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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40014/psn-pdf
    April 24, 2011 - Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure … Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure
  2. psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal
    July 19, 2019 - -year investigation into whether tracking of vital signs by nursing staff could serve as a viable measure … July 11, 2018 Perspective Missed Nursing Care: A Key Measure
  3. psnet.ahrq.gov/issue/patient-feedback-safety-improvement-primary-care-results-feasibility-study
    December 02, 2020 - This feasibility study surveyed 1,750 patients using the primary care patient measure of safety (PC … January 29, 2020 Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire
  4. psnet.ahrq.gov/issue/test-retest-reliability-experienced-global-trigger-tool-review-team
    August 03, 2022 - to reproduce harm rates in a test-retest reliability study, suggesting the GTT may not be a reliable measure … October 13, 2021 The trigger tool as a method to measure harmful medication errors in
  5. psnet.ahrq.gov/issue/health-care-work-environments-employee-satisfaction-and-patient-safety-care-provider
    October 12, 2011 - The authors sought to measure the relationship between nurse perception of patient-centeredness in their … May 27, 2011 The Safety Organizing Scale: development and validation of a behavioral measure
  6. psnet.ahrq.gov/issue/using-staff-perceptions-patient-safety-tool-improving-safety-culture-pediatric-hospital
    October 04, 2011 - describes how the AHRQ Hospital Survey on Patient Safety Culture can be used to drive initiatives, measure … July 30, 2015 Development of a pragmatic measure for evaluating and optimizing rapid
  7. psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
    July 02, 2014 - This review summarizes the evidence regarding teamwork, including strategies to measure team performance … August 4, 2021 Validation of a teamwork perceptions measure to increase patient safety
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836877/psn-pdf
    May 16, 2022 - They have developed a suite of national performance measures; there's 11 measures available on their … rural performance measures. … if I gave ketamine for sedation and then I did not measure end tidal CO2? … We see a larger space for improvement with that kind of measure. … Handtevy method3 which basically precludes complex math, so instead of basing our dosing on ideal body weights
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43118/psn-pdf
    April 16, 2014 - reduce risks around oral liquid medication administration, including assigning a standard unit of measure … than one), and ensuring that dosing mechanisms and container labels employ corresponding units of measure
  10. psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study
    October 25, 2013 - study uses the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) to measure … The limitations of using PSIs as a performance measure have been discussed in a prior study and AHRQ
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44701/psn-pdf
    June 07, 2016 - mortality, this commentary highlights limitations of hospital standardized mortality ratios as a quality measure … measuring-preventable-harm-helping-science-keep-pace-policy https://psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38866/psn-pdf
    August 19, 2009 - primer/root-cause-analysis https://psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care … https://psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41720/psn-pdf
    January 18, 2013 - Specimen labeling accuracy has been suggested as a potential patient safety measure. … psnet.ahrq.gov/primer/systems-approach https://psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
  14. psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
    November 20, 2019 - Health care organizations measure safety climate by surveying providers and staff at all levels. … They found significant variation in safety and teamwork climate scales of both tools, indicating that
  15. psnet.ahrq.gov/primer/failure-rescue
    September 15, 2024 - As a safety and quality measure, FTR has been defined as the inability to prevent death after development … Needleman and Buerhaus subsequently developed a measure of FTR from readily available administrative … , controversies about the detailed specifications of these measures continued over the subsequent decade … This new measure, retitled as “Thirty-day Risk-Standardized Death Rate among Surgical Inpatients with … The implementation of this new measure of failure-to-rescue, which is better aligned with Silber and
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50392/psn-pdf
    September 01, 2019 - RW: Did you need something embedded in statute that said that when NQF comes up with an acceptable measure … Over the years, we've created programs like endorsement, like measure selection for CMS. … to see if a measure is available that meets their needs. … RW: How does a measure get generated by you as an organization? … But we have a number of different programs that try to identify where there are critical measure gaps
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46946/psn-pdf
    January 01, 2019 - speaking-about-patient-safety-concerns-influence-safety-management- approaches-and-climate This study developed a measure … Researchers found that their measure of control-based versus commitment-based safety management was
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43001/psn-pdf
    March 19, 2014 - are widely used as a marker of health care quality, but it remains unclear how to most accurately measure … /variability-measurement-hospital-wide-mortality-rates https://psnet.ahrq.gov/issue/do-hsmrs-really-measure-patient-safety
  19. psnet.ahrq.gov/issue/healthgrades-quality-study-fifth-annual-patient-safety-american-hospitals-study
    August 27, 2013 - study uses the Agency for Healthcare and Research Quality (AHRQ) Patient Safety Indicators (PSIs) to measure … The limitations of using PSIs as a performance measure have been discussed in a prior study and AHRQ
  20. psnet.ahrq.gov/issue/defining-and-measuring-diagnostic-uncertainty-medicine-systematic-review
    June 21, 2018 - Strategies to measure diagnostic uncertainty included assessing clinician perceptions through survey … Related Resources From the Same Author(s) Electronic health record reviews to measure

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