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World Alliance for Patient Safety Exit Disclaimer Patient safety policy and practice
 

Patient Safety & Medical Errors

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Red Envelope Sign Up for Surveys on Patient Safety Culture E-mail Updates

Online Journals and Primers

AHRQ PSNet: Patient Safety Network
Web M&M: Morbidity & Mortality Rounds Online

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Tools & Resources

Tips for Consumers & Patients

Five Steps to Safer Health Care
20 Tips to Help Prevent Medical Errors: Patient Fact Sheet
AHRQ's Efforts to Prevent and Reduce Healthcare-Associated Infections
Blood Thinner Pills: Using Them Safely
Check Your Medicines
Watch:
     Video Navigating the Health Care Video Advice Columns from Dr. Clancy
     Video Staying Active and Healthy with Blood Thinners (17.6 MB) (Transcript)
Preventing Avoidable Readmissions: Improving the Hospital Discharge Process
Taking Care of Myself: A Guide for When I Leave the Hospital
Your Guide to Preventing and Treating Blood Clots
Your Medicine: Be Smart. Be Safe

Background

Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
AHRQ's Patient Safety Initiative: Building Foundations, Reducing Risk: Interim Report to the Senate
To Err is Human: Building a Safer Health System: Institute of Medicine report Exit Disclaimer
Guide to Patient and Family Engagement: Final Environmental Scan Report
Healthcare-Associated Infections: Tools & Resources:
     AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011
     AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2010
     AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2009
     Eliminating CLABSI: Report on the National On the CUSP: Stop BSI Project
     Eliminating CLABSI: Second Report on the National On the CUSP: Stop BSI Project
     Ending Healthcare-Associated Infections
     Using a Comprehensive Unit-based Safety Program to Prevent Healthcare-Associated Infections
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection: Final Contract Report
Improving Patient Safety Through Simulation Research
Improving Patient Safety Through Simulation Research: Funded Projects
Making Health Care Safer: A Critical Analysis of Patient Safety Practices: Evidence Report
National Survey on Consumer Experiences With Patient Safety and Quality
Patient Safety: Achieving a New Standard for Care: Institute of Medicine report on health care data standards Exit Disclaimer
Patient Safety and Health Information Technology E-newsletter Archives
Patient Safety Research Highlights: Program Brief
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety: Institute of Medicine report Exit Disclaimer
Safe Practices for Better Healthcare: Summary: National Quality Forum Consensus Report
Web Chat Transcript: Patient Safety Research
Web M&M: Fact Sheet

Communication & Teamwork

Is Our Pharmacy Meeting Patients' Needs?
Medical Teamwork and Patient Safety: The Evidence-based Relation
Strategies to Improve Communication Between Pharmacy Staff and Patients
TeamSTEPPS™: National Implementation (Web Site)
TeamSTEPPS™ Tools

Design & Working Conditions

The Hospital Built Environment: What Role Might Funders of Health Services Research Play?
Promoting Safety and Quality Through Human Resource Practices
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety: Institute of Medicine report Exit Disclaimer
System Design: AHRQ Resources
Transforming Hospitals: Designing for Safety and Quality
   DVD Available

Implementation & Transformation

10 Patient Safety Tips for Hospitals
30 Safe Practices for Better Health Care
Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety: From Research to Implementation
Becoming a High Reliability Organization: Operational Advice for Hospital Leaders
Closing the Quality Gap: Quality Improvement Strategies
Closing the Quality Gap: Diabetes Care Strategies
Closing the Quality Gap: Hypertension Care Strategies
Consumer Financial Incentives: A Decision Guide for Purchasers
Developing a Community-Based Patient Safety Advisory Council
Emergency Department Tools and Resources
Emergency Severity Index: A Triage Tool for Emergency Department Care, Version 4: Implementation Handbook, 2012 Edition
Improving Patient Flow and Reducing Emergency Department Crowding: Evaluation of Strategies from the Urgent Matters Learning Network II, Executive Summary
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Preventing Avoidable Readmissions: Improving the Hospital Discharge Process
Mistake-Proofing the Design of Health Care Processes
Partnerships in Implementing Patient Safety (PIPS)
   Patient Safety Tools: Improving Safety at the Point of Care
Patient Safety Improvement Corps: 2007-08 State Organizations
   DVD for Institutional Training
Patient Safety Challenge Grants: Translating Research Into Practice
Patient Safety and Quality: An Evidence-Based Handbook for Nurses
Priority Areas for National Action: Transforming Health Care Quality
Purchaser-Provider Synergies
Re-Engineered Discharge (RED) Toolkit
Reducing and Preventing Adverse Drug Events To Decrease Hospital Costs
Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care
System Design: AHRQ Resources
Taking Care of Myself: A Guide for When I Leave the Hospital
Toolkit for Redesign in Health Care

Patient Safety Organizations (PSOs)

Patient Safety Organizations: Web Site
Patient Safety and Quality Improvement Act of 2005

Patient Safety Research & Funding Opportunities

Advances in Patient Safety: From Research to Implementation
Advances in Patient Safety: New Directions and Alternative Approaches
Ambulatory Safety and Quality Program: Health IT Portfolio
Funding Opportunities
   Active:
Requests for Applications, Program Announcements, Contracts
   Archived: Grants and Contracts
Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria
Patient Safety and Medical Liability Reform: Putting the Patient First (Commentary)
Medical Liability & Patient Safety Initiative

Surveys on Patient Safety Culture

Surveys on Patient Safety Culture
   Hospital Survey on Patient Safety Culture
   Hospital Comparative Database Submission Information
   2012 Comparative Database Report
   2011 Comparative Database Report
   2010 Comparative Database Report
   2009 Comparative Database Report
   2008 Comparative Database Report
   2007 Comparative Database Report
   Nursing Home Survey on Patient Safety Culture
   Nursing Home Survey on Patient Safety Culture 2011 User Comparative Database Report
   Medical Office Survey on Patient Safety Culture
   Pharmacy Survey on Patient Safety CultureNew!

Tools & Techniques

AHRQ Patient Safety Tools and Resources
AHRQ Quality Indicators™ Toolkit for Hospitals: Fact Sheet
Central Line Insertion Care Team Checklist
CUSP Toolkit
Designing Consumer Reporting Systems for Patient Safety Events: Final Report
Designing Consumer Reporting Systems for Patient Safety Events: Overview
Pharmacy Health Literacy Center
   Automated Telephone Reminders
   How to Create a Pill Card
Improving Patient Safety in Long-Term Care Facilities: Training Modules
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for HospitalsNew!
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Preventing Avoidable Readmissions: Improving the Hospital Discharge Process
Preventing Hospital-Acquired Venous Thromboembolism: A Guide for Effective Quality Improvement
Problems and Prevention: Chest Tube Insertion
TeamSTEPPS™ Tools
   TeamSTEPPS® Enhancing Safety for Patients With Limited English Proficiency ModuleNew!
Tools, Methods, and Techniques for Improving Patient Safety

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Conferences & Workshops

AHRQ's Quality Challenge Summit (Video)
Agenda for Research in Ambulatory Patient Safety: Conference Synthesis
Making the Health Care System Safer: Second Annual Patient Safety Research Conference
Making the Health Care System Safer: Third Annual Patient Safety Research Conference
Partnerships in Implementing Patient Safety (Technical Assistance)
Triggers and Targeted Injury Detection Systems (TIDS): Expert Panel Meeting

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Congressional Hearings


Date Title
4/1/09 Testimony on Reducing Health Care-Associated Infections: Carolyn Clancy, M.D.
3/5/08 Testimony on Health Issues and Opportunities at AHRQ: Carolyn Clancy, M.D.

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