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 5
- Medical Complications 3
- Medication Safety 5
- Psychological and Social Complications 1
- Surgical Complications 1
- Transfusion Complications 1
- Internal Medicine
- Pharmacy 2
Search results for "Education and Training"
Bethesda, MD; Agency for Healthcare Research and Quality. February 25, 2009.
This interview introduces an AHRQ-funded PIPS toolkit to help small and rural hospitals implement medication safety initiatives.
Meeting/Conference > United States Meeting/Conference
AHA Team Training. April 1–November 5, 2019.
Tools/Toolkit > Government Resource
Rockville, MD: Agency for Healthcare Research and Quality; November 2017.
Rockville, MD: Agency for Healthcare Research and Quality; October 2016.
Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.
Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. August 27, 2013;78:52927-52929.
This notice requests comments on a proposed project to evaluate TeamSTEPPS training and implementation efforts. The comment submission process is now closed.
Journal Article > Review
Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.
This systematic review—part of the AHRQ Making Health Care Safer II report—found some evidence that interventions, such as teamwork training, executive walk rounds, and structured communications approaches, can improve safety culture, especially when bundled together as a multicomponent intervention.
Taylor SL, Saliba D. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ Publication No. 12-0001.
This set of training materials provides techniques to help improve staff monitoring of nursing home residents' conditions to prevent delays and minimize harm.
Grant > Fact Sheet/FAQs
Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 09-P013-4-E.
This announcement highlights projects funded by the Agency for Healthcare Research and Quality to reduce incidence of health care–associated infections.
Tools/Toolkit > Toolkit
Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059.
This guide provides patients with information they need to care for themselves after leaving the hospital. The tool was developed based on findings from the AHRQ-funded initiative Project RED (Re-Engineered Discharge), which showed that patient-centered discharge planning can improve patient safety and reduce re-hospitalization rates.
Journal Article > Commentary
Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.
Clancy CM. Am J Med Qual. 2009;24:344-346.
In this commentary, AHRQ Director Carolyn Clancy discusses effective patient discharge as an important factor in patient safety. Specifically, she highlights elements of an AHRQ-funded implementation program for engaging patients along with their clinical team to enable smooth discharge.
Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.
This report summarizes findings from interviews with AHRQ-funded grantees who have implemented computerized provider order entry systems.
Grant > Government Resource
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.
Rockville, MD: Agency for Healthcare Research and Quality; October 2008.
This AHRQ grantee announcement lists 13 projects funded to demonstrate effective strategies in identifying and addressing risks and in improving processes in ambulatory care.
Journal Article > Study
Singh H, Thomas EJ, Petersen LA, Studdert DM. Arch Intern Med. 2007;167:2030-2036.
This AHRQ-funded study uncovered distinctive features of errors involving trainees, including teamwork and communication breakdowns, failures of supervision and handoffs, and excessive workload. Building on a past study of closed malpractice claims, investigators conducted a subanalysis of those claims in which housestaff or fellows were thought to play an important role. As the claims predate the introduction of trainee work hour restrictions, the authors call for continued research into trainee errors and targeted training interventions to address current areas of concern. An accompanying editorial discusses a dramatically new model for inpatient care that would begin to address the problem areas identified in this study.
Grant > Government Resource
Rockville, MD: Agency for Healthcare Research and Quality; June 2008.
This announcement describes the 19 projects funded by the Agency for Healthcare Research and Quality in 2006 that studies the potential of simulation to improve patient safety.
Audiovisual > Meeting/Conference Proceedings
2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.
Agency for Healthcare Research and Quality. June 6-10, 2005.
The Agency for Healthcare Research and Quality (AHRQ) hosted the 2005 Annual Patient Safety and Health Information Technology Conference. Transcripts and slide presentations are available from the five-day event.
Training of Hospital Staff To Respond to a Mass Casualty Incident. Summary, Evidence Report/Technology Assessment.
Hsu EB, Jenckes MW, Catlett CL, et al. Summary, Evidence Report/Technology Assessment: Number 95. Rockville, MD: Agency for Healthcare Research and Quality; April 2004. AHRQ Publication Number 04-E015-1.
This report focuses on the effectiveness of hospital disaster drills, computer simulations, and tabletop or similar exercises in training hospital staff to respond to a mass casualty incident (MCI).