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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
January 01, 2019 - are common in inpatient psychiatry
Overdiagnosis and underdiagnosis are common in routine practice
Quality … occur in the emergency department (ED), on the psychiatric unit, or during a transition in providers
Quality … the psychiatric facility
*
*
Improving Safety in Psychiatry
Psychiatric units can initiate quality … psychiatry
Error reporting systems lag behind
Psychiatry training programs should improve education in quality
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psnet.ahrq.gov/node/40982/psn-pdf
March 23, 2012 - incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
https://psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series … https://psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events
https://
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psnet.ahrq.gov/node/42652/psn-pdf
October 31, 2014 - The group synthesized 26 distinct safety indicators into a
score comprised equally of process measures … safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals
https://psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - found that falls occur at a rate of 3–5 per 1000 bed-days, and the
Agency for Healthcare Research and Quality … index.html
https://www.cdc.gov/steadi
Fall prevention has been the subject of intensive research and quality … One widely cited,
high-quality randomized trial documented a significant reduction in falls among elderly
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psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - Health Care Data Science for Quality Improvement and
Patient Safety
October 1, 2016
Rajkomar A. … Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016. … https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
Perspective … https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
https … supplemented with a call for clinician data scientists who can harness clinical
datasets to improve quality
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psnet.ahrq.gov/primer/diagnostic-errors
June 15, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … In fact, current quality measurements do not take diagnostic accuracy into account at all, meaning that … organizations could score well on quality measures even if patients receive the correct treatment for … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - differential diagnosis that is neither overly broad nor overly narrow.2 Pain
attributes such as location, quality … such as fever, nausea, vomiting, and diarrhea; and
physical exam findings such as the location and quality … imaging has increased significantly over the last 20 years, driven largely by improved
availability and quality … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Quality of Care of Obese Patients. … What Can Be Done to Improve Quality and Safety in the Care of the Obese Patient? … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - The Agency for Healthcare Research and Quality (AHRQ) Communication and Optimal Resolution
(CANDOR) … Selecting relevant quality measures and ongoing collection, tracking, and evaluation of data to assess … the
effectiveness of improvement efforts is essential for quality assurance and public outreach. … AHRQ's Patient Safety Network (PSNet)
Professor of Pediatrics and Medical Director for Healthcare Quality
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - standardized adverse event definitions
which facilitates compiling and sharing data with
researchers and quality … Quality Use of Medicines – medication safety issues in naming; look‐alike, sound‐alike medicine names … Safety gaps in medical team communication: Results of quality improvement efforts in a cardiac catheterization
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psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. … Rockville, MD: Agency for Healthcare Research and Quality; 2011.
[Available at]
18.
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psnet.ahrq.gov/node/49668/psn-pdf
October 01, 2012 - Substance Abuse and Mental Health Services
Administration, Center for Behavioral Health Statistics and Quality … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - unforeseeable, consequences of
https://psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-quality-and-information-technology-revolutions … https://psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-quality-and-information-technology-revolutions
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Why can't their employees look at the quality and cost effectiveness of hospitals when deciding where … To what extent do we expect measures to be fair and reliable as indicators of the performance of a hospital … Our staff is in the weeds every day on issues around patient safety and quality issues and measurement
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psnet.ahrq.gov/issue/healthcare-associated-infections
January 10, 2018 - Same Author(s)
Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality … March 9, 2016
Dissemination of Lean methods to improve Pap testing quality and patient … November 10, 2010
Quality and Safety Education for Nurses. … July 3, 2013
Validity of Patient Safety Indicators in the Veterans Health Administration
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psnet.ahrq.gov/node/47671/psn-pdf
January 01, 2019 - https://psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-estimates-ahrq-patient-safety-indicators … racial-disparities-frequency-patient-safety-events-results-national-medicare-patient-safety
https://psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety
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psnet.ahrq.gov/issue/charting-course-launching-patient-centric-healthcare
December 19, 2018 - Same Author(s)
Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality … March 5, 2013
Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical … Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators … April 1, 2024
National Healthcare Quality and Disparities Reports. … November 26, 2013
HealthGrades Quality Study: Fourth Annual Patient Safety in American
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psnet.ahrq.gov/issue/improvement-cymru
October 20, 2014 - The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … View More
Related Resources
Validity of 16 AHRQ Patient Safety Indicators … May 9, 2012
WebM&M Cases
The Safety and Quality of Long
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psnet.ahrq.gov/node/45744/psn-pdf
December 19, 2017 - hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
https://psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
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psnet.ahrq.gov/node/43745/psn-pdf
December 17, 2014 - longer length of stay, and higher cost) beyond the
standard Centers for Medicare and Medicaid Services indicators … complications (i.e., increased sensitivity), not all of
them can be attributed with certainty to the quality