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21. 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. … The 703 safety-net hospitals performed worse on the CMS SEP-1 quality measure and this association was … Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. … February 12, 2020 Validity of unplanned admission to an intensive care unit as a measure

22. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. | PSNet
    psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure
    May 08, 2017 - Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure … commentary shares the potential for the unintended consequences of reporting on flawed performance measures … The authors discuss the background data for this particular quality measure, how it was translated into … AHRQ WebM&M commentary discussed the unintended consequences of achieving a good report card on such measures

23. The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. | PSNet
    psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety-and-reduced-risk
    October 30, 2019 - Book/Report The STOP Measure. … Citation Text: The STOP Measure. … This report outlines use of a measure to assess adherence to six of the recommendations in the Centers … Copy URL Cite Citation Citation Text: The STOP Measure

24. 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.

25. 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 - Study Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire … 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 … Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. … August 21, 2015 Developing a primary care patient measure of safety (PC PMOS): a modified

26. "Canary measures" among the AHRQ Patient Safety Indicators. | PSNet
    psnet.ahrq.gov/issue/canary-measures-among-ahrq-patient-safety-indicators
    November 27, 2012 - Study "Canary measures" among the AHRQ Patient Safety Indicators. … "Canary measures" among the AHRQ patient safety indicators. … The PSI "selected infections due to medical care" (a measure of health care–associated infections ) … appeared to be the best single measure for this indication. … "Canary measures" among the AHRQ patient safety indicators.

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46806/psn-pdf
    January 01, 2020 - Examining the relationship of an all-cause harm patient safety measure and critical performance measures … Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures … https://psnet.ahrq.gov/issue/examining-relationship-all-cause-harm-patient-safety-measure-and-critical … Triggers can identify errors in a specific area or more globally measure an organization's safety. … The authors suggest that their tool could serve as a composite measure of patient safety, replacing

28. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. | PSNet
    psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure-diagnostic-errors
    July 14, 2021 - Study The Diagnostic Error Index: a quality improvement initiative to identify and measure … The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors … describes one large pediatric hospital's experience using a systematic methodology to  identify  and measure … The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors … November 16, 2022 Repurposing clinical decision support system data to measure dosing

29. 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
    March 09, 2022 - 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 … Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy … medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure

30. In Conversation With… Christine Cassel, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-christine-cassel-md
    February 26, 2025 - and additional measures used in public reports and other public programs, HHS created the Measure Applications … RW : The sepsis measure came under some scrutiny recently. … RW : You might look at a measure and say this is a good, important measure. … They are tricky to measure, and given the profusion of measures in safety that your organization does … But it's very hard to measure something that doesn't happen.

31. The impact of electronic medical records data sources on an adverse drug event quality measure. | PSNet
    psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure
    July 31, 2013 - The impact of electronic medical records data sources on an adverse drug event quality measure … The impact of electronic medical records data sources on an adverse drug event quality measure. … This study found that the rate of a trigger tool–based drug safety quality measure varied widely depending … The impact of electronic medical records data sources on an adverse drug event quality measure. … Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure

32. Hospital mortality: when failure is not a good measure of success. | PSNet
    psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success
    December 22, 2010 - 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. … November 24, 2010 Do HSMRs really measure patient safety? 

33. The host hospital 24-hour underreferral rate: an automated measure of call-center safety. | PSNet
    psnet.ahrq.gov/issue/host-hospital-24-hour-underreferral-rate-automated-measure-call-center-safety
    September 23, 2020 - Study The host hospital 24-hour underreferral rate: an automated measure of call-center … The host hospital 24-hour underreferral rate: an automated measure of call-center safety. … The study authors advocate for using the under-referral rate as a measure of call center quality of care … The host hospital 24-hour underreferral rate: an automated measure of call-center safety.

34. Effect of a hospital-wide measure on the readmissions reduction program. | PSNet
    psnet.ahrq.gov/issue/effect-hospital-wide-measure-readmissions-reduction-program
    February 14, 2017 - 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.

35. Developing electronic clinical quality measures to assess the cancer diagnostic process. | PSNet
    psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
    December 18, 2024 - Study Developing electronic clinical quality measures to assess the cancer diagnostic … Developing electronic clinical quality measures to assess the cancer diagnostic process. … Each measure used data from the electronic health record (EHR) to identify abnormal test results, evidence … The authors describe the measure testing results and outline the challenges in working with unstructured … Developing electronic clinical quality measures to assess the cancer diagnostic process.

36. 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
    January 19, 2014 - 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. … This study reports on the validation of the Patient Measure of Safety survey tool, designed to elicit … Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. … July 22, 2013 Developing a patient measure of safety (PMOS).

37. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. | PSNet
    psnet.ahrq.gov/issue/developing-primary-care-patient-measure-safety-pc-pmos-modified-delphi-process-and-face
    August 21, 2015 - Study Developing a primary care patient measure of safety (PC PMOS): a modified Delphi … Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity … This tool expanded the previously developed patient measure of safety questionnaire to include four … Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity … May 1, 2019 Developing a reliable and valid patient measure of safety in hospitals (PMOS

38. 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
    August 01, 2012 - Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety … Citation Text: Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events … The Measure Dx tool provides teams with guidance and strategies to detect and learn from diagnostic … Linkedin Copy URL Cite Citation Citation Text: Measure

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49678/psn-pdf
    March 01, 2013 - a need for many pediatric care environments—especially outside of children's hospitals—to upgrade scales … (in the US) live in a non–metric- based society, we wish to communicate with families in units of measure … Still, I and the organizations listed above believe it is safest and should be standard of practice to measure … such provider-targeted, and consumer-focused, solutions come to market, including integrated digital scales … the following: (i) All providers that care for children should have access to infant and pediatric scales

40. 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
    August 20, 2018 - Study Electronic health record reviews to measure diagnostic uncertainty in primary … Electronic health record reviews to measure diagnostic uncertainty in primary care. … Diagnostic error is a type of preventable harm that is particularly difficult to measure . … Electronic health record reviews to measure diagnostic uncertainty in primary care. … March 19, 2018 Validation of an electronic trigger to measure missed diagnosis of stroke