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The ´óÏóAPP (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.
Chartbook on Healthcare for Veterans
This chartbook provides information regarding disparities in access to and quality of healthcare received by Veterans.
Publication Date: Publication Number: 21-0003
Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
Diagnostic Safety Issue Brief #3:
The use of checklists as a tool to improve performance has proven successful in a variety of healthcare settings. For instance, checklists have been successful in preventing hospital-acquired infections and preventing errors in the surgical process. The use of checklists has also been recommended as a tool to reduce diagnostic errors. Diagnostic errors are frequent and often have severe consequences but have received little attention in the field of patient safety.
Checklists are considered a promising intervention for the area of diagnosis because they can support clinicians in their diagnostic decision making by helping them take correct diagnostic steps and ensuring that possible diagnoses are not overlooked. In this issue brief, we summarize current evidence on using checklists to improve diagnostic reasoning.
Publication Date: Publication Number: 20-0040-3-EF
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Diagnostic Safety Issue Brief #2:
As patients and clinicians participate in telediagnosis at scale, it is vital to consider quality and safety issues that arise when it is used for the diagnosis of acute conditions. What is known? What is not known? Given the likelihood that telehealth will become a mainstay after the current COVID-19 epidemic, we need to learn about optimizing the use of telediagnosis from the massive expansion now in progress and identify emerging research priorities.
Publication Date: Publication Number: 20-0040-2-EF
Operational Measurement of Diagnostic Safety: State of the Science
Diagnostic Safety Issue Brief #1:
This issue brief discusses the state of the science of operational measurement of diagnostic safety, informed by recent peer-reviewed scientific publications, innovations in real-world healthcare settings, and initiatives to spur further development of diagnostic safety measures. The aim is to provide knowledge and recommendations to encourage HCOs to begin to identify and learn from diagnostic errors.
Publication Date: Publication Number: 20-0040-1-EF
Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices
Making Healthcare Safer III reviews 47 practices that target patient safety improvement in hospitals, primary care practices, long-term care facilities, and other healthcare settings.
Publication Date: Publication Number: 20-0029-EF
2018 National Healthcare Quality and Disparities Report
Each year since 2003, ´óÏóAPPhas produced the National Healthcare Quality and Disparities Report. This report to Congress is mandated in the Healthcare Research and Quality Act of 1999 (P.L. 106-129).
Publication Date: Publication Number: 19-0070-EF
´óÏóAPPPublishing and Communications Guidelines
The ´óÏóAPPPublishing and Communications Guidelines provide the standards for ´óÏóAPPproducts developed in-house and by contractors and provide an overview of communication support.
Publication Date: Publication Number: 17-0015-EF
Chartbook on Patient Safety
This Patient Safety chartbook is part of a family of documents and tools that support the National Healthcare Quality and Disparities Report (QDR). The QDR includes annual reports to Congress mandated in the Healthcare Research and Quality Act of 1999 (P.L. 106-129). This chartbook includes a summary of trends across measures of patient safety from the QDR and figures illustrating select measures of patient safety. A PowerPoint version is also available that users can download for presentations.
Publication Date: Publication Number: 18(19)-0033-4-EF
2017 National Healthcare Quality and Disparities Report
Each year since 2003, ´óÏóAPP has produced the National Healthcare Quality and Disparities Report. These reports to Congress are mandated in the Healthcare Research and Quality Act of 1999 (P.L. 106-129).
Publication Date: Publication Number: 18-0033-1-EF
Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
This report presents findings from a literature review of empirical research on additional cost and excess mortality for 10 healthcare-acquired conditions (HACs). Estimated added costs across all HACs ranged from $600 to $48,000 per case, while excess mortality estimates ranged from 5 deaths per 1,000 cases to 150 deaths per 1,000 cases. These values will assist Federal efforts to track progress on improving patient safety and eliminating HACs.AHRQ.
Publication Date: Publication Number: 18-0011-EF
