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psnet.ahrq.gov/node/45308/psn-pdf
September 28, 2016 - Measurement of patient safety: a systematic review of the
reliability and validity of adverse event detection with
record review.
September 28, 2016
Hanskamp-Sebregts M, Zegers M, Vincent CA, et al. Measurement of patient safety: a systematic review of
the reliability and validity of adverse event detection with r…
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psnet.ahrq.gov/node/40806/psn-pdf
October 31, 2011 - How best to measure surgical quality? Comparison of the
Agency for Healthcare Research and Quality Patient
Safety Indicators (AHRQ-PSI) and the American College of
Surgeons National Surgical Quality Improvement Program
(ACS-NSQIP) postoperative adverse events at a single
institution.
October 31, 2011
Cima RR, La…
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psnet.ahrq.gov/node/45813/psn-pdf
January 18, 2017 - Considering chance in quality and safety performance
measures: an analysis of performance reports by boards
in English NHS trusts.
January 18, 2017
Anhøj J, Hellesøe A-MB. The problem with red, amber, green: the need to avoid distraction by random
variation in organisational performance measures. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/867344/psn-pdf
December 11, 2024 - Exploring the relationship between hospital patient safety
culture and performance on measures of hospital-
acquired conditions.
December 11, 2024
Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture
and performance on measures of hospital-acquired condition…
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psnet.ahrq.gov/node/866272/psn-pdf
July 10, 2024 - Infection control measure performance in long-term care
hospitals and their relationship to Joint Commission
accreditation.
July 10, 2024
Schmaltz SP, Longo BA, Williams SC. Infection control measure performance in long-term care hospitals
and their relationship to Joint Commission accreditation. Jt Comm J Qual Pa…
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psnet.ahrq.gov/node/35551/psn-pdf
June 08, 2010 - Validity of unplanned admission to an intensive care unit
as a measure of patient safety in surgical patients.
June 8, 2010
Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure
of patient safety in surgical patients. Anesthesiology. 2005;103(6):1121-1129.
https…
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psnet.ahrq.gov/node/36915/psn-pdf
May 30, 2007 - Fatal error sparks debate over punitive measures.
May 30, 2007
Fernandez J. Drug Topics. May 7, 2007.
https://psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures
This article discusses a chemotherapy overdose that led to a child's death and the punitive measures taken
against the pharmacist invo…
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psnet.ahrq.gov/node/42809/psn-pdf
January 01, 2015 - Patient Safety Measures.
December 11, 2013
Washington, DC: National Quality Forum.
https://psnet.ahrq.gov/issue/patient-safety-measures
This Web site tracks the progress of the development and review of measures to enhance reporting and
accountability of health care organizations in addressing risks to patient sa…
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psnet.ahrq.gov/node/42448/psn-pdf
July 24, 2013 - Measure twice, cut once.
July 24, 2013
Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004.
https://psnet.ahrq.gov/issue/measure-twice-cut-once
This piece relates how focusing on quality, education, responsibility, and standardization can help clinicians
ensure safe care.…
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psnet.ahrq.gov/node/867600/psn-pdf
January 22, 2025 - Application of a digital quality measure for cancer
diagnosis in Epic Cosmos.
January 22, 2025
Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic
Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253.
https://psnet.ahrq.gov/issue/appli…
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psnet.ahrq.gov/node/61112/psn-pdf
November 11, 2020 - Repurposing clinical decision support system data to
measure dosing errors and clinician-level quality of care.
November 11, 2020
Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing
errors and clinician-level quality of care. J Med Syst. 2020;44(10):185. doi:10.1…
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psnet.ahrq.gov/node/50862/psn-pdf
February 05, 2020 - Assessment of nursing home reporting of major injury
falls for quality measurement on Nursing Home Compare.
February 5, 2020
Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality
measurement on nursing home compare. Health Serv Res. 2020;55(2):201-210. doi:10.1111/1475-…
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psnet.ahrq.gov/node/37153/psn-pdf
October 06, 2011 - The effect of a rapid response team on major clinical
outcome measures in a community hospital.
October 6, 2011
Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome
measures in a community hospital. Crit Care Med. 2007;35(9):2076-82.
https://psnet.ahrq.gov/issue/effect…
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psnet.ahrq.gov/node/45441/psn-pdf
September 21, 2016 - Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis.
September 21, 2016
Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a
patient safety incident: a repeated measures analysis. BMJ oOen. 2016;6(8):e011403.
…
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psnet.ahrq.gov/node/72783/psn-pdf
February 24, 2021 - Measurement matters: changing penalty calculations
under the hospital acquired condition reduction program
(HACRP) cost hospitals millions.
February 24, 2021
Vsevolozhskaya OA, Manz KC, Zephyr PM, et al. Measurement matters: changing penalty calculations
under the hospital acquired condition reduction program (HAC…
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psnet.ahrq.gov/node/37040/psn-pdf
April 11, 2011 - The host hospital 24-hour underreferral rate: an
automated measure of call-center safety.
April 11, 2011
Hirsh DA, Simon HK, Massey R, et al. The host hospital 24-hour underreferral rate: an automated measure
of call-center safety. Pediatrics. 2007;119(6):1139-1144.
https://psnet.ahrq.gov/issue/host-hospital-24-ho…
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psnet.ahrq.gov/node/45206/psn-pdf
October 17, 2017 - Evaluation of the association between Hospital Survey on
Patient Safety Culture (HSOPS) measures and catheter-
associated infections: results of two national
collaboratives.
October 17, 2017
Meddings J, Reichert H, Greene T, et al. Evaluation of the association between Hospital Survey on Patient
Safety Culture (H…
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psnet.ahrq.gov/node/38146/psn-pdf
March 04, 2011 - Advancing measurement of patient safety culture.
March 4, 2011
Ginsburg LR, Gilin D, Tregunno D, et al. Advancing measurement of patient safety culture. Health Serv
Res. 2009;44(1):205-24. doi:10.1111/j.1475-6773.2008.00908.x.
https://psnet.ahrq.gov/issue/advancing-measurement-patient-safety-culture
Analysis of re…
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psnet.ahrq.gov/issue/association-measured-quality-financial-health-among-us-hospitals
December 07, 2022 - Study
Association of measured quality with financial health among U.S. hospitals.
Citation Text:
Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S. hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696.
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psnet.ahrq.gov/issue/moving-towards-core-measures-set-patient-safety-perioperative-care-e-delphi-consensus-study
January 15, 2025 - Study
Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study.
Citation Text:
Dinis-Teixeira JP, Nunes AB, Leite A, et al. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. PLoS ONE. …