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8941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44346/psn-pdf
      March 18, 2016 - Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity … Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity … https://psnet.ahrq.gov/issue/developing-primary-care-patient-measure-safety-pc-pmos-modified-delphi- … This tool expanded the previously developed patient measure of safety questionnaire to include four … https://psnet.ahrq.gov/issue/developing-primary-care-patient-measure-safety-pc-pmos-modified-delphi-process-and-face

8942. 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.

8943. 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

8944. 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

8945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46574/psn-pdf
      October 25, 2017 - Effect of a hospital-wide measure on the readmissions reduction program. … Effect of a Hospital-wide Measure on the Readmissions Reduction Program. … https://psnet.ahrq.gov/issue/effect-hospital-wide-measure-readmissions-reduction-program Under the Centers … program in decreasing readmissions and some have argued for expansion to a hospital-wide readmission measure … Using Medicare claims data, investigators concluded that transitioning to a hospital-wide readmission measure

8946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46012/psn-pdf
      December 21, 2017 - They used three measures to approximate hospital workload: total number of admissions, net admissions … None of these workload measures was associated with mortality.

8947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46015/psn-pdf
      August 15, 2018 - by The Joint Commission is associated with improved hospital performance on certain quality of care measures … patient-mortality-during-unannounced-accreditation-surveys-us-hospitals https://psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission

8948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39837/psn-pdf
      September 15, 2010 - operating room (OR) personnel for a 1-day training program and tracked a number of subsequent outcome measures … teamwork training programs, particularly when combined with an active debriefing process, on objective measures

8949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35979/psn-pdf
      September 17, 2010 - Building on a model of structure, process, and outcome measures used to evaluate health care quality … , the authors present a detailed discussion of attributes necessary for safety-specific measures.

8950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45180/psn-pdf
      May 05, 2017 - In particular, methods to measure safety that are patient-centered and can be compared across organizations … This study proposes adverse event–free admissions as a potential measure of safety, defining the term … subset of hospitals with markedly higher rates of adverse events using this metric, implying that the measure

8951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35957/psn-pdf
      August 02, 2010 - A practical approach to measure the quality of handwritten medication orders: a tool for improvement … A Practical Approach to Measure the Quality of Handwritten Medication Orders. … https://psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool- … https://psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement … https://psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement

8952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37956/psn-pdf
      July 30, 2008 - Hospital mortality: when failure is not a good measure of success. … Hospital mortality: when failure is not a good measure of success. … https://psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success This commentary … discusses the limitations of using hospital standardized mortality ratios as a measure of the quality … https://psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success https://psnet.ahrq.gov

8953. In Conversation With… Brian Jarman, PhD | PSNet
      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?

8954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49559/psn-pdf
      April 01, 2008 - 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

8955. Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology. | PSNet
      psnet.ahrq.gov/issue/targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research
      April 11, 2011 - January 29, 2015 Sustaining reliability on accountability measures at the Johns Hopkins … January 27, 2016 Demonstrating high reliability on accountability measures at The Johns … The impact of electronic medical records data sources on an adverse drug event quality measure

8956. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
      psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
      September 29, 2021 - SPOTLIGHT CASE Intraosseous Line Extravasation in a Pediatric Trauma Patient Citation Text: Yoon J, Barnes DK. Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

8957. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46843/psn-pdf
      June 21, 2018 - Electronic health record reviews to measure diagnostic uncertainty in primary care. … Electronic health record reviews to measure diagnostic uncertainty in primary care. … https://psnet.ahrq.gov/issue/electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care … Diagnostic error is a type of preventable harm that is particularly difficult to measure. … https://psnet.ahrq.gov/issue/electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care

8958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39487/psn-pdf
      April 28, 2010 - Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure … Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure … psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team- emergency-assessment-measure … psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure … psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure

8959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38405/psn-pdf
      February 11, 2009 - Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. … Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. … https://psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills … https://psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge … https://psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge

8960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42746/psn-pdf
      November 20, 2013 - Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable … Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable … https://psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability … https://psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable … https://psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable