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psnet.ahrq.gov/issue/confusion-specimen-mix-dermatopathology-and-measures-prevent-and-detect-it
February 12, 2020 - Review
Confusion—specimen mix-up in dermatopathology and measures to prevent and … Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. … Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. … February 5, 2020
Evaluation of the quality of 'do not use' medication abbreviation audits … 24, 2021
Transforming the morbidity and mortality conference to promote safety and quality
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psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace-policy
December 29, 2014 - This commentary discusses the shortcomings in policy measures to improve patient safety. … To a large extent, policy measures are limited by an inability to distinguish between "inevitable" and … Policy measures should be informed by this research, so that payment policies appropriately incentivize … and performance measures for improvement. … September 7, 2011
Board quality scorecards: measuring improvement.
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - Hospital quality for acute myocardial infarction: correlation among process measures and relationship … Some measures are more problematic, the biggest one being the readmissions measure. … RW : One of the tensions between safety and quality is that while it's relatively easy to measure mortality … and maybe case-mix adjust mortality and certain process measures, it's pretty hard to measure diagnostic … And do you worry that because it's easier to measure quality we'll take our eye off the safety ball?
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - The NCCMERP recommends having appropriate metric scales (standing, chair,
beds/stretchers with scales … Built-in bed scales are
convenient but are also costly. … Notably, CDS is unable to audit the accuracy or quality of the weight input in the system, so the
CDS … This includes ensuring that
appropriate metric scales (standing or weighted stretcher scales) are readily … Quality and Safety in Health Care.
2002;11(4):352-354. [Free full text]
13.
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psnet.ahrq.gov/issue/measurement-ambulatory-medication-errors-children-scoping-review
February 07, 2024 - This scoping review explored the use of measures to capture pediatric medication errors in ambulatory … The authors identified 142 studies evaluating 21 measures of medication errors, including measures of … Only 31 studies assessed measure reliability. … Resources
Annual Perspective
Improving Diagnostic Safety and Quality
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psnet.ahrq.gov/node/40998/psn-pdf
December 14, 2011 - Identifying unintended consequences of quality
indicators: a qualitative study. … Identifying unintended consequences of quality indicators: a
qualitative study. … https://psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study … measures: measure fixation (overemphasis of specific aspects of
care), tunnel vision (missing important … contextual information due to focusing on measures),
misinterpretation of metrics, and potential for
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psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - Some measures are more problematic, the biggest one being the readmissions measure. … RW : One of the tensions between safety and quality is that while it's relatively easy to measure mortality … and maybe case-mix adjust mortality and certain process measures, it's pretty hard to measure diagnostic … And do you worry that because it's easier to measure quality we'll take our eye off the safety ball? … Hospital quality for acute myocardial infarction: correlation among process measures and relationship
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - The public release of hospital quality measures is typically undertaken with a number of explicit and … The HQA began in late 2003 with a limited set of 10 quality measures spread across three clinical conditions … areas, with the addition of new measures focused on the quality of surgical care. … This is especially important to appreciate given that specifications for existing quality measures do … Table Hospital Quality Alliance: Current Measure Set Heart Attack (Acute Myocardial Infarction
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psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
January 03, 2017 - Classic
Organizational factors associated with high performance in quality … This study examined discharge data from 79 AMCs to generate a scoring method for measures of safety, … hospitals and residents' knowledge of quality and patient safety? … July 19, 2010
The reliability of AHRQ Common Format Harm Scales in rating patient safety … April 6, 2011
The Safety Organizing Scale: development and validation of a behavioral measure
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - The public release of hospital quality measures is typically undertaken with a number of explicit and … The HQA began in late 2003 with
a limited set of 10 quality measures spread across three clinical conditions … areas, with the addition of new measures focused on the quality of surgical care. … This is especially important to appreciate given that
specifications for existing quality measures do … Table
Hospital Quality Alliance: Current Measure Set
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?
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psnet.ahrq.gov/node/50729/psn-pdf
December 11, 2019 - Improving Diagnostic Quality & Safety/Reducing
Diagnostic Error: Measurement Considerations. … December 11, 2019
Washington DC; National Quality Forum: October 28, 2019. … -
considerations
Efforts to track, understand and measure diagnostic errors offer continuing challenges … measures. … It identified new types of active measures and related concepts present in the
evidence base.
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psnet.ahrq.gov/node/33695/psn-pdf
April 01, 2010 - Recognizing that
progress in improving quality and safety hinges on the availability of robust measures … ; rather, it is a neutral body that endorses
measures. … Janet Corrigan, the
current President and CEO of NQF, worry that the field of quality measures is getting … in order to stimulate improvement.(21) For example,
consumers may have difficulty understanding a measure … represent the single source of measures for public reporting and pay-for-performance programs.
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psnet.ahrq.gov/node/866104/psn-pdf
June 12, 2024 - When agency fails: an analysis of the association
between hospital agency staffing and quality outcomes … When agency fails: an analysis of the association
between hospital agency staffing and quality outcomes … This study used national data
to explore the association of use of agency staff and hospital quality … measures. … measures,
including Hospital Compare star rating and Hospital Value-Based Purchasing (VBP) Total Performance
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - Either process or outcome measures can be valid measures of
quality—valid in the sense that they really … So if you're going to use an outcome as a valid
measure of quality, you must have a proven relationship … core measures. … The physician quality reporting initiative is
out there. They have developed hundreds of measures. … I have already
told you my bias that claims data do not produce highly valid quality measures.
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psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both
April 22, 2017 - This systematic review examined whether preventable death rates could be used as a measure of hospital … quality. … The authors conclude that preventable death rates would not be a valid or reliable measure of patient … From the Same Author(s)
Reviewing deaths in British and US hospitals: a study of two scales … January 27, 2021
Whistleblowing over patient safety and care quality: a review of the
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psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital
December 16, 2011 - Study
The Safety Organizing Scale: development and validation of a behavioral measure … The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in … The Agency for Healthcare Research and Quality (AHRQ) recommends that hospitals monitor the culture … survey administered at 13 Catholic health system hospitals were used to develop an instrument that measures … The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in
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psnet.ahrq.gov/node/47350/psn-pdf
November 29, 2018 - Do crowdsourced hospital ratings coincide with Hospital
Compare measures of clinical and nonclinical … quality? … Quality? … between crowdsourced ratings of hospitals (i.e., through consumer-
oriented sites) and publicly reported quality … of hospital quality and safety.
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - about the safety event(s) and the circumstances surrounding it, using them to systematically detect and measure … events across large populations of patients over time.( 15 ) One example of an administrative data–based measure … Given the increased use of quality and safety measures for hospital-level public reporting and pay-for-performance … AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality. … April 10, 2024
Using harm-based weights for the AHRQ Patient Safety for Selected Indicators
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psnet.ahrq.gov/node/866312/psn-pdf
July 17, 2024 - Development of patient safety measures to identify
inappropriate diagnosis of common infections. … Development of patient safety measures to identify inappropriate
diagnosis of common infections. … This article
describes the development of two National Quality Forum (NQF)-endorsed measures of inappropriate … Both measures
demonstrated strong validity and reliability through testing with patient focus groups … 2011
https://psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
https://psnet.ahrq.gov/issue/national-quality-forum
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psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data
February 10, 2012 - Review
A review of patient safety measures based on routinely collected hospital … A review of patient safety measures based on routinely collected hospital data. … A review of patient safety measures based on routinely collected hospital data. … weekend: a retrospective cohort study on the association between day of hospital presentation and the quality … weekend: a retrospective cohort study on the association between day of hospital presentation and the quality