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  1. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
    June 01, 2020 - principles for patient safety measurement. … , patient-related, and communication factors that affect diagnostic safety. … patterns and events within a cohort defined by high-risk indicators. … ICD-based indicators applied to administrative datasets to select cohorts for further review (ICD = International … Okafor, et al., 2015 52 Solicited patient reports May capture safety breakdowns undetected
  2. www.ahrq.gov/news/newsletters/e-newsletter/965.html
    July 01, 2025 - Virginia Health System Improves Care With Surveys on Patient Safety Culture . … safety and patient experience during the transition from hospital to home. … Virginia Health System Improves Care With Surveys on Patient Safety Culture  Riverside Health System, … based in Newport News, VA, has been using the  AHRQ Surveys on Patient Safety Culture ® (SOPS®) for … Results of the surveys can then be used to improve areas that affect patient safety.
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
    February 08, 2008 - • Simplified data abstraction via indicators for Joint Commission Core Measures and National Patient … regarding “best practice” and general patient safety. … Is the inclusion of National Patient Safety Goals (NPSG) considered? … (Safety measure) • As appropriate, reconciliation of medications is a National Patient Safety Goal … Joint Commission International Center for Patient Safety.
  4. www.ahrq.gov/news/newsletters/e-newsletter/954.html
    April 01, 2025 - : Improving Safety Culture Using Teamwork and Patient Safety Norms, sponsored by the AHRQ-led  National … Action Alliance for Patient and Workforce Safety , highlighted the importance of safety culture and … ET:  AHRQ Public Listening Session on Opportunities to Update the Patient Safety Indicators . … AHRQ is conducting a gap analysis to identify opportunities to improve and expand Patient Safety Indicators … ET:  Implementing CMS’ Patient Safety Structural Measure (PSSM) .
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
    January 01, 2004 - safety as a standard of care.”7 Efficient and representative patient safety reporting systems Advances … , and evaluation of effective practices in patient safety. … Advances in Patient Safety: Vol. 4 240 Figure 1. … Advances in Patient Safety: Vol. 4 244 T ab le 1 . … Patient safety: achieving a new standard of care.
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
    March 25, 2008 - Risk-Based Patient Safety Metrics Risk-Based Patient Safety Metrics Matthew C. … of errors in preventable harm to patients. … safety program should focus on the elimination of harm.1 Several organizations have proposed indicatorsSafety Indicators (PSIs). … Patient safety indicators overview. AHRQ quality indicators.
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-4-famolaro-2018.pdf
    January 01, 2018 - Research and Quality's Patient Safety Education and Training Catalog consists of patient safety programs … Identify patient safety culture areas for improvement 2. … Exploring relationships between patient safety culture and patients’ assessments of hospital care. … Journal of Patient Safety. 8(3), 131-139. … Is Patient Safety Culture Related to Nursing Home Quality?
  8. www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/sampleagenda.html
    March 01, 2013 - Outcome Survey (phone version) Patient Outcome Survey (mailed version) Tool 6: How To Monitor RED … Introductions   9:05 - 10:20 Background of the RED     Objectives: Introduce the patientsafety and public policy issues. … Patient related. Medical team related. Develop strategies to overcome challenges. … Implementation and Outcomes     Objectives: Introduce measurable implementation and outcome indicators
  9. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
    September 01, 2015 - Chartbook on Women's Health Care Patient Safety Previous Page Next Page Table of Contents … Importance: Some drugs that are prescribed for older patients are known to be potentially harmful for … Nationwide Inpatient Sample, 2012 State Inpatient Databases quality analysis file, and AHRQ Quality Indicatorssafety. … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical
  10. www.ahrq.gov/patient-safety/resources/simulation-issue-brief5.html
    July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Use Simulation To Improve Healthcare Delivery … Systems Previous Page Next Page Table of Contents Simulation To Improve Patient Safety … : Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and … Patients, their families and support people, and community organizations can help inform the design and … indicators.
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
    March 22, 2008 - Using Patient Complaints to Promote Patient Safety Using Patient Complaints to Promote Patient Safety … for Patient Safety,12 one of 10 action areas of WHO’s World Alliance for Patient Safety. … We will return to this issue later. 2 Unsolicited Patient/Family Complaints as IndicatorsPatients for Patient Safety. Geneva, Switzerland: World Health Organization; 2008. … Important Unsolicited Patient/Family Complaints as Indicators of Opportunities to Improve Safety Patient
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
    May 20, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators … How To Improve Hospital Quality and Safety 1 Tool D.4h Selected Best Practices and Suggestions … regarding the definition of true postoperative respiratory failure, it still remains an important patient … Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 2 Tool … How To Improve Hospital Quality and Safety 3 Tool D.4h Tools • QxMD.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
    January 01, 2003 - What performance measures can serve as indicators of quality for the processes critical for ensuring … What performance measures can serve as indicators of quality for the processes critical for ensuring … obtains information and feedback from patients on patient safety issues to improve the delivery … • Patient safety education of health care leadership, clinical staff, and patients is critical for … Reproductive health indicators for China’s rural areas. Soc Sci Med 2003;57(2):217–25. 10.
  14. Project Charter (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d2_pdi_projectcharter.pdf
    December 23, 2009 - Project Charter Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality … and Safety i Tool D.2 Project Charter What is the purpose of this tool? … What patient population will be included? 2. … Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety … Specific patient population? Are certain service lines being included? 2.
  15. Project Charter (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.pdf
    December 23, 2009 - Project Charter Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and … Safety i Tool D.2 Project Charter What is the purpose of this tool? … What patient population will be included? 2. … Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D … Specific patient population? Are certain service lines being included? 2.
  16. www.ahrq.gov/contact/support.html
    September 15, 2025 - Subject (Required): Category (Required): -- Select One -- Accessibility AHRQ Quality Indicators … Centers (EPCs) Freedom of Information Act (FOIA) Funding & Grants Guidelines Health Care Information for PatientsSafety Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … Women's Health) Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveys on PatientSafety Culture TalkingQuality TeamSTEPPS Technology Assessments U.S.
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep6.html
    June 01, 2010 - Services Executive Summary Introduction and Scan Methodology Evaluation of Measures in the Scan Client … Functioning Measures and Gaps Client Experience Measures and Gaps Program Performance Measures and … Currently, CMS is developing measures of system rebalancing, through the National Balancing Indicators … Utilization Project (HCUP) data for hospitals. xxii They also included many of the "never events," which are patientsafety events that pose serious harm to patients but can be considered entirely preventable, as defined
  18. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
    September 28, 2016 - To Err is Human: AHRQ Role in Patient Safety Congress should create a Center for Patient Safety within … Patient Safety Indicators (PSIs) National Summit on Medical Errors and Patient Safety “To … safety.2005 The Quality Imperative Transparency and Accountability AHRQ Patient Safety Indicatorssafety culture, and making a business case for patient safety … for Patient Safety Information The Quality Imperative AHRQ Patient Safety Indicators (2003) AHRQ
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1_combo_intro.pdf
    June 02, 2025 - Safety Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety … Quality and Safety The Agency for Healthcare Research and Quality (AHRQ) is an agency within the U.S … materials to teach and train health care systems and professionals to help them improve care for their patients … Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool A.1 … Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool A.1
  20. Program Evaluation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
    July 01, 2023 - safety bundles for hemorrhage and severe hypertension … □ CDC measure  original list of 25 SMM indicators based on ICD‐9 codes was published in 2012  updated … Most commonly used is the measure developed by CDC using ICD codes • an original list of 25 SMM indicators … based on ICD‐9 codes was published in 2012, and • an updated list of 21 indicators (as of 2023) and … We will aim to capture indicators in three specific domains, including: • LEARNING domain to assess

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