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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
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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.
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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.
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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) .
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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.
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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 indicators … Safety Indicators (PSIs). … Patient safety indicators overview. AHRQ quality
indicators.
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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?
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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 patient … safety and public policy issues. … Patient related.
Medical team related.
Develop strategies to overcome challenges. … Implementation and Outcomes
Objectives:
Introduce measurable implementation and outcome indicators
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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 Indicators … safety. … Although patient safety initiatives focus mainly on inpatient hospital events, adverse effects of medical
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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.
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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 Indicators … Patients for Patient Safety. Geneva, Switzerland:
World Health Organization; 2008. … Important
Unsolicited Patient/Family Complaints as Indicators of Opportunities to Improve Safety
Patient
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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.
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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.
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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.
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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.
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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 Patients … Safety Network (PSNet) Patient Safety Organizations (PSOs) Permissions Primary Care Practice-Based Research … Women's Health) Publications & Research Quality Measures SafetyNet StateSnapshots/NHDRQRnet Surveys on Patient … Safety Culture TalkingQuality TeamSTEPPS Technology Assessments U.S.
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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 patient … safety events that pose serious harm to patients but can be considered entirely preventable, as defined
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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 Indicators … safety culture, and making a business case for
patient safety … for Patient Safety Information
The Quality Imperative
AHRQ Patient Safety Indicators (2003)
AHRQ
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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
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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