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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine, National Academies … AHRQ Quality Indicators: Introduction. Rockville, MD: Agency for Healthcare Research and Quality. … Evaluation of the Agency for Healthcare Research and Quality Pediatric Quality Indicators. … Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. … Classen co-chairs the National Quality Forum's Patient Safety Common Formats Committee and is a member
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psnet.ahrq.gov/issue/national-quality-program-achieves-improvements-safety-culture-and-reduction-preventable-harms
November 02, 2022 - Study
National quality program achieves improvements in safety culture and reduction … National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in … The program included an assessment of the quality at each site followed by an individual improvement … National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in … Organizational readiness to change as a leverage point for improving safety: a national
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
June 21, 2016 - Safety Act of 2005 , the report was made available for public review and comment , and review by the National … improvement in day-to-day operations; and encouraging the use of patient safety strategies outlined in the National … Action Plan by the National Steering Committee for Patient Safety. … December 18, 2008
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National Healthcare … Quality and Disparities Reports.
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psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned
September 25, 2019 - December 15, 2011
Quality improvement lessons learned from National Implementation of … July 1, 2017
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National statutory reporting … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in … February 22, 2023
Risk reduction strategy to decrease incidence of retained surgical
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psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england-2013-20
October 21, 2020 - England’s National Health Service (NHS) allows patients to receive care from public or for-profit private … to 20 hospitals in England during implementation of the 7-day services national health policy. … March 1, 2023
National statutory reporting: not even ticking the boxes? … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … August 19, 2020
Preventing a parallel pandemic - a national strategy to protect clinicians
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psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
October 20, 2021 - failures that contributed to deaths, and generating lessons that could be learned for the entire National … Citation
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Digital Clinical Safety Strategy … Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0
February 28, 2024
National … Healthcare Quality and Disparities Reports. … December 3, 2018
National Aeronautics and Space Administration "threat and error" model
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psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
December 07, 2022 - As one strategy to improve diagnosis, this article describes the use of computerized case presentations … and facilitated discussions (based on the National Academy of Medicine diagnostic process framework … September 16, 2020
Bringing the clinical laboratory into the strategy to advance diagnostic … , 2023
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Considering the safety and quality … September 2, 2020
A national mixed-methods evaluation of preparedness for general surgery
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psnet.ahrq.gov/issue/nursing-home-antimicrobial-stewardship-guide
November 23, 2016 - Rockville, MD: Agency for Healthcare Research and Quality; October 2016. … Antimicrobial stewardship is one strategy to reduce health care–associated infections in a variety … Rockville, MD: Agency for Healthcare Research and Quality; October 2016. … June 8, 2016
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National Healthcare Quality … July 14, 2021
National Nursing Home COVID Action Network.
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psnet.ahrq.gov/issue/national-quality-forum-2021-annual-conference
July 08, 2021 - Upcoming Meeting/Conference
June 9, 2021
National Quality Forum. 2021 Annual Conference … Copy Citation
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International Society for Quality in Health Care … October 1, 2021
- December 17, 2021
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psnet.ahrq.gov/issue/frequency-inappropriate-medical-exceptions-quality-measures
July 29, 2020 - Frequency of inappropriate medical exceptions to quality measures. … Frequency of inappropriate medical exceptions to quality measures. … Related Resources From the Same Author(s)
A randomized trial of a multifactorial strategy … October 4, 2023
Eliminating central line-associated bloodstream infections: a national … November 13, 2019
Cascades of care after incidental findings in a US national survey
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psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
May 25, 2016 - Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. … Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. … Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. … December 18, 2013
FDASIA Health IT Report: Proposed Strategy and Recommendations for … October 21, 2015
FDASIA Health IT Report: Proposed Strategy and Recommendations for a
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psnet.ahrq.gov/issue/annual-speak-data-reports
September 14, 2022 - Stratford, London; The National Guardian. … Stratford, London; The National Guardian. … April 18, 2018
Digital Clinical Safety Strategy
October 20, 2021 … (CMS) Quality Measures Report. … September 20, 2023
Quality of Care Concerns and the Facility Response Following a Medical
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psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
September 23, 2020 - , 2024
Defects in value associated with hospital-acquired conditions: how improving quality … February 17, 2009
A randomized trial of a multifactorial strategy to prevent serious … September 22, 2017
Preventing in-facility pressure ulcers as a patient safety strategy … March 20, 2013
Meeting the Joint Commission's 2013 National Patient Safety Goals. … Care Executives and Administrators
Pressure Ulcers
Epidemiology of Errors and Adverse Events
Quality
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psnet.ahrq.gov/node/44856/psn-pdf
September 29, 2017 - September 29, 2017
National Quality Partners. Washington, DC: National Quality Forum; 2016. … antibiotic-stewardship-acute-care-practical-playbook
Antimicrobial stewardship has been promoted as a strategy
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psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
June 29, 2016 - Washington, DC: Office of the National Coordinator for Health Information Technology; November 15, 2013 … Washington, DC: Office of the National Coordinator for Health Information Technology; November 15, 2013 … July 17, 2013
Strategy on Reducing Regulatory and Administrative Burden Relating to the … July 29, 2015
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality
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psnet.ahrq.gov/issue/facts-about-patient-safety
May 30, 2012 - organization's safety improvement work, including publishing sentinel event alerts , establishing National … September 28, 2011
National Patient Safety Goals. … April 27, 2022
The Joint Commission and National Quality Forum Announce 2023 Eisenberg … February 21, 2024
The Joint Commission and National Quality Forum Announce 2022 Eisenberg … September 15, 2021
FDASIA Health IT Report: Proposed Strategy and Recommendations for
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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - For example, the National Surgical Quality Improvement Program (NSQIP) of the American College of Surgeons … National Strategy for Quality Improvement in Health Care , optimizing patient harm surveillance tools … As part of its National Quality Strategy , CMS is leveraging its public reporting and value-based … strategy. … October 31, 2014
ICD-11 for quality and safety: overview of the WHO Quality and Safety
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psnet.ahrq.gov/issue/contemporary-evidence-about-hospital-strategies-reducing-30-day-readmissions-national-study
July 19, 2010 - Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national … Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. … February 15, 2011
"Out of sight, out of mind": housestaff perceptions of quality-limiting … 18, 2012
"Learning by Doing"—resident perspectives on developing competency in high-quality … April 4, 2011
Does the Leapfrog program help identify high-quality hospitals?
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psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
November 21, 2021 - This study used national databases to demonstrate that sepsis accounted for more than one-third of … Sepsis care has been the focus of intense quality improvement efforts over the past few years, and these … April 18, 2019
A randomized trial of a multifactorial strategy to prevent serious fall … December 1, 2016
ISMP National Vaccine Errors Reporting Program: one in three vaccine … More
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Quality
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psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety
October 04, 2017 - National Audit Office. London UK: The Stationery Office; 2005. ISBN 0102933448. … This report details the current state of patient safety in the National Health Service (NHS). … National Audit Office. London UK: The Stationery Office; 2005. ISBN 0102933448. … December 6, 2011
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The NHS Patient Safety Strategy … November 7, 2018
PHSO Review: Quality of NHS Complaints Investigations.