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www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
June 01, 2018 - several measures of health care quality into one amalgamated quality measure and draws from direct indicators … each of three states, Independence Blue Cross had to file nine different reports with a total of 675 indicators … The costs of adverse drug events in hospitalized patients. … Consumer reports in health care: do they make a difference in patient care? … National Patient Safety Foundation. 1998. http://www.npsf.org/
O'Connor G, Plume SK, Olmstead EM, et
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psnet.ahrq.gov/node/48098/psn-pdf
July 10, 2019 - A common
scenario is one in which a patient is prescribed multiple medications, does not know what each … to enable patients and pharmacists to check the bottle in order to remember a
medication's purpose. … Internal medicine physicians, whose patients are more likely to take multiple medications, wrote indications … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings … safety-retail-pharmacy
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find2.html
December 01, 2012 - Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators
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psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - who die due to medical errors has been a controversial subject since the inception
of the patient safety … Identifying and Analyzing Preventable Deaths
The Patient Safety Primer on Measurement of Patient Safety … Death Rate in
Low-Mortality Diagnosis Related Groups is an AHRQ Patient Safety Indicator and is appropriate … strengthening-ahrqs-role-in-preventing-medical-errors.html
https://psnet.ahrq.gov/primer/measurement-patient-safety … https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - safety
Use CUSP tools to improve teamwork/patient safety
6
6
Building a Successful Team:
The … safety officer or any physician interested in improving safety and quality
11
11
Building a Successful … safety/quality improvement
Respected by peers and others with commitment to safety
Potential candidates … include: CMO, CNO, Chief Quality or Patient Safety Officer
13
13
Building a Successful Team: … Utilization may be significantly reduced on the general medical-surgical units if patients transferred
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psnet.ahrq.gov/issue/adverse-drug-reactions-and-therapeutic-errors-older-adults-hazard-factor-analysis-poison
September 09, 2013 - July 9, 2008
Application of patient safety indicators internationally: a pilot study … May 22, 2019
Potential drug interactions and duplicate prescriptions among cancer patients
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psnet.ahrq.gov/node/41327/psn-pdf
November 27, 2012 - Multiple patient safety events within a single
hospitalization: a national profile in US hospitals. … Multiple patient safety events within a single hospitalization: a
national profile in US hospitals. … https://psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us … Using the AHRQ
Patient Safety Indicators as a screening tool, the authors found that multiple patient … are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade
https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence-references.html
April 01, 2025 - The Economics of Diagnostic Safety. Improving Diagnosis in Health Care . … How can healthcare organizations implement patient-centered care? … Indicators and measurement tools for health system integration: a knowledge synthesis protocol. … excellence through prevention and teamwork (ADEPT) study protocol: a multicenter, prospective quality and safety … Jt Comm J Qual Patient Saf 2006;32(10):541–548. PMID: 17066991.
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - ;
hospital; patient safety
3
FINAL REPORT NARRATIVE
Purpose
Hospital inpatient falls are among … total nursing hours per patient-day supplied by
RNs
Structure indicators (patient characteristics) … Effects of nursing rounds on patients’ call light use, satisfaction, and
safety. … Chapter 8-Safety Practice 33, Falls prevention.
[10] American Nurses Association (ANA). … on quarterly indicators: Version 5.0.
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psnet.ahrq.gov/node/73191/psn-pdf
April 23, 2007 - The National Database of Nursing Quality Indicators(TM)
(NDNQI®).
April 23, 2007
Montalvo I. … outcomes and safety culture. … (NDNQI) reports on
structural, process, and outcome indicators to evaluate nursing care. … issue/national-database-nursing-quality-indicatorstm-ndnqir
https://psnet.ahrq.gov/primer/nursing-and-patient-safety … https://psnet.ahrq.gov/issue/nursing-home-staff-turnover-and-perceived-patient-safety-culture-results-national-survey
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/emerging/index.html
June 01, 2020 - established quality measurement sets such as the Consumer Assessment of Health Plans (CAHPS®), AHRQ Quality Indicators … Risk-adjusted average length of stay for asthma patients.
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psnet.ahrq.gov/node/40978/psn-pdf
March 21, 2012 - Relationship between patient safety and hospital surgical
volume. … Relationship between Patient Safety and
Hospital Surgical Volume. … https://psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
Studying … The latter were measured using the
AHRQ Patient Safety Indicators (PSIs), which have noted limitations … https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
https://psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
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psnet.ahrq.gov/node/37895/psn-pdf
July 09, 2008 - J Safety Res. 2008;39(3). doi:10.1016/j.jsr.2008.01.001. … accidents-claiming-and-regional-subcultures-are-medical-errors-and-
malpractice-lawsuits
This paper compares state-level hospital performance on Patient … Safety Indicators to similar data on
malpractice lawsuits and traffic safety. … cultural component to improved safety in both arenas. … accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
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psnet.ahrq.gov/node/43192/psn-pdf
December 15, 2014 - Using estimated true safety event rates versus flagged
safety event rates: does it change hospital profiling … https://psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates … retrospective study of hospital data found that estimated adverse event rates varied between use of
AHRQ Patient … Safety Indicators and chart abstraction. … https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
https://psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
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psnet.ahrq.gov/node/35310/psn-pdf
January 02, 2017 - Using the AHRQ Quality Indicators to improve health care
quality. … Using the AHRQ Quality Indicators to Improve Health Care Quality. … Jt Comm J Qual Patient Saf. 2016;31(9):533-538. doi:10.1016/s1553-7250(05)31069-5. … the three modules of AHRQ Quality Indicators—prevention, inpatient, and patient
safety—and discuss … /issue/ahrq-quality-indicators
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psnet.ahrq.gov/node/48158/psn-pdf
July 24, 2019 - Perceived patient safety culture in nursing homes
associated with "Nursing Home Compare" performance … indicators. … Perceived Patient Safety Culture in Nursing Homes Associated With "Nursing
Home Compare" Performance … Indicators. … /nursing-home-survey-patient-safety-culture
https://psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes
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qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
August 31, 2016 - Safety Indicators (PSIs) to provide a composite using clinical
judgment. … The name was changed from “Patient Safety of Selected Indicators Composite” to
“Patient Safety and Adverse … Events Composite” to capture the concept of patient harm
resulting from a patient safety event. … These excess harm probabilities were estimated by comparing patients with
a safety-related event to … very similar, otherwise eligible patients without
that safety-related event over up to one year after
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psnet.ahrq.gov/node/42660/psn-pdf
October 16, 2013 - Practice indicators of suboptimal care and avoidable
adverse events: a content analysis of a national … Practice indicators of suboptimal care and avoidable adverse
events: a content analysis of a national … https://psnet.ahrq.gov/issue/practice-indicators-suboptimal-care-and-avoidable-adverse-events-content … although the test
contained some assessment related to avoiding adverse events, it did not evaluate all safety-related … https://psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
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psnet.ahrq.gov/node/35462/psn-pdf
February 18, 2011 - Investigators tracked quality-of-care indicators and compared trends
internally and with fee-for-service … Findings illustrated
significant improvements over time for all indicators within the Veterans Affairs … (VA) health care system and
better quality scores than Medicare on 12 of 13 indicators in 2000. … on a
national level (see National Center for Patient Safety). … effect-transformation-veterans-affairs-health-care-system-quality-care
https://psnet.ahrq.gov/issue/national-center-patient-safety-ncps
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psnet.ahrq.gov/node/44418/psn-pdf
September 23, 2015 - Learning from patient safety incidents in incident review
meetings: organisational factors and indicators … Learning from patient safety incidents in incident review meetings: Organisational
factors and indicators … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and