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psnet.ahrq.gov/Information/Panel
January 01, 2012 - In this role, she oversees all quality of care and regulatory programs for the health plan and provider … Influential research products include over 100 evidence-based national quality, prevention, and safety measures … After her father died from medical errors, she has become a patient advocate promoting quality of care
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility
measures
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psnet.ahrq.gov/issue/medication-safety-amid-technological-change-usability-evaluation-inform-inpatient-nurses
March 22, 2023 - Study
Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition.
Citation Text:
Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nur…
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psnet.ahrq.gov/issue/allocation-physician-time-ambulatory-practice-time-and-motion-study-four-specialties
August 26, 2020 - June 14, 2017
Developing a process to measure actual harm from medication errors in paediatric
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psnet.ahrq.gov/issue/patients-perspective-hematological-cancer-patients-experiences-adverse-events-part-care
December 01, 2019 - December 16, 2020
The trigger tool as a method to measure harmful medication errors in … 10, 2022
Is there a mismatch between the perspectives of patients and regulators on healthcare … quality?
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psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm.
Citation Text:
Bohringer C. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm.. PSNet [internet]. Rockville (MD): Agency for He…
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - Study
Moving towards a core measures set for patient safety in perioperative care … Standardized measures allow for comparison between facilities. … This article describes the development of a “Core Measures Set” that should be measured and reported … Subject-matter experts and patients agreed on 85 measures. … 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/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - In: Patient Advocacy for Health Care Quality: Strategies for Achieving Patient-Centered Care. … experience in other industries, I firmly believe the aphorism that you cannot improve what you don't measure … There are many valid complaints about how useful the measures are, but you have to start somewhere. … cannot turn it into a numbers game; you have to be looking at the actual change that the numbers will measure … 2024
Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - Racial/ethnic disparity in NICU quality of care delivery. Pediatrics. 2017;140:e20170918. … NS: Right now, there are efforts to try to figure out how we measure patient experience with something … Whether it's C-sections or maternal mortality, any one measure is really the canary in the coal mine … December 21, 2018
The correlation between neonatal intensive care unit safety culture and quality … of care.
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - Understand the measures to safely place a PICC line and prevent PICC line breakage.
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - I submitted a quality measure to the National Quality Forum that provides a really simple framework for … facilities with the same equipment on patients, adults and children, using the National Quality Forum measure
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - August 4, 2021
Measures of patient safety in developing and emerging countries: a review
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psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates
August 15, 2016 - October 23, 2024
Development and psychometric analysis of a patient-reported measure
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - experience negative emotional reactions to strangers and pain. 6 Levels of sedation Nearly all sedation scales
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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - Hemolysis Holdup
Citation Text:
Lehman CM. Hemolysis Holdup. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Selecting relevant quality measures and ongoing collection, tracking, and evaluation of data to assess … Associate Editor, AHRQ's Patient Safety Network (PSNet) Professor of Pediatrics and Medical Director for Healthcare … Quality UC Davis Health ushaikh@ucdavis.edu
This project was funded under contract number … December 9, 2020
Using an online quiz-based reinforcement system to teach healthcare … quality and patient safety and care transitions at the University of California.
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
August 10, 2022 - December 21, 2022
Association of adverse events in opioid addiction treatment with quality measure
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psnet.ahrq.gov/issue/detectability-medication-errors-stoppstart-based-medication-review-older-people-prior
August 18, 2021 - Study
Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission.
Citation Text:
Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START-ba…
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - Additionally, he serves as the Director of the Texas Center for Oral Healthcare Quality and Safety. … , including both process measures as well as outcome measures. … They understand that without it, they can’t drive or measure quality. … Additionally, he serves as the Director of the Texas Center for Oral Healthcare Quality and Safety. … Quality and Safety
University of Texas Health Science Center at Houston, School of Dentistry
Houston
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - slightly longer, yet still efficient, tools like the Patient Health Questionnaire-9 (PHQ-9), which is a measure