Patient Safety and Quality

Supporting VA’s High-Reliability Organization vision of zero preventable harm

According to the World Health Organization (WHO), patient safety is “the absence of preventable harm to a patient during the process of healthcare and reduction of risk of unnecessary harm associated with healthcare to an acceptable minimum.” VA strives for excellence in quality of care every day. In partnership with multi-level stakeholders, QUERI is deploying and evaluating implementation and quality improvement strategies to enhance patient safety and quality of care for Veterans and their families.

	Combating Antimicrobial Resistance through Rapid Implementation of Available Guidelines and Evidence (CARRIAGE) QUERI Program Led by Michael Rubin, Charlesnika Evans, Makoto Jones, Eli Perencevich Improve biosurveillance, infection prevention, and antimicrobial stewardship. Learn more.
	Expanded Role of Primary Care Pharmacists in the Management of Heart Failure Led by Paul Heidenreich Implement pharmacist-led protocolized care for the pharmacy medication initiation and titration of heart failure medications. Learn more.
	Maintaining Implementation through Dynamic Adaptations (MIDAS) QUERI Program Led by Laura Damschroder, Jacob Kurlander, Paul Pfeiffer, Jeremy Sussman Advance VA’s High-Reliability Organization vision of zero preventable harm by addressing unsafe or ineffective medication use. Learn more.
	Dual Use of Medications (DUAL) Led by Walid Gellad Improve the safety of medication use for Veterans by integrating non-VA prescriptions into VA medication surveillance efforts. Learn more.
	Evaluating the Implementation of Patient Safety Practices to Ensure Timely, High-Quality Community Care for Veterans Led by Amy Rosen Evaluate national implementation of the VA Office of Community Care's Patient Safety Guidebook. Learn more.
	Improving Access to Gastrointestinal Endoscopy in the COVID-19 Recovery Phase and Beyond Led by Megan Adams Increase endoscopy access by replacing average-risk screening colonoscopy with fecal immunochemical testing. Learn more.
	Improving Implementation of Pharmacogenetic Testing in the VA Healthcare System Led by Corrine Voils Enhance VA's capability to implement Pharmacogenetic (PGx) testing by providing actionable information to optimize adoption across the U.S. Learn more.
	Project HAPPEN: Hospital Acquired Pneumonia Prevention by Engaging Nurses Led by Shannon Munro Evaluate adoption of oral care to reduce the risk of non-ventilator associated hospital-acquired pneumonia. Learn more.
	Reducing VA Healthcare-Associated Infections through Antibiotic StEwardship (RAISE) Led by Nasia Safdar Implement evidence-based interventions to improve antibiotic stewardship and reduce healthcare-associated infections. Learn more.
	Using Data-Driven Implementation Strategies to Improve the Quality of Cirrhosis Care Led by Shari Rogal Develop a data-driven approach to selecting and tailoring implementation strategies to improve VA cirrhosis care. Learn more.