Disclosure Toolkit and Disclosure Culture Assessment Tool

AHRQ Innovations Exchange | Disclosure Toolkit and Disclosure Culture Assessment Tool

The Disclosure Culture Assessment Tool enables organizations to determine their current cultural environment and structures needed around safety and disclosure of adverse events.

Simple, Patient-Friendly Informed Consent Process Increases Proportion of Patients Reading Form and Able to Describe Surgical Procedure

AHRQ Innovations Exchange | Simple, Patient-Friendly Informed Consent Process Increases Proportion of Patients Reading Form and Able to Describe Surgical Procedure

The purpose of this process is to promote patient understanding through the use of plain language principles and the "teach-back" method. The new form and consent process have increased the proportion of patients observed to be reading the form and who were able to describe their surgery in their own words, and enhanced patients' comfort level with asking questions. Anecdotal reports also suggest that patients, families, and nurses are satisfied with the enhanced process and form.

Scoring System Helps Choose Approaches and Devices for Safely Moving Patients, Leading to Fewer Staff Injuries and Lost Work Days

AHRQ Innovations Exchange | Scoring System Helps Choose Approaches and Devices for Safely Moving Patients, Leading to Fewer Staff Injuries and Lost Work Days

The program significantly reduced staff injuries and nearly eliminated lost and restricted staff work days associated with these injuries at Bay Pines. In addition, other Veterans Health Administration sites have also experienced significant reductions in staff injuries since implementing the program.

Expert Commentary: Multidisciplinary Hospital Team Proactively Meets With Patients and/or Families, Allowing Them to Better Deal With Unexpected Deaths and Other Negative Events

AHRQ Innovations Exchange | Expert Commentary: Multidisciplinary Hospital Team Proactively Meets With Patients and/or Families, Allowing Them to Better Deal With Unexpected Deaths and Other Negative Events

By establishing programs to help people recover emotionally after unexpected negative events, hospitals can achieve gains in patient satisfaction and in staff retention.

Three-Tiered Emotional Support System Generates Positive Feedback From Providers Who Become "Second Victims" of an Unanticipated Clinical Event

AHRQ Innovations Exchange | Three-Tiered Emotional Support System Generates Positive Feedback From Providers Who Become "Second Victims" of an Unanticipated Clinical Event

The goal is to help clinicians effectively manage negative emotional responses that might otherwise threaten future professional competence, patient care, and safety. Anecdotal feedback suggests that those professionals involved in such events have meaningfully benefited from the program.

Support Following Unexpected Clinical Events

AHRQ Innovations Exchange | Support Following Unexpected Clinical Events

The featured Innovations describe one hospital program that provides multidisciplinary team support to patients and families who experience an unexpected clinical event, and another program that provides support to clinicians who are the "secondary victims" of unexpected events.

2011 National Healthcare Disparities Report

AHRQ Innovations Exchange | 2011 National Healthcare Disparities Report

The 2011 report presents expanded analyses of care received by older Americans. It also addresses six priority areas for quality improvement, as identified in the National Strategy for Quality Improvement in Health Care report and presents novel strategies for improving quality and reducing disparities from AHRQ's Health Care Innovations Exchange.