Center resources to address AHRQ's top three safety concerns

Topics: Safety, Quality, Performance Improvement, Staffing, Efficiency, Nursing, Process Improvement

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The latest findings from the Agency for Healthcare Research and Quality (AHRQ)'s voluntary Hospital Survey on Patient Safety Culture indicate many hospitals have ample room to improve their culture of safety. 

The survey assesses hospital employee opinions across 12 areas associated with patient safety, medical errors, and event reporting at more than 1,000 hospitals nationwide.

AHRQ identified three area of potential improvement for most hospitals:

  • Non-punitive response to error. Only 44% of respondents reported they believe their errors and reports are not used against them or kept in their personnel file.
  • Handoffs and transitions. Only 45% of respondents said patient information is effectively transmitted during shift changes or patient transfers.
  • Staffing. Just 56% of respondents said their hospital maintains adequate staff levels to support workloads and hours that are conducive to providing quality patient care.

The following Nursing Executive Center tools, best practices, and strategy studies offer targeted guidance on how to advance on AHRQ’s identified improvement opportunities.

Non-Punitive Response to Error

Handoffs and Transitions


  • Towards Evidence-Based Staffing


    Tools to help nurse leaders think more critically about published staffing research, compare their own staffing configurations to those of their peers, design staffing strategies to address chief quality challenges, and test the effectiveness of their interventions.

  • The Highly Productive Nursing Organization

    Multimedia Presentation

    Access the information most relevant to your organizations’ productivity challenges.

  • Benchmarking Nursing Organizational Structure


    Results from the Nursing Executive Center's 2008 survey of nursing organizational structure, including data on manager span of control as well as unit-level benchmarks on nursing management support roles (nurse educators, CNSs, and nurse practitioners).

  • Nursing Productivity Benchmarks


    Provides benchmarks on total HPPD, RN HPPD, and worked HPPD for 13 different unit types.

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