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 ...

How do we manage the change process at the front line? How do we pilot test the new practices? How do we get staff engaged and excited about pressure ulcer prevention? How can we help staff learn new ...

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 ...

Stakeholder support, beginning with program design and continuing through the evaluation, is critical to a successful Medicaid care management program. Stakeholders should be involved during each ...

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 ...

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 ...

The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP). The ...

Once you have determined that you are ready for change, the Implementation Team and Unit-Based Teams should demonstrate a clear understanding of where they are headed in terms of implementing best ...

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 ...

The CAHPS Ambulatory Care Improvement Guide is a comprehensive resource for health plans, medical groups, and other providers seeking to improve their performance in the domains of patient experience ...

In 2016, AHRQ awarded a contract to develop methods and estimate the incremental inpatient financial costs and additional inpatient mortality associated with 10 selected hospital-acquired conditions ...

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 ...