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Respiratory viruses continue to circulate in Maryland, so masking remains strongly recommended when you visit Johns Hopkins Medicine clinical locations in Maryland. To protect your loved one, please do not visit if you are sick or have a COVID-19 positive test result. Get more resources on masking and COVID-19 precautions.

Armstrong Institute for Patient Safety and Quality

Improving Outcomes and Eliminating Harm

The Armstrong Institute for Patient Safety and Quality provides an infrastructure that oversees, coordinates and supports patient safety and quality efforts across Johns Hopkins' integrated health care system. Our mission is to eliminate patient harm, achieve best patient outcomes at the lowest possible cost and share that knowledge through our research and trainings.

  • Clinical Operations

    Providing highest quality and safest care at Johns Hopkins Medicine

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  • Research

    Advancing the science of safety and quality

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  • Education & Training

    Partnering with others to improve patient care

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  • Our Team

    Meet our community of safety and quality investigators

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  • About Us

    Learn about our history, the work we do and how to join the Armstrong team

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  • Donate

    Your gift can help improve patient safety and quality of care

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Our Centers of Excellence

Armstrong Institute Spotlight

Toolkit for MRSA Prevention in ICU & Non-ICU Settings

Our expert, Lisa Maragakis, M.D., worked as the Principal Investigator in a program that created this first AHRQ toolkit for MRSA Prevention.

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July 9 – 11, 2024Matt Austin Speaks at Latin American Forum on Quality and Safety in Health Care

Matt Austin, Ph.D., presents at the Institute for Healthcare Improvement’s Latin America Forum in Sao Paolo, Brazil on the Leapfrog Group’s approach to bringing greater transparency to the quality of care delivered in US hospitals.

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August 27 - 29, 2024Dr. Ayse Gurses selected as a keynote speaker at Human Systems Integration International Conference 

Ayse P. Gurses, Ph.D., M.S. has been selected as a keynote speaker at the Human Systems Integration International Conference. She will discuss the increasing and urgent need for infusing Human Systems Integration (HSI) and Human Factors Engineering (HFE) principles and methods to improve safety and quality.

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May 5 - 6, 2024Armstrong Experts Present at JHAH Annual Patient Safety Conference

Drs. Peter Najjar, Laura Sigman, Paula Kent and Angela Green presented at the Johns Hopkins Aramco Healthcare 10th Annual Patient Safety Conference in Saudi Arabia.

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Peter Najjar, Laura Sigman, Paula Kent, and Angela Green with other conference participants at the JHAH Annual Patient Safety Conference 2024

INSIGHTS FROM THE ARMSTRONG INSTITUTEVoices for Safer Care

Voices for Safer Care is a blog from the Armstrong Insititute that serves as a forum for health care professionals, patients and others who are committed to ending preventable harm, improving patients’ outcomes and experiences, and reducing waste in health care.

Visit the blog

Other Featured News and Research

The implementation of a “safety officer” program: an innovative approach to improve infection prevention and control practices in Ethiopia

In this article, Paula Kent, Dr.P.H., M.S.N., M.B.A., R.N., C.P.P.S. and  Albert Wu, M.D., and discuss that the presence of safety officers would improve hospital staff knowledge and adherence to infection prevention and control guidelines thereby reducing the infection risk and fostering a greater sense of safety among healthcare workers.
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Communication After Medical Error: The Need to Measure the Patient Experience

In this editorial, Allen Kachalia, M.D., J.D., and colleagues discuss the need to measure how well communication and resolution programs (CRPs) are implemented, their emotional outcomes of patients and how these measures help us to understand what is and isn't working when supporting patients who have been harmed.
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Hospital-to-Home-Health Transition Quality (H3TQ) Index Further Evidence on its Validity and Recommendations for Implementation

Alicia Arbaje, M.D., M.P.H., Ph.D., Yea-Jen Hsu, Ph.D., Ayse Gurses, Ph.D., Jill Marsteller, Ph.D., M.P.P., and collaborators recently published an article in Quality Management in Health Care (QMHC), which focuses on safety of transitions of care from hospital into home care. The initial development of the Hospital-to-Home-Health Transition Quality (H3TQ) instrument, a 12-question screener to assess the quality of transitional care delivery was featured in a special section of the July issue of QMHC on measurement of patient experience.
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Development of a Novel Rapid Response Event Review Process for Quality Improvement

In this study, Ben Bodnar, M.D., and partners developed and refined a protocolized system of RRT and code event review, focused on sustainable, timely and high value event analysis meant to inform ongoing improvement activities.
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Characterizing changes to older adults' care transition patterns from hospital to home care in the initial year of COVID-19

Skilled home healthcare (HH) provided in-person care to older adults during the COVID-19 pandemic, yet little is known about the pandemic's impact on HH care transition patterns. This publication investigated the pandemic's impact on HH service volume, population characteristics, and care transition patterns for older adults receiving HH services after hospital or skilled nursing facility discharge.
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Understanding the Information Needs of Pharmacy Staff Using CancelRx: A Qualitative Study of the Use of Prescription E-cancellation

In this study, Samantha Pitts, M.D., M.P.H., and colleagues leverage qualitative interviews with pharmacy staff to address the following question: When medication changes are made by a prescriber using CancelRx, what information is needed by pharmacy staff to make correct and effective decisions in their roles in medication management?
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Improving Patient Safety and Quality at Johns Hopkins and Throughout the World

The Armstrong Institute for Patient Safety and Quality’s efforts aim to champion patient safety and provide high-quality, compassionate care to all patients, at home and around the globe.

Learn about patient safety at Johns Hopkins Medicine Learn about our collaborative efforts
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Our Patient Safety and Quality Projects

The Armstrong Institute for Patient Safety and Quality leads regional, national and international projects that reduce preventable harm, improve patient and clinical outcomes, and decrease health care costs. We apply a scientific approach to improvement, employing robust measures and rigorous data-collection methods that can be broadly disseminated and sustained.

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Request Assistance for Quality and Safety Projects

Information on how to seek advice or help from the Armstrong Institute to further your research or patient safety and quality projects

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"Never Again”

Sharing his personal story of how a medical error severely impacted his life, C. Michael Armstrong, past chairman of the board of trustees of Johns Hopkins Medicine, explains his commitment to health care improvement and the creation of the Armstrong Institute for Patient Safety and Quality.

Learn about Our History
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The Power of Giving!

Our goal is to eliminate preventable harm to patients and to achieve the best patient outcomes at the lowest cost possible, and then to share knowledge of how to achieve this goal with the world.The research and improvement programs of the Armstrong Institute directly benefit patients by reducing medical errors and complications, improving clinical outcomes, and delivering care that treats patients with the dignity and respect that they deserve.

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Improving #patientsafety & health care quality @HopkinsMedicine and globally. Dedicated to eliminating harm, optimizing patient outcomes & reducing waste.

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