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psnet.ahrq.gov/node/74229/psn-pdf
January 12, 2022 - A simulation systems testing program using HFMEA
methodology can effectively identify and mitigate latent … A simulation systems testing program using HFMEA methodology
can effectively identify and mitigate latent … https://psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively … https://psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and … https://psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in … This article describes one nursing home’s experience adapting the Fall TIPS program for
use in their … The program,... … Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in … The program,...
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psnet.ahrq.gov/node/855088/psn-pdf
January 01, 2024 - Impact of hospital-acquired pneumonia on the Medicare
program. … Impact of hospital-acquired pneumonia on the Medicare
program. … https://psnet.ahrq.gov/issue/impact-hospital-acquired-pneumonia-medicare-program
Hospital-acquired pneumonia … https://psnet.ahrq.gov/issue/impact-hospital-acquired-pneumonia-medicare-program
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/73852/psn-pdf
October 27, 2021 - In response to effects of pandemic, the University of Minnesota developed
the MN Resilience Program. … The program is comprised of two main components. … Second, the program assigned
each unit or department a faculty member from the Department of Psychiatry … To ensure successful implementation and adoption, the program convened a Steering Committee
(comprised … MN Resilience Program.
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psnet.ahrq.gov/node/47328/psn-pdf
January 01, 2020 - In 2014, they implemented a value-based purchasing
program (the Hospital-Acquired Condition Reduction … Program) that reduces reimbursement to hospitals
with elevated rates of a range of HACs. … The program measures HAC rates by a composite Patient Safety
Indicator (PSI90), which includes 10 specific … This study examined HAC rates after implementation of
the reimbursement penalty program at a cohort … Overall, HAC rates declined
over the 2 years following implementation of the program, with only rates
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psnet.ahrq.gov/print/pdf/node/73848
July 01, 2022 - This AHRQ-funded program draws from
comprehensive unit-based safety program principles to reduce errors … The program seeks to inform the design of support... … Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. … The program seeks to inform the design of support... … This AHRQ-funded program draws from
comprehensive unit-based safety program principles to reduce errors
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psnet.ahrq.gov/node/43907/psn-pdf
April 27, 2015 - Association of hospital participation in a surgical
outcomes monitoring program with inpatient
complications … Association of hospital participation in a surgical outcomes
monitoring program with inpatient complications … https://psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program- … https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
https://psnet.ahrq.gov/issue … /national-surgical-quality-improvement-program
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psnet.ahrq.gov/node/45990/psn-pdf
August 24, 2022 - Medication Safety Certificate Program. … https://psnet.ahrq.gov/issue/medication-safety-certificate-program
Leadership commitment to reduce medication … This certificate
program presents key concepts that support organizational efforts to augment medication … https://psnet.ahrq.gov/issue/medication-safety-certificate-program
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/46708/psn-pdf
February 08, 2023 - FDA/ISMP Safe Medication Management Fellowship
Program. … https://psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
This fellowship program … https://psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/43279/psn-pdf
October 20, 2014 - A comprehensive obstetric patient safety program
reduces liability claims and payments. … A comprehensive obstetric patient safety program reduces liability
claims and payments. … https://psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and … -
payments
A comprehensive obstetric patient safety program at an academic hospital—which involved … This follow-up study demonstrates that the program
was also associated with a reduction in malpractice
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psnet.ahrq.gov/node/46574/psn-pdf
October 25, 2017 - Effect of a hospital-wide measure on the readmissions
reduction program. … Effect of a Hospital-wide Measure on the Readmissions
Reduction Program. … for Medicare and Medicaid Service Hospital Readmissions Reduction Program,
hospitals are subject to … Research
supports the effectiveness of this program in decreasing readmissions and some have argued … /association-between-hospital-penalty-status-under-hospital-readmission-reduction-program-and
https:/
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psnet.ahrq.gov/node/60833/psn-pdf
September 15, 2020 - Enhancing Your Medication Error Reporting Program to
Improve Global Medication Safety. … https://psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-
medication-safety … https://psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety … https://psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
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psnet.ahrq.gov/node/43868/psn-pdf
February 04, 2015 - Implementing a standardized safe surgery program
reduces serious reportable events. … Implementing a standardized safe surgery program reduces serious
reportable events. … https://psnet.ahrq.gov/issue/implementing-standardized-safe-surgery-program-reduces-serious-reportable … -
events
Implementation of a safe surgery program resulted in a sustained decrease in serious reportable … approaches as well as an ongoing implementation and
reinforcement program.
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psnet.ahrq.gov/node/47020/psn-pdf
January 16, 2019 - Unintended harm associated with the Hospital
Readmissions Reduction Program. … Unintended Harm Associated With the Hospital Readmissions Reduction Program. … https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
Using … https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
https … https://psnet.ahrq.gov/issue/readmissions-observation-and-hospital-readmissions-reduction-program
https
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - There are
now ECHO programs in over 60 disease areas across the United States and in other parts of … However, the ECHO-CT program staff at
BIDMC recognize that resources are likely more limited for the … funding, as
well developing the program design, including the development of the evaluation plan and … creating program
processes and resources. … Additional information to guide interested sites can be found in the ECHO-CT Program Toolkit.
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psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - Lesson from the VA's Team Training Program
November 1, 2011
Neily J, Mills PD, Paull DE, et al. … Lesson from the VA's Team Training Program . PSNet [internet]. 2011. … care high-
tech simulation component was added later in the program. … .(17)
Evaluation of the program
Evaluation of the overall MTT program was somewhat challenging because … reliability, establishing a "fair and just culture," and
improving patient safety.(18) The success of MTT programs
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psnet.ahrq.gov/node/46126/psn-pdf
June 19, 2019 - A guide to evaluation of quality improvement and patient
safety educational programs: lessons from the … VA Chief
Resident in Quality and Safety Program. … VA Chief Resident in Quality and Safety Program. … the
Department of Veterans Affairs to assess their resident patient safety leadership development program … https://psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program-model-spread
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psnet.ahrq.gov/node/47751/psn-pdf
May 01, 2019 - Heart Failure: The Decline of a Historic Transplant
Program. … https://psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
This news investigation … chronicles a series of incidents in a transplant program that resulted in patient harm
. … https://psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/837811/psn-pdf
August 10, 2022 - Examining the Status of VA’s Electronic Health Record
Modernization Program. … https://psnet.ahrq.gov/issue/examining-status-vas-electronic-health-record-modernization-program
Large-scale … Panelists from the Veterans Administration, the investigator and
the technology vendor involved in the program … https://psnet.ahrq.gov/issue/examining-status-vas-electronic-health-record-modernization-program
https
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psnet.ahrq.gov/node/43975/psn-pdf
July 18, 2016 - Influence of the Comprehensive Unit-based Safety
Program in ICUs: evidence from the Keystone ICU project … Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence
From the Keystone ICU Project … https://psnet.ahrq.gov/issue/influence-comprehensive-unit-based-safety-program-icus-evidence-keystone … -
icu-project
To determine the impact of the Comprehensive Unit-Based Safety Program (CUSP) on patient … https://psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
https