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1361. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43290/psn-pdf
      June 25, 2014 - unexpectedly long hospital stays varied widely between hospitals and were correlated with other quality measures … Although much more work is required to validate this measure, it may fill a need as a measure of patient … unexpectedly-long-hospital-stays-indicator-risk-unsafe-care-exploratory-study https://psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success … https://psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success https://psnet.ahrq.gov

1362. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43488/psn-pdf
      September 10, 2014 - This observational study sought to develop a metric of hospital system load—a multidimensional measure … The final system load metric included measures of census, length of stay, and turnover for the emergency

1363. Becoming a High Reliability Organization. | PSNet
      psnet.ahrq.gov/issue/becoming-high-reliability-organization
      May 04, 2015 - September 23, 2020 Quality measures for patients at risk of adverse outcomes in the Veterans … Improving Diagnostic Safety and Quality April 26, 2023 Strength of safety measures

1364. National Steering Committee for Patient Safety. | PSNet
      psnet.ahrq.gov/issue/national-steering-committee-patient-safety
      December 24, 2008 - August 8, 2018 Request for comments on the proposed measures and 2020 targets for the … National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction

1365. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33663/psn-pdf
      September 15, 2008 - Each hospital is now in the process of implementing these patient safety measures locally. … In addition, the study seeks to identify the causal relationship between specific national nursing measures … The revisions include clearly defined process, outcome, structure, and patient measures. … Mortality as an Outcome Measure Since 2001, we have tracked our unadjusted system and hospital mortality … as the "ultimate outcome measure."

1366. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41284/psn-pdf
      May 04, 2012 - In surgical patients, the National Surgical Quality Improvement Program measures have been shown to … psnet.ahrq.gov/issue/national-surgical-quality-improvement-program https://psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient

1367. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46610/psn-pdf
      December 06, 2017 - ambulatory setting and suggest activities to advance improvement efforts in outpatient care, such as measure … issue/technical-series-safer-primary-care https://psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care

1368. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. | PSNet
      psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
      January 23, 2017 - December 16, 2020 Accountability measures—using measurement to promote quality improvement … September 20, 2011 Hospital performance trends on national quality measures and the association

1369. Ethical and legal issues in the use of health information technology to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient-safety
      July 30, 2014 - July 3, 2014 Sustaining reliability on accountability measures at the Johns Hopkins Hospital … April 29, 2015 Demonstrating high reliability on accountability measures at The Johns

1370. Case study: identifying potential problems at the human/technical interface in complex clinical systems. | PSNet
      psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems
      July 22, 2009 - medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures … February 15, 2012 Measures of patient safety in developing and emerging countries: a

1371. Serious Reportable Events in Healthcare—2011 Update. | PSNet
      psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
      March 23, 2012 - March 23, 2012 Patient Safety Measures: Complications. … August 2, 2017 Identification and Prioritization of Health IT Patient Safety Measures

1372. Overconfidence as a cause of diagnostic error in medicine. | PSNet
      psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine
      July 30, 2014 - July 3, 2014 Sustaining reliability on accountability measures at the Johns Hopkins Hospital … April 29, 2015 Demonstrating high reliability on accountability measures at The Johns

1373. Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. | PSNet
      psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
      October 21, 2016 - October 21, 2015 Request for comments on the proposed measures and 2020 targets for the … National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction

1374. Health care-associated invasive MRSA infections, 2005-2008. | PSNet
      psnet.ahrq.gov/issue/health-care-associated-invasive-mrsa-infections-2005-2008
      February 17, 2011 - December 18, 2014 Sustaining reliability on accountability measures at the Johns Hopkins … January 27, 2016 Demonstrating high reliability on accountability measures at The Johns

1375. Wandering Off the Floors: Safety and Security Risks of Patient Wandering | PSNet
      psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
      August 21, 2007 - Identify measures for reducing risks related to patient wandering. … that raise their risk.( 1 ) Physical security HCFs may choose to implement physical security measures … A more complete discussion of patient assessments and physical security measures can be found in a previous … Some HCFs take added measures including issuing a specially colored "Patient Off Unit" hall pass to patients … Response procedures Even if some preventive measures above are implemented, patients may still wander

1376. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33697/psn-pdf
      June 01, 2010 - Today's safety efforts are focused on specific disease performance measures such as myocardial infarction … (time to cardiac catheterization laboratory) or pneumonia measures (time to antibiotics). … There may also be unintended consequences of poorly designed measures, as described by Wachter and colleagues … overall system of care and that takes system performance and well-designed specific disease performance measures … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure

1377. National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use. | PSNet
      psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
      August 05, 2015 - December 7, 2016 Request for comments on the proposed measures and 2020 targets for the … National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction

1378. Medical malpractice claims by members of the uniformed services. | PSNet
      psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
      November 14, 2011 - March 13, 2024 Request for comments on the proposed measures and 2020 targets for the … National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction

1379. Zero Suicide Initiative. | PSNet
      psnet.ahrq.gov/issue/zero-suicide-initiative
      July 03, 2013 - May 19, 2021 Request for comments on the proposed measures and 2020 targets for the National … Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse

1380. The outcomes card: development of a systems-based practice educational tool. | PSNet
      psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
      July 13, 2010 - June 27, 2011 Adherence to Surgical Care Improvement Project measures and the association … May 15, 2024 Expert consensus on currently accepted measures of harm.