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psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
July 11, 2018 - previous WebM&M commentary discussed the unintended consequences associated with publicly reported health … care quality measures. … 2009
Failure to administer recommended chemotherapy: acceptable variation or cancer care … quality blind spot? … January 11, 2017
Childrens' Hospitals' Solutions for Patient Safety.
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psnet.ahrq.gov/issue/measurement-ambulatory-medication-errors-children-scoping-review
February 07, 2024 - This scoping review explored the use of measures to capture pediatric medication errors in ambulatory … The authors identified 142 studies evaluating 21 measures of medication errors, including measures of … Only 31 studies assessed measure reliability.
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety
January 09, 2024 - Multi-use Website
Childrens' Hospitals' Solutions for Patient Safety. … Copy URL
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National Healthcare … Quality and Disparities Reports.
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psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
August 03, 2022 - Study
The trigger tool as a method to measure harmful medication errors in children … The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. … The Trigger Tool as a Method to Measure Harmful Medication Errors in Children.
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psnet.ahrq.gov/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability-organisational
May 05, 2021 - This children’s hospital developed two scales (trust in team members and trust in leadership) and one … composite measure (local learning) to measure staff psychological safety and evaluate the effectiveness … More than 4,500 health system staff completed the survey; results indicate the two scales are strongly … associated with the composite measure.
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psnet.ahrq.gov/issue/targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research
April 11, 2011 - January 29, 2015
Sustaining reliability on accountability measures at the Johns Hopkins … January 27, 2016
Demonstrating high reliability on accountability measures at The Johns … The impact of electronic medical records data sources on an adverse drug event quality measure
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psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens
July 14, 2010 - July 14, 2010
Exploratory analyses of the "failure to rescue" measure: evaluation through … The impact of electronic medical records data sources on an adverse drug event quality measure
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psnet.ahrq.gov/issue/request-information-regarding-impact-ageism-healthcare
January 15, 2025 - Agency for Healthcare Quality and Research. Fed Register. December 27, 2024. 89:105605-105606. … Ageism can negatively impact a person’s healthcare experience and the quality of care they receive … This call for public comment seeks to understand the impacts of ageism on healthcare quality, including … Agency for Healthcare Quality and Research. Fed Register. December 27, 2024. 89:105605-105606. … December 18, 2024
Care quality and safety in long-term aged care settings: a systematic
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psnet.ahrq.gov/issue/pediatric-quality-indicators-overview
December 24, 2008 - The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality measures … The Pediatric Quality Indicators focus on quality of care inside hospitals and identify potentially avoidable
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psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility
May 20, 2020 - Commentary
Measuring safety of healthcare: an exercise in futility?
Citation Text:
Sauro K, Ghali WA, Stelfox HT. Measuring safety of healthcare: an exercise in futility? BMJ Qual Saf. 2019;29(4):341-344. doi:10.1136/bmjqs-2019-009824.
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psnet.ahrq.gov/issue/disparities-racial-ethnic-and-payer-groups-pediatric-safety-events-us-hospitals
February 21, 2024 - using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures
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psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement
November 14, 2011 - proactively reduce conditions that contribute to preventable patient harm through innovative use of quality measures
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psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates
October 19, 2022 - Study
Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.
Citation Text:
Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardsh…
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psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric
February 15, 2023 - A recent AHRQ WebM&M commentary discusses the emergence of trigger tools as a patient safety measure … June 12, 2013
Adverse event rates as measures of hospital performance.
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psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos-validation-study
January 19, 2014 - Study
Developing a reliable and valid patient measure of safety in hospitals (PMOS … Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. … This study reports on the validation of the Patient Measure of Safety survey tool, designed to elicit … Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. … July 22, 2013
Developing a patient measure of safety (PMOS).
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psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
March 09, 2022 - Review
Electronic health record nudges and health care quality and outcomes in primary … Electronic health record nudges and health care quality and outcomes in primary care: a systematic review … Results show nudges improve specific aspects of healthcare quality, but most studies reported only process … measures—whether the nudge was accepted— not the impact on patient safety. … Electronic health record nudges and health care quality and outcomes in primary care: a systematic review
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psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
May 15, 2013 - Study
Measuring harm in health care: optimizing adverse event review.
Citation Text:
Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review. Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679.
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Systemic Safety: Non-technical Considerations
Even with implementation of all available preventive measures
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psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing
September 18, 2024 - July 13, 2022
Repurposing clinical decision support system data to measure dosing errors … and clinician-level quality of care.
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psnet.ahrq.gov/issue/instruments-patient-safety-assessment-scoping-review
October 12, 2022 - This scoping review includes 63 studies that collectively reported on 47 instruments or scales used to … March 9, 2022
Moving towards a core measures set for patient safety in perioperative … October 18, 2023
Relationship of the nursing practice environment with the quality of … care and patients' safety in primary health care. … of care: a scoping review.