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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - 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 … Halamek is the recipient of Agency for Healthcare Research and Quality (AHRQ) grant number 5U18HS012022 … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - never received early feedback that certain
behaviors are not appropriate and pose a threat to care quality … the individual simply doesn't practice in a
way that is consistent with the group's commitment to quality … When a colleague behaves in a disruptive manner about a real quality
concern, my notion is that we have … two issues to address—the quality issue and the behavior. … In the end, it
is about promoting professional conduct and quality, and recognizing that a profession
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psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - The effective engagement of nursing is key to patient safety and care quality improvement. … Clinician well-being has important implications for patient safety and quality of healthcare delivery … Clinician well-being has important implications for patient safety and quality of healthcare delivery … identified five organizational-level outcomes associated with nurse burnout – (1) patient safety, (2) quality … The effective engagement of nursing is key to patient safety and care quality improvement.
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - 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 … "Over-transfusion" can occur in the clinical setting where there is good-quality, randomized evidence … We recommend using the AABB guidelines, which integrate the latest and best-quality evidence. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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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/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - 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 … the scope of what we view as “critical” for assuring the safety of products, and that includes the quality … KH: When thinking about surveillance and indicators that potentially unsafe conditions exist, is there … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - One clear source of the clinical dilemma is the
lack of high-quality data to help guide clinicians. … Take-Home Points
Perioperative management of OAC is a high-risk scenario due to the lack of high-quality … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. … Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. … The Agency for Healthcare Research and Quality (AHRQ) Communication and Optimal Resolution (CANDOR) … the effectiveness of improvement efforts is essential for quality assurance and public outreach. … Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/node/61083/psn-pdf
October 28, 2020 - Director for post-acute care at BJC
Medical Group and the Project Medical Director for the Missouri Quality … Specifically, I work with the Quality Improvement Program of Missouri and I
am a co-investigator on … the Missouri Quality Initiative. … LP: The Missouri Quality Initiative is a CMS-funded innovation project. … In some homes with good uptake we saw a good quality
indicator.
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - 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 … I'm a master's-level registered nurse and certified professional in healthcare quality [CPHQ]. … I have been working in the field of quality and patient safety since 2007 and serve as the Director of … Rockville, MD: Agency for Healthcare Research and Quality; November 2021. AHRQ Pub.
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - 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 … Burnout and its relationship to self-reported quality of patient care and adverse events during COVID … Rockville, MD: Agency for Healthcare Research and Quality; November 2021. AHRQ Pub. … I'm a master's-level registered nurse and certified professional in healthcare quality [CPHQ].
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Ensure quality care for all pregnant and postpartum persons.
5. … Quality of care and disparities in obstetrics. Obstet Gynecol Clin North Am.
2017;44(1):13-25. … A rapid review of available evidence to inform indicators for
routine monitoring and evaluation of respectful … California Maternal Quality Care Collaborative (CMQCC). Accessed January 24, 2024. … California Maternal Quality Care Collaborative (CMQCC). Accessed January 24,
2024.
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 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? … Safety gaps in medical team communication: Results of
quality improvement efforts in a cardiac catheterization … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - 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 … desired, retracts it, and then optionally enters a new but closely related order, and they are useful indicators … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/primer/never-events
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 … multiple times, and now consists of 29 "serious reportable events" grouped into 7 categories: National Quality … References National Quality Forum. List of Serious Reportable Events. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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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