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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - Radiology Missed an Intracranial Bleed in a Lethargic Infant.
Citation Text:
Yuk J, Magana J. Radiology Missed an Intracranial Bleed in a Lethargic Infant.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - SPOTLIGHT CASE
Bad Writing, Wrong Medication
Citation Text:
Devine B. Bad Writing, Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - Communication During Transitions of Care
March 27, 2024
Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/communication-during-transitions-care
Introduction
Inaccurate or untimely communication and ineffective teamwork in healthca…
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psnet.ahrq.gov/primer/simulation-training
September 15, 2024 - Simulation Training
Citation Text:
Edward JJ, Nichols A, Bakerjian D. Simulation Training. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - care delivery and documentation (including electronic health
records, simulation, and new methods of measuring
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - September 1, 2016
Annual Perspective
Measuring and Responding
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psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office … July 9, 2014
An adverse event trigger tool in dentistry: a new methodology for measuring
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psnet.ahrq.gov/primer/individual-clinician-performance-issues
March 15, 2025 - care delivery and documentation (including electronic health records, simulation, and new methods of measuring
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - idea of measurement, do they buy that the methodology is good enough—both in the sense that you're measuring … They are fairly terrible for measuring postoperative complications.
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - What we found is that without measuring infection rates and empowering nurses to speak up—the rates won't … When I saw the survey, I said, that's okay to ask, but I think a more important question is, are they measuring
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - you feel that it's an important quality indicator and compliance with it is important, you need to be measuring … make sure that they are reinforcing and supporting the delivery of whatever process or outcome you're measuring
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - What we found is that without measuring infection rates and empowering nurses to speak up—the rates won't … When I saw the survey, I said, that's okay to ask, but I think a more important question is, are they measuring
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psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement
January 23, 2012 - Commentary
Classic
Accountability measures—using measurement to promote quality improvement.
Citation Text:
Chassin MR, Loeb JM, Schmaltz SP, et al. Accountability measures--using measurement to promote quality improvement. N Engl J Med. 2010;363(7):683-8. doi…
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - , that’s good information, but we also need to be intentional about what we as the system should be measuring … Development of the Patient Activation Measure (PAM): conceptualizing and measuring activation in patients
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - of specific adverse events remains a complex and evolving area, and there is no gold standard for measuring
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - Education
January 1, 2014
Annual Perspective
Measuring
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - September 7, 2022
Progress in interoperability: measuring US hospitals' engagement in
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psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
February 17, 2021 - Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Diagnostic
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - November 20, 2019
Measuring team performance in healthcare: review of research and implications
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - with Type 1 Diabetes and Home Insulin Pump
October 28, 2020
Identifying and measuring