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  1. psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
    June 13, 2018 - April 1, 2015 Move toward full use of metric dosing: eliminate dosage cups that measure … Use cups that measure mL.
  2. psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
    September 27, 2017 - September 27, 2017 Development and psychometric testing of a tool to measure missed nursing … November 28, 2018 Perspective Missed Nursing Care: A Key Measure
  3. psnet.ahrq.gov/issue/piece-my-mind-im-sorry
    November 22, 2017 - Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure … Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure
  4. psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
    September 24, 2024 - So, if the C-suite says our goal is zero preventable harm and we're going to measure that and hold you … Sarah Mossburg:  The proposed CMS Patient Safety Structural Measure includes a specification that the … I have looked at the other structural measures, and I think they are fantastic. … I really like the movement towards structural measures as opposed to the discrete measures of outcomes … I like many of the structural measures, like the one about a commitment to transparency with patients
  5. psnet.ahrq.gov/issue/how-safe-are-outpatient-electronic-health-records-evaluation-medication-related-decision
    March 17, 2021 - December 11, 2024 How intervention studies measure the effectiveness of medication safety-related … medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33854/psn-pdf
    March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety March 1, 2018 Ball JE, Griffiths P. … Missed Nursing Care: A Key Measure for Patient Safety. PSNet [internet]. 2018. … https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety Perspective Errors … theory, missed care is a key mechanism https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867532/psn-pdf
    January 15, 2025 - quality indicators supports the epidemiological or research program use of billing or claims data to measure
  8. psnet.ahrq.gov/issue/designing-abstraction-instrument-lessons-efforts-validate-ahrq-patient-safety-indicators
    January 13, 2010 - July 20, 2022 Patient safety: let's measure what matters. … The impact of electronic medical records data sources on an adverse drug event quality measure
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72799/psn-pdf
    March 03, 2021 - The authors of this perspective proposed a new framework of diagnostic process safety to measure the … This framework can provide a structured approach for designing and testing specific measures of diagnostic
  10. psnet.ahrq.gov/print/pdf/node/838351
    July 01, 2024 - 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 errors … 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 errors … issue/recognizing-excellence-diagnosis-recommended-practices-hospitals https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
  11. psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
    March 01, 2015 - 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. … Do hospital standardized mortality ratios measure patient safety?
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33694/psn-pdf
    April 01, 2010 - By harmonizing measure sets, it will make it much easier for clinicians to understand and use the information … NQF-endorsed measures are the measures of first choice by the federal government and private purchasers … Once a measure is developed and endorsed by the organization, is the organization's role in that measure … Our role does continue, though, once a measure goes out the door. … For example, a lot of our measures relate to the medical care process, but very few measures address
  13. psnet.ahrq.gov/issue/pediatric-clinician-perspectives-communicating-diagnostic-uncertainty
    January 23, 2019 - July 2, 2019 Recommendations for using the Revised Safer Dx instrument to help measure … August 21, 2019 Electronic health record reviews to measure diagnostic uncertainty in
  14. psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
    September 13, 2016 - Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure … Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure
  15. psnet.ahrq.gov/issue/what-nhs-safety-thermometer
    November 02, 2016 - A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.
  16. psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
    July 31, 2013 - July 31, 2013 Validity of unplanned admission to an intensive care unit as a measure … September 20, 2011 Use of the Safety Attitudes Questionnaire as a measure in patient
  17. psnet.ahrq.gov/issue/digitizing-diagnosis-review-mobile-applications-diagnostic-process
    October 10, 2018 - outcomes and trainees' performance February 17, 2021 The trigger tool as a method to measure … April 6, 2022 Repurposing clinical decision support system data to measure dosing errors
  18. psnet.ahrq.gov/issue/safe-enough-here-patients-expectations-and-experiences-feeling-safe-acute-psychiatric
    January 23, 2017 - December 12, 2014 Developing a reliable and valid patient measure of safety in hospitals … June 25, 2014 Developing a patient measure of safety (PMOS).
  19. psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national
    April 24, 2018 - August 5, 2020 Developing a reliable and valid patient measure of safety in hospitals … June 25, 2014 Developing a patient measure of safety (PMOS).
  20. psnet.ahrq.gov/issue/role-teamwork-professional-education-physicians-current-status-and-assessment-recommendations
    March 09, 2009 - September 11, 2016 Validation of a teamwork perceptions measure to increase patient safety … January 5, 2017 Using the Communication and Teamwork Skills (CATS) assessment to measure

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