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psnet.ahrq.gov/issue/scoping-review-patients-attitudes-about-their-role-and-behaviours-ensure-safe-care-direct
May 19, 2021 - April 21, 2021
Expert consensus on currently accepted measures of harm.
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - of care, lower health system costs, and improved patient safety. 1 This partnering of patients and … of healthcare.” … day hospital readmissions and better patient experience scores, as well as better outcomes on quality measures … healthcare providers and patients or families can limit participation in formal partnerships to improve care … quality.
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psnet.ahrq.gov/issue/large-language-models-preventing-medication-direction-errors-online-pharmacies
February 27, 2019 - June 27, 2018
Development of patient safety measures to identify inappropriate diagnosis
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - , 2021
The Diagnostic Error Index: a quality improvement initiative to identify and measure
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psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
December 18, 2019 - November 24, 2021
The trigger tool as a method to measure harmful medication errors in
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psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
September 24, 2010 - September 24, 2010
The development and psychometric evaluation of a safety climate measure
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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - This report describes the economic impact of patient engagement, results of pilot data collection to measure
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psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
January 19, 2022 - Study
Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey.
Citation Text:
Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRN…
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psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-medications-older
March 09, 2022 - medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure
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psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department
July 07, 2021 - October 3, 2018
Repurposing clinical decision support system data to measure dosing errors … and clinician-level quality of care.
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psnet.ahrq.gov/Information/Editor
Romano's research and teaching interests focus on developing, testing, and validating health care quality … Her professional interests are grounded in medical education, optimization of quality of care, and striving … She has extensive experience managing and implementing large scale federal health care quality and patient … She has served as a contributing author for several health care quality and patient safety annual reports … He has conducted research and analysis in patient safety and healthcare quality for over eight years,
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psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration
February 14, 2006 - Psychological impact and recovery after involvement in a patient safety incident: a repeated measures
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psnet.ahrq.gov/issue/effect-nonpayment-preventable-infections-us-hospitals
July 03, 2016 - Study
Classic
Effect of nonpayment for preventable infections in U.S. hospitals.
Citation Text:
Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals. N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa120…
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psnet.ahrq.gov/toolkits
March 01, 2025 - Clinical decision support (CDS) alerts can signal the existence of conditions that degrade care quality … Share
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Agency for Healthcare … Quality and Research . 2024. … quality indicators supports the epidemiological or research program use of billing or claims data to measure … As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services
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psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
January 22, 2014 - Commentary
Classic
The wisdom and justice of not paying for "preventable complications."
Citation Text:
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…
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psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation
February 23, 2022 - Study
Evaluation of communication and safety behaviors during hospital-wide code response simulation.
Citation Text:
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…
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psnet.ahrq.gov/issue/crisis-resource-management-evaluating-outcomes-multidisciplinary-team
December 23, 2011 - Study
Crisis resource management: evaluating outcomes of a multidisciplinary team.
Citation Text:
Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d.
Co…
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - As a part of its bundles, the AIM program highlights important data collection resources and measures … These programs are focused on improving the quality of care and are highly integrated within the health … These bundles are probably the hardest to implement, measure, and monitor because they cross peoples’ … Perinatal mental health conditions are uniquely challenging to measure prevalence. … We can measure screening usually, but often we cannot measure whether a referral was actually followed
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psnet.ahrq.gov/issue/building-learning-organization
June 16, 2011 - Study
Classic
Building a learning organization.
Citation Text:
Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91.
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psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
April 12, 2011 - Study
Risk management, or just a different risk: a national survey of newborn units following a patient safety alert.
Citation Text:
Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…