The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings.
Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities in Electronic Health Records
The project findings demonstrated that structured EHR data can be used by healthcare providers to identify frail patients using validated EHR frailty indexes; however, claims data can identify additional frailty cases compared to EHR data.
Publication Date: Publication Number: 22-0058
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
Diagnostic Safety Issue Brief #10:
This issue brief describes pragmatic approaches for nurse educators and leaders to convey the urgent need to improve diagnosis among their nurses and care teams and to guide nurses to embrace their leadership roles in the diagnostic process.
Publication Date: Publication Number: 22-0026-4-EF
Reducing Healthcare Carbon Emissions: A Primer on Measures and Actions for Healthcare Organizations to Mitigate Climate Change
To support healthcare organizations in advancing toward their decarbonization commitments, AHRQ contracted with the Institute for Healthcare Improvement to develop a primer that offers guidance on high-priority measures and strategies for healthcare organizations to reduce their carbon footprint.
Publication Date: Publication Number: 22-M011
My Medicines List can remind you when, how, and how much medicine to take. Here are step-by-step instructions to create a My Medicines List for yourself, a family member, a friend, or anyone you take care of.
Publication Date: Publication Number: 22-0062
Diagnostic Safety Issue Brief #9:
This issue brief presents a framework that outlines the diagnostic process and highlights the role of probabilistic understanding at each step. The framework lays out the information needed throughout the diagnostic process to help clinicians make accurate probability assessments.
Publication Date: Publication Number: 22-0026-3-EF
Diagnostic Safety Issue Brief #8:
This issue brief discusses the nurse’s role in diagnostic safety, using the conceptual lens of distributed cognition. It describes the theory of distributed cognition, discusses the nurse’s role in diagnosis through that conceptual lens, and concludes with suggestions for future areas of practice and research.
Publication Date: Publication Number: 22-0026-2-EF
The Measure DX Guide is a resource to help healthcare organizations detect, analyze, and learn from diagnostic safety events. Measure Dx can be used by any healthcare organization interested in promoting diagnostic excellence and reducing harm from diagnostic safety events. Potential users include clinicians, quality and safety professionals, risk management professionals, health system leaders, and clinical managers.
Publication Date: Publication Number: 22-0038
Diagnostic Safety Issue Brief #7:
Substantial progress is being made in recognizing the need for diagnostic excellence, and improving diagnosis education will be an essential requirement to achieve this goal. This brief highlights the current state of diagnosis education, including gaps; describe innovations with high potential for wider impact; identify key competencies needed to improve diagnostic performance; and describe next steps to ensure progress.
Publication Date: Publication Number: 22-0026-1-EF
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
Diagnostic Safety Issue Brief #6:
This issue brief discusses what is known about the contribution of diagnostic error to maternal morbidity and mortality, explains the rationale for improvement methods, and outlines the research agenda needed to make progress in this emerging area of diagnostic safety. The brief focuses on the maternal events that occur during childbirth and up to a week postpartum, with maternal hemorrhage as a primary example due to its prevalence, high rate of preventability, and interprofessional effort needed for diagnosis and treatment.
Publication Date: Publication Number: 20(21)-0040-6-EF
Diagnostic Safety Issue Brief #5:
Despite the enormous financial cost and patient harm resulting from diagnostic error, many leaders have not
addressed this growing patient safety problem. Healthcare leaders must create a climate that helps diverse,
dynamic, sometimes geographically dispersed diagnostic teams to provide accurate, timely, and fully
communicated diagnoses. Leaders with a growth mindset take on challenges, persist through obstacles, learn
from criticism, and seek inspiration in others' success. This is no small challenge in the face of competing
priorities, but now is the time to begin the journey.
Publication Date: Publication Number: 20(21)-0040-5-EF