Tools and Resources

Patient safety tools and resources

Advancing Patient Safety: A Decade of Evidence, Design, and Implementation

This document highlights some of the Agency's contributions in advancing patient safety during the past decade.

Advances in Patient Safety: From Research to Implementation

This four-volume set from AHRQ and the U.S. Department of Defense describes what federally funded programs have accomplished in new patient safety findings, investigative approaches, process analyses, and practical tools for preventing medical errors and harm.

Advances in Patient Safety: New Directions and Alternative Approaches

This compendium describes what federally funded programs have accomplished in understanding medical errors and implementing programs to improve patient safety over the last 5 years.

AHRQ Patient Safety Tools and Resources

The Agency for Healthcare Research and Quality (AHRQ) offers tools for health care organizations, providers, and policymakers to improve patient safety in health care settings.

AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care

AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care

AHRQ Safety Program for End-Stage Renal Disease Facilities

This is an ongoing project that will result in a toolkit to help End-Stage Renal Disease clinics prevent healthcare-associated infections in dialysis patients.

Bringing Human Factors into Home Health Care

Many health care technologies that involve information technology (IT) are moving into the home, for use by caregivers who look after the growing number of older adults with chronic illnesses. With funding from the Agency for Healthcare Research and Quality (AHRQ), the Institute of Medicine conducted a study of these health IT-related technologies that looks at the imbalances between the demands of the new home technologies and the capabilities of caregiver-users, with recommendations for designs that ensure greater ease and accuracy of use.

Carbapenem-Resistant Enterobacteriaceae (CRE) Control and Prevention Toolkit

Leaders in infectious disease and infection control, as well as those concerned with patient safety and performance improvement, can use this toolkit to develop interventions to control carbapenem-resistant Enterobacteriaceae (CRE). CRE are the result of a complex family of plasmid-borne resistance factors that circulate among Enterobacteriaceae. In the United States, the overwhelming majority of CRE cases are caused by the plasmid-borne Klebsiella pneumoniae carbapenemase (KPC) gene circulating among Enterobacteriaceae, mostly commonly among Klebsiella pneumoniae isolates. KPC-producing organisms have spread epidemically in the United States and around the world among hospitalized patients.

Central Line Insertion Care Team Checklist

This checklist provides sequential critical steps that have shown to reduce central line-associated infections.

Consumer Experience

Information on a project to develop recommendations for ideal reporting systems that consumers would use to report their experiences with patient safety events. Patients and their family members are in a unique position to identify gaps in care that may have contributed to adverse events.

Developing a Community-Based Patient Safety Advisory Council

This guide provides information and guidance to empower individuals and organizations to develop a community-based advisory council.

Health Care-Associated Infections

This page features helpful links to information, tools, and resources on healthcare-associated infections (HAIs), which are the most common complication of hospital care and are one of the top 10 leading causes of death in the United States. AHRQ-funded research and initiatives to reduce HAIs are also highlighted.

Improving Hospital Discharge Through Medication Reconciliation and Education

Project focused on improving the hospital discharge process.

Improving Patient Safety Through Simulation Research

In 2006, the Agency for Healthcare Research and Quality (AHRQ) awarded more than $5 million for 19 new grants under its Improving Patient Safety Through Simulation Research portfolio.

MATCH Toolkit for Medication Reconciliation

This toolkit provides a step-by-step guide to improving the medication reconciliation process.

Medical Liability Reform & Patient Safety Initiative

Too many patients experience significant challenges with health care quality and patient safety, and injured patients are not well-served by the current medical liability system. In addition, the medical community reports serious problems with the medical liability system. In response, one component of President Obama's health care reform proposals is launching a new demonstration initiative through the Agency for Healthcare Research and Quality (AHRQ), Department of Health and Human Services (HHS).

Mistake-Proofing the Design of Health Care Processes

A synthesis of practical examples on the use of process or design features to prevent medical errors.

Patient Safety Tools: Improving Safety at the Point of Care

Information about medical errors, a leading health problem, and the Agency for Healthcare Research and Quality's efforts to reduce medical errors and improve patient safety.

Preventing Avoidable Readmissions

The Agency for Healthcare Research and Quality offers information and tools for clinicians and patients to make the hospital discharge process safer and to prevent avoidable readmissions. This page features links to AHRQ's resources for preventing avoidable readmissions or trips to the emergency room.

Preventing Hospital-Acquired Venous Thromboembolism

This guide assists quality improvement practitioners in improving prevention of hospital-acquired venous thromboembolism.

Priority Areas for National Action

This AHRQ-funded report from the Institute of Medicine (IOM) documents disturbing shortfalls in the quality of health care in the United States. In 2001, an IOM report recommended the systematic identification of priority areas for quality improvement. This new IOM report outlines guiding principles, criteria, and a list of 20 priority areas for improvement. As next steps, the report recommends that AHRQ work with other public- and private-sector organizations to continuously assess progress in making improvements in the 20 areas by developing and improving data collection and measurement systems, reviewing the evidence base and deciding on updated priorities every 3 to 5 years, and disseminating the results of quality improvement strategies, among other responsibilities.

Promoting Safety and Quality Through Human Resource Practices

Executive Summary

Safe Practices for Better Healthcare: Summary

Heightened attention focused on medical errors has sparked growing interest in the use of healthcare practices that reduce the risk of harm resulting from the processes, systems, or environments of care-"safe practices." This summary describes 30 practices that should be universally used in applicable clinical care settings to reduce the risk of harm to patients from adverse healthcare events.

A Toolkit for Redesign in Health Care

This toolkit presents strategies for comprehensively redesigning and transforming processes of care in a hospital. It includes a discussion of the forces that compel health care systems to embark on redesign or system transformation; a series of steps to be taken in planning for such as redesign or system transformation; and strategies for translating information gathered into proposed projects for implementation.

Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship

This toolkit provides a step-by-step guide to improving the medication reconciliation process.

Tools, Methods, and Techniques for Improving Patient Safety

Developed by the Agency for Healthcare Research and Quality (AHRQ) and the Department of Veterans Affairs National Center for Patient Safety, a new DVD presents a self-paced, modular approach to training individuals involved in patient safety activities at the institutional level.

Web Chat Transcript: Patient Safety Research

Web Chat Transcript: Patient Safety Research