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301. Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. | PSNet
     psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among
     November 26, 2014 - This measure provides insight into the intensity of teaching at a given institution rather than defining … December 12, 2012 Failure-to-rescue: comparing definitions to measure quality of care

302. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
     December 14, 2022 - We develop or maintain measures ourselves or utilize measures developed by other “ measure stewards ” … For example, AHRQ is an important measure steward for some patient experience measures and the patient … Many people look to our websites, including the Care Compare sites, which provide performance measure … We measure the glycated hemoglobin and control of blood sugar. … , a measure that was recently added by CMS to its Hospital Inpatient Quality Reporting Program .

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865610/psn-pdf
     April 24, 2024 - The measure included 1) an ED visit or hospitalization due to suicidal ideation/behavior or 2) death … by suicide in the six months after the index visit.3 The composite measure improved over the three … Staff to measure and report results: at least one person with data related skills who can use the EHR … performance, identifies gaps, creates ways to remediate gaps, implements, and evaluates remediation measures … The innovator conducted spot checks using the same measures that were created during the gap analysis

304. How often are potential patient safety events present on admission? | PSNet
     psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-present-admission
     January 26, 2022 - ulcers, postoperative hip fractures, and postoperative thromboembolic events all appear as invalid measures … August 29, 2011 Repurposing clinical decision support system data to measure dosing errors … September 25, 2008 Do HSMRs really measure patient safety? 

305. Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
     June 04, 2014 - As readmission rates are proving to be a problematic measure of discharge safety, screening for adverse … September 25, 2019 Using harm-based weights for the AHRQ Patient Safety for Selected … June 4, 2014 Demonstrating high reliability on accountability measures at The Johns Hopkins

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60164/psn-pdf
     March 25, 2020 - https://psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report The development of effective measures … This report contributes to a long-standing initiative to define an evolving set of measures to respond … psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure

307. Adherence to recommended electronic health record safety practices across eight health care organizations. | PSNet
     psnet.ahrq.gov/issue/adherence-recommended-electronic-health-record-safety-practices-across-eight-health-care
     May 20, 2019 - July 14, 2010 Electronic health record reviews to measure diagnostic uncertainty in primary … April 24, 2018 Examining the relationship of an all-cause harm patient safety measure … and critical performance measures at the frontline of care.

308. Patient Safety During Hospital Discharge | PSNet
     psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
     April 01, 2018 - at particular actions, the denominators for these measures shrink, the ability to measure a process … In fact, it turned out that the measure results from claims were highly correlated with measure results … We were reluctant because we felt that a payment measure needs to be surrounded by other measures that … Here you have a safety or quality measure and an efficiency measure that now influences every hospital … But, we have been awash in measures, and there can be some measure fatigue.

309. Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. | PSNet
     psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
     December 21, 2014 - ) for ease of use, data accuracy, and consistency of hospital rankings for several surgical quality measures … July 6, 2022 Repurposing clinical decision support system data to measure dosing errors … November 14, 2011 Adherence to Surgical Care Improvement Project measures and the association … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure

310. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. | PSNet
     psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
     September 25, 2011 - May 25, 2022 Patient safety: let's measure what matters. … The impact of electronic medical records data sources on an adverse drug event quality measure … increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures

311. Medication Safety Certificate Program. | PSNet
     psnet.ahrq.gov/issue/medication-safety-certificate-program
     September 30, 2020 - April 1, 2015 Move toward full use of metric dosing: eliminate dosage cups that measure … Use cups that measure mL.

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33902/psn-pdf
     December 22, 2014 - National Quality Measures Clearinghouse (NQMC). … https://psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc This web-accessible database …  provided access to evidence-based quality measures and measure sets. … The mission of the National Quality Measures Clearinghouse (NQMC) was to provide practitioners, health … https://psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43643/psn-pdf
     November 04, 2014 - events are most likely with liquid medications and often occur because of confusion with units of measure … American Academy of Pediatrics guidelines on standardized units of measure may address some of these

314. From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. | PSNet
     psnet.ahrq.gov/issue/board-bedside-how-application-financial-structures-safety-and-quality-can-drive
     January 29, 2015 - article described Johns Hopkins' success at achieving consistently high performance on accountability measures … January 29, 2015 Sustaining reliability on accountability measures at the Johns Hopkins … January 27, 2016 Demonstrating high reliability on accountability measures at The Johns … August 8, 2018 Developing a measure of value in health care. … November 29, 2017 Effect of a hospital-wide measure on the readmissions reduction program

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858173/psn-pdf
     December 13, 2023 - This scoping review explored the use of measures to capture pediatric medication errors in ambulatory … The authors identified 142 studies evaluating 21 measures of medication errors, including measures of … Only 31 studies assessed measure reliability.

316. Implementing the Safety Thermometer tool in one NHS trust. | PSNet
     psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
     March 19, 2019 - May 13, 2020 An organization-specific and modifiable inpatient safety composite measure … August 12, 2016 Patient safety: let's measure what matters.

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42695/psn-pdf
     August 02, 2015 - Composite measures for profiling hospitals on bariatric surgery performance. … Composite measures for profiling hospitals on bariatric surgery performance. … https://psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance This … This measure was more closely associated with future performance than other surgical quality measures … https://psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance https

318. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
     psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
     September 24, 2024 - What is your reaction to CMS putting that into a proposed quality measure? … The Patient Safety Structural Measure is an attestation-based measure that encourages hospitals to assess … While the CMS Patient Safety Structural Measure includes the goal of zero preventable harm, it frames … The CMS structural measure is a push in the right direction and in the right way.  … Skeptics of zero harm suggest that it is impossible to measure preventable harm reliably and that the

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33781/psn-pdf
     March 01, 2015 - At the time I was trying to work out what to allocate to each hospital and what measures of quality … We eventually got the reports that said you cannot accurately measure morbidity. … So we didn't do the morbidity measures. … And we hope that people will use the measures to introduce improvements. … We also say that HSMR is not the measure of the quality of the hospital.

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43675/psn-pdf
     April 18, 2016 - https://psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report The value of current measures … information about a consensus-driven initiative to evaluate the reliability of existing patient safety measures … psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report https://psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters