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1. Measure twice, cut once. | PSNet
   psnet.ahrq.gov/issue/measure-twice-cut-once
   July 13, 2022 - Commentary Measure twice, cut once. Citation Text: Atkinson WK. … Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004. … Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004. … associated with self-reported commitment to, subjective norms toward, and knowledge about preventive measures … Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales

2. Patient safety: let's measure what matters. | PSNet
   psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters
   February 01, 2023 - Commentary Patient safety: let's measure what matters. … Patient safety: let's measure what matters. … Patient safety: let's measure what matters. … Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales … August 17, 2016 Reviewing deaths in British and US hospitals: a study of two scales for

3. Developing a patient measure of safety (PMOS). | PSNet
   psnet.ahrq.gov/issue/developing-patient-measure-safety-pmos
   June 25, 2014 - Study Developing a patient measure of safety (PMOS). … Developing a patient measure of safety (PMOS). … Developing a patient measure of safety (PMOS). … October 9, 2013 Communication training, adverse events, and quality measures: 2 retrospective … August 24, 2016 Reviewing deaths in British and US hospitals: a study of two scales for

4. Developing a measure of value in health care. | PSNet
   psnet.ahrq.gov/issue/developing-measure-value-health-care
   February 10, 2021 - Commentary Developing a measure of value in health care. … Developing a measure of value in health care. Value Health. 2016;19(4):323-325. … This article discusses the primary definition of value in health care and how established quality measures … Developing a measure of value in health care. Value Health. 2016;19(4):323-325. … December 15, 2021 Measures and measurement of high-performance work systems in health

5. Patient Safety Structural Measure Specifications. | PSNet
   psnet.ahrq.gov/issue/patient-safety-structural-measure-specifications
   July 14, 2021 - Organizational Policy/Guidelines Patient Safety Structural Measure Specifications … This document outlines a multi-domain series of draft structural measures for use in Centers for Medicare … June 28, 2023 Concurrent and Overlapping Surgeries: Additional Measures Warranted. … 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures … June 14, 2023 Underreporting of quality measures and associated facility characteristics

6. Development of an instrument to measure the unintended consequences of EHRs. | PSNet
   psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs
   June 22, 2011 - Commentary Development of an instrument to measure the unintended consequences of … Development of an Instrument to Measure the Unintended Consequences of EHRs. … This commentary describes how existing data was used to develop a tool to measure unintended consequences … Development of an Instrument to Measure the Unintended Consequences of EHRs.

7. Ventilator-associated pneumonia—the wrong quality measure for benchmarking. | PSNet
   psnet.ahrq.gov/issue/ventilator-associated-pneumonia-wrong-quality-measure-benchmarking
   December 19, 2007 - Ventilator-associated pneumonia--the wrong quality measure for benchmarking. … This commentary asserts that, until objective outcome measures are developed, ventilator-associated pneumonia …  rates should not be used as a measure to reward quality of care. … Health care quality and safety in a correctional system: creating goals and performance measures … Health care quality and safety in a correctional system: creating goals and performance measures

8. Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. | PSNet
   psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids-fluid-drams-use-cups
   April 01, 2015 - /Announcement Move toward full use of metric dosing: eliminate dosage cups that measure … Use cups that measure mL. Citation Text: National Alert Network. … Raising concerns around dosing cups that include drams and ounces as scales—measures no longer in clinical … may be found in health care facilities, this announcement recommends use of oral syringes that only measure

9. An organization-specific and modifiable inpatient safety composite measure. | PSNet
   psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
   June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure … An Organization-Specific and Modifiable Inpatient Safety Composite Measure. … This commentary describes how one health system developed and utilized an inpatient safety composite measure … An Organization-Specific and Modifiable Inpatient Safety Composite Measure. … September 7, 2005 Failure-to-rescue: comparing definitions to measure quality of care

10. Effect of a hospital-wide measure on the readmissions reduction program. | PSNet
    psnet.ahrq.gov/issue/effect-hospital-wide-measure-readmissions-reduction-program
    March 09, 2016 - Study Effect of a hospital-wide measure on the readmissions reduction program. … Effect of a Hospital-wide Measure on the Readmissions Reduction Program. … program in decreasing readmissions and some have argued for expansion to a hospital-wide readmission measure … Using Medicare claims data, investigators concluded that transitioning to a hospital-wide readmission measure … Effect of a Hospital-wide Measure on the Readmissions Reduction Program.

11. Do HSMRs really measure patient safety?  | PSNet
    psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety
    August 01, 2012 - Special or Theme Issue Do HSMRs really measure patient safety?  … August 24, 2016 A systematic review of patient safety measures in adult primary care. … December 18, 2013 Demonstrating high reliability on accountability measures at The Johns

12. Development of a measure of patient safety event learning responses. | PSNet
    psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
    April 14, 2010 - Study Development of a measure of patient safety event learning responses. … Development of a measure of patient safety event learning responses. … Development of a measure of patient safety event learning responses. … January 9, 2013 The H-PEPSS: an instrument to measure health professionals' perceptions … September 9, 2020 Reviewing deaths in British and US hospitals: a study of two scales

13. Hospital mortality: when failure is not a good measure of success. | PSNet
    psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success
    March 30, 2011 - Commentary Hospital mortality: when failure is not a good measure of success. … Hospital mortality: when failure is not a good measure of success. … This commentary discusses the limitations of using hospital standardized mortality ratios as a measure … Hospital mortality: when failure is not a good measure of success. … May 13, 2021 An organization-specific and modifiable inpatient safety composite measure

14. Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. | PSNet
    psnet.ahrq.gov/issue/association-adverse-events-opioid-addiction-treatment-quality-measure-continuity
    November 11, 2020 - Study Association of adverse events in opioid addiction treatment with quality measure … Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy … This study found that providers or practices with higher quality measure scores of MAT continuity (percentage … medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure … Health care quality and safety in a correctional system: creating goals and performance measures

15. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. | PSNet
    psnet.ahrq.gov/issue/validation-primary-care-patient-measure-safety-pc-pmos-questionnaire
    June 25, 2014 - Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. … This measure validation study examined the reliability and validity of a patient-reported measure of … March 18, 2009 The National Healthcare Safety Network's digital quality measures: CDC's … automated measures for surveillance of patient safety. … July 29, 2020 A systematic review of patient-report safety climate measures in health

16. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet
    psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
    April 06, 2022 - Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety … The Measure Dx tool provides teams with guidance and strategies to detect and learn from diagnostic … September 22, 2010 Selecting Quality and Resource Use Measures: A Decision Guide for

17. Measure Dx: implementing pathways to discover and learn from diagnostic errors. | PSNet
    psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors
    August 25, 2021 - Commentary Measure Dx: implementing pathways to discover and learn from diagnostic … Measure Dx: Implementing pathways to discover and learn from diagnostic errors. … This commentary introduces Measure Dx , a tool providing guidance for health care organizations to … Measure Dx: Implementing pathways to discover and learn from diagnostic errors. … Related Resources From the Same Author(s) Validation of an electronic trigger to measure

18. Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. | PSNet
    psnet.ahrq.gov/issue/sepsis-quality-safety-net-hospitals-analysis-medicares-sep-1-performance-measure
    May 05, 2021 - Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. … Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. … February 12, 2020 Developing a measure of value in health care. … May 12, 2021 Measures and measurement of high-performance work systems in health care … Health care quality and safety in a correctional system: creating goals and performance measures

19. Electronic health record reviews to measure diagnostic uncertainty in primary care. | PSNet
    psnet.ahrq.gov/issue/electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care
    October 18, 2017 - Study Electronic health record reviews to measure diagnostic uncertainty in primary … Electronic health record reviews to measure diagnostic uncertainty in primary care. … Electronic health record reviews to measure diagnostic uncertainty in primary care. … December 6, 2023 Developing electronic clinical quality measures to assess the cancer … Delayed Diagnoses of Cancer July 31, 2023 Developing electronic clinical quality measures

20. Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. | PSNet
    psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos-validation-study
    December 21, 2016 - 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. … April 20, 2016 Developing a patient measure of safety (PMOS). … June 29, 2005 Measures of patient safety in developing and emerging countries: a review … August 10, 2016 Reviewing deaths in British and US hospitals: a study of two scales for