Medical errors may occur in different health care settings, and those that happen in hospitals can have serious consequences. The Agency for Healthcare Research and Quality, which has sponsored ...

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Because pressure ulcer care is complex, efforts to improve pressure ulcer prevention require a system approach that will involve organizational change. Bringing about organizational change of any type ...

After the Institute of Medicine released its sentinel report, To Err is Human: Building a Safer Health System, the Agency for Healthcare Research and Quality (AHRQ), in conjunction with its Federal ...

The AHRQ Surveys on Patient Safety Culture ® (SOPS ®) Medical Office Database is a central repository for survey data from medical offices in the United States or in a U.S. territory that administer ...

The Role of the Nurse Manager module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit addresses the role of nursing leaders for your quality improvement initiative. This module ...

Health care delivery systems throughout the United States are employing the triple aim (improving the experience of care, improving the health of populations, and reducing per capita costs of health ...

Many organizations are uncertain about how to proceed with designing a workable solution for medication reconciliation. This chapter provides helpful information and tools for designing or redesigning ...

Diagnostic errors occur in all care settings and one in three patients will experience a diagnostic error firsthand. Research suggests that communication breakdowns ...

In the face of multiple priorities and limited resources, leaders of health care organizations may question the value of measuring and improving the patient's experience with care. Yet, powerful ...

Many organizations are interested in assessing and improving patient experience with behavioral health, mental health, and/or substance use disorder services. Three CAHPS products are available to ...

Final estimates for 2013 show a further 9 percent decline in the rate of hospital-acquired conditions (HACs) from 2012 to 2013, and a 17 percent decline, from 145 to 121 HACs per 1,000 discharges, ...