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psnet.ahrq.gov/node/43158/psn-pdf
May 07, 2014 - Evaluating implementation of a rapid response team:
considering alternative outcome measures.
May 7, 2014
Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team:
considering alternative outcome measures. Int J Qual Health Care. 2014;26(1):49-57.
doi:10.1093/intqhc/mzt091.
…
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psnet.ahrq.gov/node/39373/psn-pdf
March 17, 2010 - The impact of electronic medical records data sources on
an adverse drug event quality measure.
March 17, 2010
Kahn MG, Ranade D. The impact of electronic medical records data sources on an adverse drug event
quality measure. J Am Med Inform Assoc. 2010;17(2):185-91. doi:10.1136/jamia.2009.002451.
https://psnet.ah…
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psnet.ahrq.gov/node/850168/psn-pdf
June 07, 2023 - Home health agency patient experience measures and
their relationship to Joint Commission accreditation.
June 7, 2023
Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their
relationship to Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2023;49(6-7):313-319.
…
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psnet.ahrq.gov/node/47350/psn-pdf
November 29, 2018 - Do crowdsourced hospital ratings coincide with Hospital
Compare measures of clinical and nonclinical quality?
November 29, 2018
Perez V, Freedman S. Do Crowdsourced Hospital Ratings Coincide with Hospital Compare Measures of
Clinical and Nonclinical Quality? Health Serv Res. 2018;53(6):4491-4506. doi:10.1111/1475-6…
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psnet.ahrq.gov/node/43849/psn-pdf
January 28, 2015 - Advancing the science of measurement of diagnostic
errors in healthcare: the Safer Dx framework.
January 28, 2015
Singh H, Sittig DF. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx
framework. BMJ Qual Saf. 2015;24(2):103-110. doi:10.1136/bmjqs-2014-003675.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/43001/psn-pdf
March 19, 2014 - Variability in the measurement of hospital-wide mortality
rates.
March 19, 2014
Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N
Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396.
https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-m…
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psnet.ahrq.gov/node/74843/psn-pdf
February 16, 2022 - Association of adverse events in opioid addiction
treatment with quality measure for continuity of
pharmacotherapy.
February 16, 2022
Liu Y, Becker A, Mattke S. Association of adverse events in opioid addiction treatment with quality measure
for continuity of pharmacotherapy. J Healthc Qual. 2022;44(3):e38-e43.
d…
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psnet.ahrq.gov/node/39261/psn-pdf
February 03, 2010 - Patient safety measures in burn care: do national
reporting systems accurately reflect quality of burn care?
February 3, 2010
Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting
systems accurately reflect quality of burn care? J Burn Care Res. 2010;31(1):125-9.
do…
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psnet.ahrq.gov/node/50398/psn-pdf
October 02, 2019 - Sepsis quality in safety-net hospitals: an analysis of
Medicare's SEP-1 performance measure.
October 2, 2019
Barbash IJ, Kahn JM. Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance
measure. J Crit Care. 2019;54:88-93. doi:10.1016/j.jcrc.2019.08.009.
https://psnet.ahrq.gov/issue/sep…
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psnet.ahrq.gov/node/39959/psn-pdf
December 21, 2014 - Hospital process compliance and surgical outcomes in
Medicare beneficiaries.
December 21, 2014
Nicholas LH, Osborne NH, Birkmeyer JD, et al. Hospital process compliance and surgical outcomes in
medicare beneficiaries. Arch Surg. 2010;145(10):999-1004. doi:10.1001/archsurg.2010.191.
https://psnet.ahrq.gov/issue/hos…
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - In Conversation With...Amy Helwig about Health Plan
Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. In Conversation With..Amy Helwig about Health Plan Patient Safety
Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patie…
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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
testing.
March 18, 2016
Hernan AL, Giles SJ, O'Hara JK, et al. Developing a primary care patient measure of safety (PC PMOS): a
modified Delphi process and face validity testing. BMJ Qual Saf. 2016;25(4):273-…
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - experts in patient safety; they convened and voted and researched the available measures, weighting them, measuring
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psnet.ahrq.gov/node/48157/psn-pdf
August 21, 2019 - Recommendations for using the Revised Safer Dx
instrument to help measure and improve diagnostic
safety.
August 21, 2019
Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to
help measure and improve diagnostic safety. Diagnosis (Berl). 2019;6(4):315-323. doi:10.151…
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psnet.ahrq.gov/node/44634/psn-pdf
November 21, 2016 - The Family Caregiver Activation in Transitions (FCAT)
tool: a new measure of family caregiver self-efficacy.
November 21, 2016
Coleman EA, Ground KL, Maul A. The Family Caregiver Activation in Transitions (FCAT) Tool: A New
Measure of Family Caregiver Self-Efficacy. Jt Comm J Qual Patient Saf. 2015;41(11):502-7.
h…
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psnet.ahrq.gov/node/49544/psn-pdf
September 01, 2007 - Discharging Our Responsibility
September 1, 2007
Fonarow GC. Discharging Our Responsibility. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/discharging-our-responsibility
The Case
A 75-year-old man with a history of hypertension, coronary artery disease, and congestive heart failure
(CHF) presented to the …
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psnet.ahrq.gov/node/38872/psn-pdf
August 19, 2009 - Improving measurement in clinical handover.
August 19, 2009
Jeffcott SA, Evans SM, Cameron PA, et al. Improving measurement in clinical handover. Qual Saf Health
Care. 2009;18(4):272-7. doi:10.1136/qshc.2007.024570.
https://psnet.ahrq.gov/issue/improving-measurement-clinical-handover
This article describes a frame…
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psnet.ahrq.gov/node/47576/psn-pdf
December 19, 2018 - Accurate measurement in California's safety-net health
systems has gaps and barriers.
December 19, 2018
Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health
Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769.
doi:10.1377/hlthaff.2018.0709.
ht…
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psnet.ahrq.gov/node/50733/psn-pdf
December 11, 2019 - Association between measured teamwork and medical
errors: an observational study of prehospital care in the
USA
December 11, 2019
Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors:
an observational study of prehospital care in the USA. BMJ Open. 2019;9(10):e025314.…
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psnet.ahrq.gov/node/43226/psn-pdf
June 17, 2014 - Relationship between preventable hospital deaths and
other measures of safety: an exploratory study.
June 17, 2014
Hogan H, Healey F, Neale G, et al. Relationship between preventable hospital deaths and other measures
of safety: an exploratory study. Int J Qual Health Care. 2014;26(3):298-307. doi:10.1093/intqhc/mz…