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461. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? | PSNet
     psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates-does-it-change
     December 15, 2011 - September 25, 2019 Using harm-based weights for the AHRQ Patient Safety for Selected … June 26, 2024 View More Related Resources Patient safety: let's measure … May 19, 2014 Demonstrating high reliability on accountability measures at The Johns Hopkins

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35510/psn-pdf
     February 19, 2010 - anesthesiology residents demonstrated that fatigue negatively impairs psychomotor functioning and mood but not measures … fatigue can lead to errors as a result of impaired cognitive abilities even if the more difficult to measure

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45376/psn-pdf
     November 09, 2016 - offer recommendations to CMS to improve their comparison program, including reducing the number of measures … rating-raters-inconsistent-quality-health-care-performance-measurement https://psnet.ahrq.gov/issue/rating-hospitals-stars-feds-latest-plan-measure-quality-most-controversial

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43364/psn-pdf
     August 02, 2015 - this chart review study found that endovascular repair was safer, emphasizing the utility of these measures … https://psnet.ahrq.gov/issue/patient-safety-indicators-overview https://psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44815/psn-pdf
     November 30, 2016 - comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used- survey-instruments Health care organizations measure … They found significant variation in safety and teamwork climate scales of both tools, indicating that

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33729/psn-pdf
     May 01, 2012 - these patient safety initiatives requires generally accepted, rigorous, standardized, and practical measures … different adverse event rates are identified depending on the techniques being used to identify and measure … Occurrence reports: The most well known strategy to identify and measure patient safety in U.S. hospitals … events in VA inpatient care: reliability limits to using Patient Safety Indicators as performance measures … "all cause" harm• Measures total harm burden• Provides a rate (i.e., harms per 100 admissions or per

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45473/psn-pdf
     April 24, 2018 - Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. … Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. … https://psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure- … patient-safety The AHRQ Patient Safety Indicators (PSIs) represent quality measures derived from administrative … https://psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety

468. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
     psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
     February 01, 2014 - For example, part of the challenge is how do you measure diagnostic errors? … "There are too many measures." … However, CMS and private payers were necessarily limited to choosing core measures from among the measures … In some of these areas, developing useful measures may be possible. … ability to measure much of what matters in medical care.

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43784/psn-pdf
     December 17, 2014 - Reviewing the evidence on existing patient safety measures, this commentary explores the accuracy, validity … measuring-preventable-harm-helping-science-keep-pace-policy https://psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters

470. Common Formats for Event Reporting. | PSNet
     psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
     September 06, 2011 - May 11, 2017 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

471. Advancing Patient Safety: A Decade of Evidence, Design, and Implementation. | PSNet
     psnet.ahrq.gov/issue/advancing-patient-safety-decade-evidence-design-and-implementation
     May 07, 2014 - April 11, 2012 Selecting Quality and Resource Use Measures: A Decision Guide for Community … May 21, 2014 Selecting Quality and Resource Use Measures: A Decision Guide for Community

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37334/psn-pdf
     February 01, 2011 - conceptual model to guide organizations in developing their safety scorecard and understanding the measures … A worksheet is provided that focuses on three questions: Is the measure important? … , Is the measure valid?, and Can this measure be used to improve safety in the organization?

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46450/psn-pdf
     August 20, 2018 - 3 domains and 11 subdomains for measuring diagnostic quality and safety as well as 62 prioritized measure … High-priority areas for measure development include timeliness of diagnosis, timely follow-up of test … identified several cross-cutting themes and makes recommendations for researchers seeking to develop measures

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44331/psn-pdf
     September 09, 2015 - temporal-trends-patient-safety-netherlands-reductions-preventable-adverse- events-or-end Patient safety advocates recognize the lack of appropriate measures … authors also suggest that the study findings highlight some of the limitations of adverse events as a measure … trends-adverse-events-over-time-why-are-we-not-improving https://psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49711/psn-pdf
     June 01, 2014 - Identify measures for reducing risks related to patient wandering. … patients at risk for wandering are admitted to medical units not designed with these 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 … Response procedures Even if some preventive measures above are implemented, patients may still wander

476. DAISY Award for Extraordinary Nurses in Patient Safety. | PSNet
     psnet.ahrq.gov/issue/daisy-award-extraordinary-nurses-patient-safety
     June 28, 2018 - Health care quality and safety in a correctional system: creating goals and performance measures … October 19, 2022 Measures and measurement of high-performance work systems in health

477. The Forgotten Drip | PSNet
     psnet.ahrq.gov/web-mm/forgotten-drip
     April 01, 2014 - pressure (CPP, calculated as mean arterial pressure [MAP] – ICP).( 3 ) This CPP-driven strategy emphasizes measures … Management of increased ICP in patients with ICH should always begin with simple but effective measures … If ICP remains elevated clinically despite these simple measures, a more aggressive approach is indicated … ICP monitoring devices are small plastic catheters that are inserted into the brain to measure ICP. … In patients whose ICP remains refractory after the initial simple measures outlined above and osmotic

478. 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

479. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. | PSNet
     psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
     May 18, 2011 - January 20, 2021 Reviewing deaths in British and US hospitals: a study of two scales … June 11, 2014 The effect of a rapid response team on major clinical outcome measures 

480. 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