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121. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet
     psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety
     January 23, 2017 - Study Navigating a ship with a broken compass: evaluating standard algorithms to measure … Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. … The AHRQ Patient Safety Indicators (PSIs) represent quality measures derived from administrative data … Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety.

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33596/psn-pdf
     June 01, 2025 - Needleman and Buerhaus subsequently developed a measure of FTR from readily available administrative … This measure, sometimes referred to as "failure-to-rescue—nursing," was shown to be associated with … , controversies about the detailed specifications of these measures continued over the subsequent decade … The implementation of this new measure of failure-to-rescue, which is better aligned with Silber and … https://p4qm.org/measures/4125 https://www.cms.gov/newsroom/fact-sheets/fy-2025-hospital-inpatient-prospective-payment-system-ipps-and-long-term-care-hospital-prospective

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37962/psn-pdf
     September 12, 2016 - Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. … Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. … https://psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical- … https://psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical-record-review … https://psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical-record-review

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37956/psn-pdf
     July 30, 2008 - Hospital mortality: when failure is not a good measure of success. … Hospital mortality: when failure is not a good measure of success. … https://psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success This commentary … discusses the limitations of using hospital standardized mortality ratios as a measure of the quality … https://psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success https://psnet.ahrq.gov

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39487/psn-pdf
     April 28, 2010 - Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure … Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure … psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team- emergency-assessment-measure … psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure … psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38405/psn-pdf
     February 11, 2009 - Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. … Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. … https://psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills … https://psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge … https://psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42746/psn-pdf
     November 20, 2013 - Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable … Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable … https://psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability … https://psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable … https://psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40151/psn-pdf
     January 19, 2011 - The development and psychometric evaluation of a safety climate measure for primary care. … The development and psychometric evaluation of a safety climate measure for primary care. … https://psnet.ahrq.gov/issue/development-and-psychometric-evaluation-safety-climate-measure-primary- … https://psnet.ahrq.gov/issue/development-and-psychometric-evaluation-safety-climate-measure-primary-care … https://psnet.ahrq.gov/issue/development-and-psychometric-evaluation-safety-climate-measure-primary-care

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35235/psn-pdf
     September 27, 2017 - What is the measure of a safe hospital? … What is the measure of a safe hospital? … https://psnet.ahrq.gov/issue/what-measure-safe-hospital-medication-errors-missed-risk-management- clinical-staff-and … https://psnet.ahrq.gov/issue/what-measure-safe-hospital-medication-errors-missed-risk-management-clinical-staff-and … https://psnet.ahrq.gov/issue/what-measure-safe-hospital-medication-errors-missed-risk-management-clinical-staff-and

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37334/psn-pdf
     February 01, 2011 - conceptual model to guide organizations in developing their safety scorecard and understanding the measures … A worksheet is provided that focuses on three questions: Is the measure important? … , Is the measure valid?, and Can this measure be used to improve safety in the organization?

131. Application of electronic trigger tools to identify targets for improving diagnostic safety. | PSNet
     psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
     January 26, 2022 - and implementation of electronic trigger tools that use electronic health record data to detect and measure … December 21, 2017 Validation of an electronic trigger to measure missed diagnosis of … September 21, 2022 Validation of an electronic trigger to measure missed diagnosis of

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37225/psn-pdf
     December 15, 2011 - Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment … Development of an instrument to measure seniors’ patient safety health beliefs: The Seniors Empowerment … https://psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs- seniors-empowerment-and … https://psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and … https://psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41457/psn-pdf
     August 02, 2012 - The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence … The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence … https://psnet.ahrq.gov/issue/h-pepss-instrument-measure-health-professionals-perceptions-patient-safety … https://psnet.ahrq.gov/issue/h-pepss-instrument-measure-health-professionals-perceptions-patient-safety-competence-entry … https://psnet.ahrq.gov/issue/h-pepss-instrument-measure-health-professionals-perceptions-patient-safety-competence-entry

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44046/psn-pdf
     August 21, 2015 - Development of an instrument to measure the unintended consequences of EHRs. … Development of an Instrument to Measure the Unintended Consequences of EHRs. … https://psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs Electronic … This commentary describes how existing data was used to develop a tool to measure unintended consequences … https://psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs https://psnet.ahrq.gov

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41247/psn-pdf
     April 06, 2012 - Development of a pragmatic measure for evaluating and optimizing rapid response systems. … Development of a pragmatic measure for evaluating and optimizing rapid response systems. … https://psnet.ahrq.gov/issue/development-pragmatic-measure-evaluating-and-optimizing-rapid-response- … https://psnet.ahrq.gov/issue/development-pragmatic-measure-evaluating-and-optimizing-rapid-response-systems … https://psnet.ahrq.gov/issue/development-pragmatic-measure-evaluating-and-optimizing-rapid-response-systems

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41423/psn-pdf
     January 03, 2017 - Improving documentation of a beta-blocker quality measure through an anesthesia information management … Improving documentation of a beta-blocker quality measure through an anesthesia information management … https://psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia- … https://psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information … https://psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40806/psn-pdf
     October 31, 2011 - How best to measure surgical quality? … How best to measure surgical quality? … https://psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research- … https://psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient … https://psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient

138. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
     November 01, 2006 - HQA: Current Measure Set Heart Attack (Acute Myocardial Infarction or AMI) • Aspirin at arrival • Aspirin … HQA: Current Measure Set (cont.) … HQA: Current Measure Set (cont.) … HQA: Current Measure Set (cont.) … instead of process outcomes: if the association between the process measure and the desired outcome

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35551/psn-pdf
     June 08, 2010 - Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical … Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical … https://psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety- … https://psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients … https://psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42448/psn-pdf
     July 24, 2013 - Measure twice, cut once. July 24, 2013 Atkinson WK. Measure twice, cut once. … https://psnet.ahrq.gov/issue/measure-twice-cut-once This piece relates how focusing on quality, education … https://psnet.ahrq.gov/issue/measure-twice-cut-once https://psnet.ahrq.gov/issue/standardize-4-safety