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psnet.ahrq.gov/node/44321/psn-pdf
July 08, 2015 - Move toward full use of metric dosing: eliminate dosage
cups that measure liquids in fluid drams. Use cups that
measure mL.
July 8, 2015
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American
Society of Health-System Pharmacists. June 30, 2015.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/848360/psn-pdf
May 03, 2023 - Optimizing measurement of misdiagnosis-related harms
using symptom-disease pair analysis of diagnostic error
(SPADE): comparison groups to maximize SPADE
validity.
May 3, 2023
Liberman AL, Wang Z, Zhu Y, et al. Optimizing measurement of misdiagnosis-related harms using
symptom-disease pair analysis of diagnostic …
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - RW : You've shown that as we switch to outcome measurement, there will be challenges in measuring the
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psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
January 11, 2013 - Book/Report
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report.
Citation Text:
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Washington, DC: National Quality Forum; June 2012.
Copy Citation
…
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psnet.ahrq.gov/node/36532/psn-pdf
March 28, 2011 - A theory-based instrument to evaluate team
communication in the operating room: balancing
measurement authenticity and reliability.
March 28, 2011
Lingard LA, Regehr G, Espin S, et al. A theory-based instrument to evaluate team communication in the
operating room: balancing measurement authenticity and reliability…
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psnet.ahrq.gov/node/72688/psn-pdf
October 06, 2022 - Request for proposals for clinical quality measures to
improve diagnosis.
October 6, 2022
Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.
https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis
A lack of consensus on measures for the effectiveness and ac…
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psnet.ahrq.gov/node/46634/psn-pdf
November 22, 2017 - Ambulatory Care Patient Safety 2017–2018.
November 22, 2017
National Quality Forum; NQF.
https://psnet.ahrq.gov/issue/ambulatory-care-patient-safety-2017-2018
Patient safety in ambulatory care is emerging as a focus of research, regulation, and measurement efforts.
This website provides information and resources r…
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psnet.ahrq.gov/node/867394/psn-pdf
March 10, 2025 - Request for Information: Diagnostic Excellence
Measurement.
December 18, 2024
Request for Information: Diagnostic Excellence Measurement. Agency for Healthcare Research and
Quality. Fed Register. December 12, 2024;89:100497-100498.
https://psnet.ahrq.gov/issue/request-information-diagnostic-excellence-measurement
…
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psnet.ahrq.gov/node/46169/psn-pdf
June 07, 2017 - Associations between hospital characteristics, measure
reporting, and the Centers for Medicare & Medicaid
Services overall hospital quality star ratings.
June 7, 2017
DeLancey JO, Softcheck J, Chung JW, et al. Associations Between Hospital Characteristics, Measure
Reporting, and the Centers for Medicare & Medicaid…
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psnet.ahrq.gov/node/72719/psn-pdf
February 10, 2021 - The Diagnostic Error Index: a quality improvement
initiative to identify and measure diagnostic errors.
February 10, 2021
Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to
identify and measure diagnostic errors. J Pediatr. 2021;232:257-263. doi:10.1016/j.jpeds.20…
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psnet.ahrq.gov/node/60889/psn-pdf
January 01, 2021 - Expert consensus on currently accepted measures of
harm.
September 9, 2020
Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J
Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754.
https://psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measu…
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psnet.ahrq.gov/node/40151/psn-pdf
January 19, 2011 - The development and psychometric evaluation of a safety
climate measure for primary care.
January 19, 2011
de Wet C, Spence W, Mash R, et al. The development and psychometric evaluation of a safety climate
measure for primary care. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.031062.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/837747/psn-pdf
July 27, 2022 - Measure Dx: A Resource to Identify, Analyze, and Learn
from Diagnostic Safety Events.
July 27, 2022
Rockville, MD: Agency for Healthcare Research and Quality; July 2022. AHRQ Publication No. 22-
0038.
https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
Diagno…
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psnet.ahrq.gov/node/60258/psn-pdf
April 22, 2020 - Operational Measurement of Diagnostic Safety: State of
the Science.
April 22, 2020
Singh H, Bradford A, Goeschel C. Rockville, MD: Agency for Healthcare Research and Quality; April 2020.
AHRQ Publication No. 20-0040-1-EF.
https://psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science
This is…
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psnet.ahrq.gov/node/40872/psn-pdf
January 23, 2012 - Hospital performance trends on national quality measures
and the association with Joint Commission accreditation.
January 23, 2012
Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures
and the association with joint commission accreditation. J Hosp Med. 2011;6(8). doi…
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psnet.ahrq.gov/node/838194/psn-pdf
September 28, 2022 - Measure Dx: implementing pathways to discover and
learn from diagnostic errors.
September 28, 2022
Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic
errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068.
https://psnet.ahrq.gov/issue/meas…
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psnet.ahrq.gov/node/60814/psn-pdf
August 19, 2020 - Missed acute myocardial infarction in the emergency
department-standardizing measurement of misdiagnosis-
related harms using the SPADE method.
August 19, 2020
Sharp AL, Baecker A, Nassery N, et al. Missed acute myocardial infarction in the emergency
department–standardizing measurement of misdiagnosis-related har…
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psnet.ahrq.gov/node/37890/psn-pdf
February 18, 2011 - Are Patient Safety Indicators related to widely used
measures of hospital quality?
February 18, 2011
Isaac T, Jha AK. Are patient safety indicators related to widely used measures of hospital quality? J Gen
Intern Med. 2008;23(9):1373-8. doi:10.1007/s11606-008-0665-2.
https://psnet.ahrq.gov/issue/are-patient-safet…
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psnet.ahrq.gov/node/841147/psn-pdf
December 07, 2022 - Patient safety measurement tools used in nursing homes:
a systematic literature review.
December 7, 2022
Kim K-A, Lee J, Kim D, et al. Patient safety measurement tools used in nursing homes: a systematic
literature review. BMC Health Serv Res. 2022;22(1):1376. doi:10.1186/s12913-022-08814-5.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/47730/psn-pdf
January 23, 2019 - Assessment of a simulated case-based measurement of
physician diagnostic performance.
January 23, 2019
Chatterjee S, Desai S, Manesh R, et al. Assessment of a Simulated Case-Based Measurement of
Physician Diagnostic Performance. JAMA Netw Open. 2019;2(1):e187006.
doi:10.1001/jamanetworkopen.2018.7006.
https://psn…