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Total Results: 282 records

Showing results for "childrens healthcare quality measures".

241. Diagnostic Errors | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors
     December 01, 2013 - Importantly, research advances have put us in a position in which we may soon be able to measure the … Further standardization and pilot implementation will be needed in order to be able to create measures … become the cornerstone of policy initiatives in the rest of patient safety; the absence of feasible measures … Even in the absence of rigorous and standard measures, 2014 provided actionable information about how

242. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet
     psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
     May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM | May 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Jacques S, Williams E. Reducing the Safety Hazar…

243. Communication During Transitions of Care | PSNet
     psnet.ahrq.gov/perspective/communication-during-transitions-care
     July 10, 2024 - Involving patients, families, and caregivers in care improves patient safety, patient satisfaction, and quality … of care. … Development and validation of the hospital-to-home-health transition quality (H3TQ) index: a novel measure

244. Mismanagement of Delirium | PSNet
     psnet.ahrq.gov/web-mm/mismanagement-delirium
     February 13, 2014 - Committee on Quality of Health Care in America, Institute of Medicine. … Cultures of urine, blood, sputum Concentrations of suspected drugs, ammonia, vitamin B12 or cortisol Measure

245. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
     August 01, 2009 - Part of that problem is that it's very hard to measure the performance of providers. … But even with measurement, if patients and payers can't make informed choices based on those measures … Some people say, "You can't measure care because every patient is different." … I don't believe that we can't measure quality in health care. … Maybe the first measures are very simple: yes or no, did a never event happen?

246. Emergency Error | PSNet
     psnet.ahrq.gov/web-mm/emergency-error
     January 18, 2013 - There is significant variability in the quality of care and outcomes between institutions. … Variation in quality of care after emergency general surgery procedures in the elderly. … Hospital June 1, 2018 Communication training, adverse events, and quality measures

247. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room | PSNet
     psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
     February 01, 2019 - Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room Citation Text: Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room. PSNet [internet]. Rockville (MD): Agency for H…

248. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet
     psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
     December 23, 2020 - In the Swiss Cheese Model, each “slice” of “cheese” represents a measure taken to enhance patient safety … in the “cheese slice.” 1    The goal of patient safety work is to continue to add “slices” of safety measures … For this case, there are four principal levels at which additional patient safety measures, “slices,” … These changes in EHR design help shrink the error “holes” in the safety measure “slices” described in

249. Fumbled Handoff | PSNet
     psnet.ahrq.gov/web-mm/fumbled-handoff
     September 01, 2006 - risk for harm.( 3 ) Although practitioners are generally effective in bridging gaps, in this case the measures

250. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet
     psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
     March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport Citation Text: MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…

251. Liver Biopsy: Proceed With Caution | PSNet
     psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
     March 07, 2012 - Review article: the prothrombin time test as a measure of bleeding risk and prognosis in liver disease

252. EMS Patient Safety in the Field | PSNet
     psnet.ahrq.gov/perspective/ems-patient-safety-field
     July 28, 2021 - role, he participates in regional, state, and national development of EMS best practices, performance measures … At the regional level, most states have developed some definitions and some quality measures. … JA: So, first there are the basic parameters by which a fire EMS service measures itself. … The ability to use correct data systems and quality measures, not over-apply quality measures, and not … There are always unexpected situations and circumstances that quality measures are not designed to take

253. Telemedicine and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
     September 01, 2016 - To make sure the quality of care is being enhanced, the cost-effectiveness of care is being enhanced,

254. Innovations | PSNet
     psnet.ahrq.gov/innovations
     February 26, 2025 - systems, tools, policies, organizational structures or business models implemented to improve or enhance quality … of care and reduce harm.” … organization developed, implemented, and sustained an innovation that has generated results enhancing quality … of care or reducing patient harm?

255. In Conversation With… Neel Shah, MD, MPP | PSNet
     psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
     October 30, 2019 - 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 … Racial/ethnic disparity in NICU quality of care delivery. Pediatrics. 2017;140:e20170918.

256. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon | PSNet
     psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
     January 29, 2021 - Quantitative monitors that can measure the TOF ratio more accurately than is possible with visual and … Quantitative assessment of the degree of paralysis by either electromyography or acceleromyography can measure … Quantitative monitors can now measure the TOF ratio precisely and are recommended by the American Society

257. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
     psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
     November 01, 2012 - did lead to the performance of additional blood tests (mostly activated partial thromboplastin time measures

258. Vial Mistakes Involving Heparin | PSNet
     psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
     May 11, 2014 - February 14, 2007 Developing a process to measure actual harm from medication errors

259. Complaints as Safety Surveillance | PSNet
     psnet.ahrq.gov/web-mm/complaints-safety-surveillance
     May 05, 2021 - There is an association between patient complaints and quality of care. … Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants … London, UK: Care Quality Commission; April 2013. [Available at] 10. … Accuracy of physician self-assessment compared with observed measures of competence: a systematic review

260. Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/application-safety-ii-principles
     August 28, 2024 - As a healthcare system, we have a lot of external objective measures of high performance in safety, such … Still, underneath those objective measures, we saw inconsistent performance and recurrent safety events