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1. 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 - Use cups that measure mL. … Use cups that measure mL. National Alert Network. … Raising concerns around dosing cups that include drams and ounces as scales—measures no longer in clinical … October 10, 2018 Request for comments on the proposed measures and 2020 targets for the … National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction

2. Measure twice, cut once. | PSNet
   psnet.ahrq.gov/issue/measure-twice-cut-once
   June 14, 2023 - 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

3. Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals? | PSNet
   psnet.ahrq.gov/issue/using-harm-based-weights-ahrq-patient-safety-selected-indicators-composite-psi-90-does-it
   March 15, 2016 - Study Using harm-based weights for the AHRQ Patient Safety for Selected Indicators … Using Harm-Based Weights for the AHRQ Patient Safety for Selected Indicators Composite (PSI-90): Does … The AHRQ Patient Safety Indicators (PSIs) use hospitals' administrative data to measure quality and … Although there was strong association between the volume-based and harm-based PSI-90 measures, use of … of the component measures.

4. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/44321/psn-pdf
   July 08, 2015 - Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. … Use cups that measure mL. July 8, 2015 National Alert Network. … https://psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids … 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

5. Patient safety: let's measure what matters. | PSNet
   psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters
   July 03, 2016 - Commentary Patient safety: let's measure what matters. … Patient safety: let's measure what matters. … The authors explain how continually adding mandated safety measures can detract from safety improvement … Patient safety: let's measure what matters. … April 16, 2014 Demonstrating high reliability on accountability measures at The Johns

6. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/45600/psn-pdf
   September 01, 2018 - - psi-90-does-it The AHRQ Patient Safety Indicators (PSIs) use hospitals' administrative data to measure … AHRQ recently restructured PSI-90 (a composite measure containing multiple distinct PSIs) from volume … study compared hospital performance using the previous PSI-90 with performance under the redesigned measure … Although there was strong association between the volume-based and harm-based PSI-90 measures, use of … of the component measures.

7. 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. … This article discusses the primary definition of value in health care and how established quality measures … Developing a measure of value in health care.

8. Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. | PSNet
   psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement
   February 07, 2024 - Study Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning … Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. … AHRQ’s Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events  supports … Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. … November 13, 2024 Developing electronic clinical quality measures to assess the cancer

9. Ventilator-associated pneumonia—the wrong quality measure for benchmarking. | PSNet
   psnet.ahrq.gov/issue/ventilator-associated-pneumonia-wrong-quality-measure-benchmarking
   March 28, 2012 - 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. … Ventilator-associated pneumonia—the wrong quality measure for benchmarking. … Health care quality and safety in a correctional system: creating goals and performance measures

10. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/839812/psn-pdf
    November 09, 2022 - 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.

11. Do HSMRs really measure patient safety?  | PSNet
    psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety
    June 22, 2009 - Special or Theme Issue Do HSMRs really measure patient safety?  … Citation Text: Do HSMRs really measure patient safety?  … Copy URL Cite Citation Citation Text: Do HSMRs really measure

12. Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure (SEP-1). | PSNet
    psnet.ahrq.gov/issue/treatment-patterns-and-clinical-outcomes-after-introduction-medicare-sepsis-performance
    October 02, 2019 - Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure … Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure … Results indicate variable changes in process measures but no improvement in clinical outcomes. … The authors suggest revising the measure with more flexible guidelines that allow clinician discretion … Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure

13. Measuring psychological safety and local learning to enable high reliability organisational change. | PSNet
    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.

14. Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. | PSNet
    psnet.ahrq.gov/issue/examining-relationship-all-cause-harm-patient-safety-measure-and-critical-performance
    May 19, 2018 - Study Examining the relationship of an all-cause harm patient safety measure and … critical performance measures at the frontline of care. … Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures … Triggers can identify errors in a specific area or more globally measure an organization's safety. … Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures

15. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. | PSNet
    psnet.ahrq.gov/issue/application-digital-quality-measure-cancer-diagnosis-epic-cosmos
    November 13, 2024 - Study Application of a digital quality measure for cancer diagnosis in Epic Cosmos … Application of a digital quality measure for cancer diagnosis in Epic Cosmos. … This study examined the use of a digital quality measure (dQM) of emergency presentation of lung cancer … Application of a digital quality measure for cancer diagnosis in Epic Cosmos. … September 25, 2024 Developing electronic clinical quality measures to assess the cancer

16. 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.

17. A systematic review of patient safety measures in adult primary care. | PSNet
    psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
    March 15, 2016 - A Systematic Review of Patient Safety Measures in Adult Primary Care. … This problem is compounded in ambulatory care , as most existing metrics have sought to measure safety … The majority of metrics sought to measure safety in medication management, with laboratory testing and … A Systematic Review of Patient Safety Measures in Adult Primary Care. … January 27, 2019 Using harm-based weights for the AHRQ Patient Safety for Selected Indicators

18. 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 identify … 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

19. 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). … Related Resources From the Same Author(s) Developing a reliable and valid patient measure … June 1, 2016 Developing a reliable and valid patient measure of safety in hospitals (

20. Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings. | PSNet
    psnet.ahrq.gov/issue/associations-between-hospital-characteristics-measure-reporting-and-centers-medicare-medicaid
    February 14, 2017 - Study Associations between hospital characteristics, measure reporting, and the Centers … Associations Between Hospital Characteristics, Measure Reporting, and the Centers for Medicare & Medicaid … These hospitals are exempt from some of the CMS quality measure reporting requirements, and thus they … Associations Between Hospital Characteristics, Measure Reporting, and the Centers for Medicare & Medicaid … June 12, 2019 Do crowdsourced hospital ratings coincide with Hospital Compare measures