AHRQ's Quality & Patient Safety Programs by Setting: Hospital
Carbapenem-Resistant Enterobacteriaceae (CRE) Control and Prevention Toolkit provides a framework for outlining steps needed to design and implement CRE control and prevention of infection transmission, including what staff is responsible for each task and time frame for completing the tasks.
Choosing a Patient Safety Organization describes several unique advantages of working with a PSO that can enhance hospital patient safety and quality improvement activities.
Communication and Optimal Resolution (CANDOR) Toolkit enables health care organizations to implement an AHRQ-developed process. Like similar programs in place in other organizations, CANDOR gives hospitals and health systems the tools to respond immediately when a patient is harmed and to promote candid, empathetic communication and timely resolution for patients and caregivers. Based on expert input and lessons learned from the Agency's $23 million Patient Safety and Medical Liability grant initiative launched in 2009, the CANDOR toolkit was tested and applied in 14 hospitals across three U.S. health systems.
Each of the toolkit's eight modules contains PowerPoint slides with facilitator notes. Some modules also contain tools, resources, or videos.
The Fall Prevention in Hospitals Training Program was developed to support the training of hospital staff on how to implement AHRQ's Preventing Falls in Hospitals Toolkit. The content of the training program and supporting materials help hospitals become familiar with each of the components of the toolkit and learn how to overcome the challenges associated with developing, implementing, and sustaining a fall prevention program.
Fall TIPS: A Patient-Centered Fall Prevention Toolkit consists of a formal risk assessment and tailored plan of care for each patient. The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals in the U.S. and internationally.
Family-Centered Rounds (FCR) Toolkit was designed to increase family engagement in rounds for hospitalized children. It is intended for use by health care providers initiating FCR and/or operationalizing optimal practices in the setting of existing FCR, including: physicians, nurses, hospital administrators, and quality improvement personnel.
Guide for Developing a Community-Based Patient Safety Advisory Council provides approaches for hospitals and other health care organizations to use to develop a community-based advisory council that can drive change for patient safety through education, collaboration, and consumer engagement.
Guide to Patient and Family Engagement in Hospital Quality and Safety helps hospitals work as partners with patients and families to improve quality and safety. Includes an implementation handbook and tools for patients, families, and clinicians.
Health Care Facility Design Safety Risk Assessment Toolkit helps health care design teams proactively identify and mitigate built environment conditions that may impact patient and work safety in the hospital and other health care environments. The toolkit addresses approaches to design that target six areas of safety: infections, falls, medication errors, security, injuries of behavioral health, and patient handling.
Hospital Guide to Reducing Medicaid Readmissions provides evidence-based strategies to reduce readmissions among the adult Medicaid population.
I-PASS Mentored Implementation Handoff Curriculum is a comprehensive handoff curriculum that has been proven to improve the safety, efficiency, and efficacy of shift-to-shift handoffs during patient handoffs. The curriculum reflects a 6-year collaborative effort led by Christopher P. Landrigan, M.D., of the Harvard Medical School, between medical educators, health services researchers, experts in quality improvement and patient safety, and the Society for Hospital Medicine to develop an innovative suite of educational materials. Training materials for I-PASS Champions are available.
Making Informed Consent an Informed Choice: Training Modules for Health Care Leaders and Professionals provides tools to hospital leaders and health professionals to improve informed consent policy and practice.
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit features strategies from the field that can help hospitals improve medication reconciliation processes for patients as they move through the health care system.
Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) Toolkit includes a set of medication reconciliation tools to reduce medication errors that frequently occur during care transitions when patients enter and leave the hospital.
Network of Patient Safety Databases Chartbook provides an overview of data captured by Patient Safety Organizations on the nature of patient safety events in hospital settings.
Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand was developed by James Benneyan, one of AHRQ’s Patient Safety Learning Lab grantees. This tool helps health systems estimate and visualize hospital-specific demand for medical and ICU beds, ventilators, personal protective equipment, medications, and available staff on a rolling basis. This work was indirectly supported by AHRQ, the National Institute for Drug Abuse, and the National Science Foundation. In addition to the tool, an overview is available that answers key questions. Note: AHRQ has not evaluated or validated this resource. In the overview, the developer describes the testing that has been conducted to date.
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care focuses on overcoming the challenges associated with developing, implementing, and sustaining a fall prevention program. Includes an implementation guide to help put prevention strategies into practice.
- Fall Prevention in Hospitals Training Program supports the training of hospital staff on how to implement AHRQ's Preventing Falls in Hospitals Toolkit. It consists of a five-module, in-person training curriculum and a series of companion Webinars on specific topics related to fall prevention. An Implementation Guide provides additional suggestions for how to use the training program and the toolkit.
Preventing Hospital-Associated Venous Thromboembolism: A Guide for Effective Quality Improvement outlines the latest evidence on how to lead a quality improvement effort to prevent hospital-acquired venous thromboembolism.
Preventing Pressure Ulcers in Hospitals is a toolkit that assists hospital staff in implementing effective pressure ulcer prevention practices through an interdisciplinary approach to care.
- Pressure Injury Prevention in Hospitals Training Program supports the training of hospital staff on how to implement AHRQ's Preventing Pressure Ulcers in Hospitals Toolkit. It consists of a five-module, in-person training curriculum and a series of companion webinars on specific topics related to pressure injury prevention. An Implementation Guide provides additional suggestions for how to use the training program and the toolkit.
Project BOOST (Better Outcomes by Optimizing Safe Transitions) provides hospitals a comprehensive set of interventions to improve the care transition process after discharge in order to reduce readmissions.
REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients: RESET Project provided mentorship and resources for four hospitals to adapt and implement a set of complementary interventions based on a clinical microsystems framework called Advanced and Integrated MicroSystems (AIMS).
REDUCE MRSA (Methicillin-Resistant Staphylococcus aureus) Enhanced Protocol explains that universal decolonization is the most effective intervention to reduce MRSA infections. This tool provides instructions for implementing decolonization in adult intensive care units.
Re-Engineered Discharge (RED) Toolkit is a research-based tool to assist hospitals, including those that serve diverse populations, in improving their hospital discharge process and reducing avoidable readmissions. An English/Spanish guide to help staff ensure that patients understand their discharge instructions is also available.
Toolkit for Hospitals: Improving Performance on the AHRQ Quality Indicators™ helps hospitals understand AHRQ's Quality Indicators and how to use them to identify areas of concern in need of further investigation, and monitor progress over time. See Quality Indicators under the section, Additional Patient Safety Resources: Research, Data, and Measurement.
Toolkit for Reduction of Clostridum difficile Infections Through Antimicrobial Stewardship assists hospital staff and leadership in developing an effective antimicrobial stewardship program that targets inappropriate use of antibiotics, which has the potential to reduce C. difficile.
Transforming Hospitals: Designing for Safety and Quality reviews the case for evidence-based hospital design and how it increases patient and staff satisfaction and safety, quality of care, and employee retention, and results in a positive return on investment.
Transitioning Newborns from NICU to Home: A Resource Toolkit provides customizable resources to help hospitals and families safely transition newborns out of the neonatal intensive care unit to home using a Health Coach Program.