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psnet.ahrq.gov/node/42558/psn-pdf
March 13, 2014 - Progress in patient safety: a glass fuller than it seems.
March 13, 2014
Pronovost P, Wachter R. Progress in patient safety: a glass fuller than it seems. Am J Med Qual.
2014;29(2):165-9. doi:10.1177/1062860613495554.
https://psnet.ahrq.gov/issue/progress-patient-safety-glass-fuller-it-seems
This commentary examin…
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digital.ahrq.gov/ahrq-funded-projects/ed-disability-diagnostic-tool-hit-feasibility-study/citation/development
January 01, 2023 - Development and validation of the Emergency Department Geriatric Readmission Assessment at Yale (ED GRAY): Part 1, fundamental measurement.
Citation
Post LA, Conner TL, Oehmke JF, et al. Development and validation of the Emergency Department Geriatric Readmission Assessment at Yale (ED GRAY): Part 1,…
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/recruitment-slides-ny.html
March 01, 2021 - of an EvidenceNOW Cooperative's recruitment slides that include a project summary, project goals and measures
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psnet.ahrq.gov/node/36938/psn-pdf
June 30, 2011 - https://psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
Neglecting measures to prevent pneumonia
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psnet.ahrq.gov/node/40870/psn-pdf
October 19, 2011 - Sebelius, Secretary of Health and Human Services (HHS), and a
distinguished panel of guests discussing measures
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psnet.ahrq.gov/node/41716/psn-pdf
September 26, 2012 - https://psnet.ahrq.gov/issue/international-advocacy-education-and-safety
https://psnet.ahrq.gov/issue/measures-patient-safety-developing-and-emerging-countries-review-literature
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digital.ahrq.gov/sites/default/files/docs/telehealth-slides-06092020.pdf
June 09, 2020 - Primary outcome measure for
asynchronous telepsychiatry (ATP) and
synchronous telepsychiatry (STP) … and telemedicine perception survey
► Medical record review for disease characteristics and quality measures … Follow-up:
► Telephone follow-up surveys at 6 and 12 months
► Medical record review for quality measures … Manuscript under review
Quality of Care for RA with Telemedicine
42
Quality Measure
Telemedicine
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - In the Swiss Cheese Model, each “slice” of “cheese”
represents a measure taken to enhance patient safety … in the “cheese slice.”1
The goal of patient safety work is to continue to add “slices” of safety measures … For this case, there are four principal levels at which additional
patient safety measures, “slices, … These changes in EHR design help shrink the error “holes” in
the safety measure “slices” described in
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide3.html
August 01, 2024 - TN-POPnet) and received quarterly practice improvement reports to track progress on heart health quality measures … and received quarterly practice improvement reports to track their progress on heart health quality measures … project aims to reduce rates of uncontrolled blood pressure and the practice needs to improve on this measure … Readiness assessments commonly measure the following elements: willingness to change, organizational
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - RW : What have we learned in the last 5 or 10 years about trying to measure diagnostic errors? … GS : The most important thing is for people to measure themselves. … I don't know that we have any measures that are quite there. … Donabedian talked about immature quality metrics—measures that are not quite ripe for prime time.
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - In the Swiss Cheese Model, each “slice” of “cheese” represents a measure taken to enhance patient safety … in the “cheese slice.” 1 The goal of patient safety work is to continue to add “slices” of safety measures … For this case, there are four principal levels at which additional patient safety measures, “slices,” … These changes in EHR design help shrink the error “holes” in the safety measure “slices” described in
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/schizophrenia-adult_research-protocol.pdf
September 23, 2016 - including suicide and suicide attempts
§ Improvements in health-related quality of life (using validated scales … Re-hospitalization was not included because it is considered a flawed outcome
measure for two reasons … the intervention, e.g.:
• New or worsening symptoms (e.g., anxiety or depression)
using validated scales … suicide and suicide attempts
• Improvements in health-related quality of life (using validated
scales
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psnet.ahrq.gov/issue/regional-variations-diagnostic-practices
July 15, 2020 - August 23, 2023
Underreporting of quality measures and associated facility characteristics
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psnet.ahrq.gov/issue/assessing-and-supporting-late-career-practitioners-four-key-questions
May 18, 2022 - safety event reporting,
September 16, 2020
Expert consensus on currently accepted measures
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psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
May 01, 2019 - May 29, 2014
Demonstrating high reliability on accountability measures at The Johns Hopkins
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psnet.ahrq.gov/issue/toward-more-proactive-approaches-safety-electronic-health-record-era
December 06, 2023 - May 18, 2022
Developing electronic clinical quality measures to assess the cancer diagnostic
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psnet.ahrq.gov/issue/evidence-anchoring-bias-during-physician-decision-making
November 17, 2021 - March 9, 2022
Quality measures for patients at risk of adverse outcomes in the Veterans
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psnet.ahrq.gov/issue/perceived-patient-safety-culture-nursing-homes-associated-nursing-home-compare-performance
November 04, 2020 - nursing homes with higher scores on Nursing Home Survey on Patient Safety Culture performed better in measures
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psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
March 31, 2021 - September 23, 2020
Expert consensus on currently accepted measures of harm.
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psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
September 27, 2016 - care organization applied Normal Accident Theory concepts in its oncology service to improve process measures