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psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams
February 14, 2017 - Outcome measures included both clinical outcomes, such as postoperative infection rates, and process … measures, such as adherence to checklists intended to prevent patient harm. … 2016
Analysis of suicides reported as adverse events in psychiatry resulted in nine quality … 2011
Team training in the neonatal resuscitation program for interns: teamwork and quality … August 27, 2008
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Hospitals
Quality
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psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure-diagnostic-errors
July 14, 2021 - measure diagnostic errors. … The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors … The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors … November 16, 2022
Repurposing clinical decision support system data to measure dosing … errors and clinician-level quality of care.
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - In its first iteration the program includes 13 measures taken
from Medicare's Inpatient Quality Reporting … track record is spotty at best, these pay-for-performance programs have strong appeal—in no
small measure … Who pays for poor surgical quality? Building a
business case for quality improvement. … Tension between quality measurement, public quality reporting, and
pay for performance. … Hospital quality for acute myocardial infarction: correlation among
process measures and relationship
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psnet.ahrq.gov/issue/assessing-and-improving-quality-and-safety
April 13, 2011 - Newspaper/Magazine Article
Assessing and improving quality and safety. … article reports on the results of a survey investigating the use of metrics in hospitals to motivate quality … April 13, 2011
Validity of Agency for Healthcare Research and Quality Patient Safety Indicators … November 20, 2019
Patient safety: let's measure what matters.
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psnet.ahrq.gov/node/837063/psn-pdf
May 11, 2022 - Patients' experiences and perspectives of patient-
reported outcome measures in clinical care: a systematic … Patients’ experiences and perspectives of patient-reported
outcome measures in clinical care: a systematic … https://psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures- … clinical-care
Patients are frequently asked to complete patient-reported outcome measures (PROM), … or standardized
questionnaires, to assess general quality of life, screen for specific conditions or
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psnet.ahrq.gov/node/37510/psn-pdf
March 04, 2011 - events in VA inpatient care:
reliability limits to using patient safety indicators as
performance measures … events in VA inpatient care: reliability limits to
using patient safety indicators as performance measures … rare-adverse-medical-events-va-inpatient-care-reliability-limits-using-patient-
safety
This study assessed the value of AHRQ Patient Safety Indicator (PSI) rates as a measure … The authors advocate for use of PSIs in research settings rather than for
purposes of measuring quality … improvement interventions or rating the quality of individual providers.
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psnet.ahrq.gov/issue/framework-health-care-organizations-develop-and-evaluate-safety-scorecard
September 17, 2010 - conceptual model to guide organizations in developing their safety scorecard and understanding the measures … A worksheet is provided that focuses on three questions: Is the measure important? … , Is the measure valid?, and Can this measure be used to improve safety in the organization? … A past AHRQ WebM&M commentary discussed the unintended consequences of public reporting on quality. … February 16, 2011
How to use an article about quality improvement.
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psnet.ahrq.gov/issue/adherence-simple-and-effective-measures-reduces-incidence-ventilator-associated-pneumonia
November 16, 2011 - Study
Adherence to simple and effective measures reduces the incidence of ventilator-associated … Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia. … Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia. … Related Resources From the Same Author(s)
What is the value and impact of quality … What prevents the delivery of effective, high quality, and safe healthcare in England?
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psnet.ahrq.gov/issue/changes-hospital-safety-following-penalties-us-hospital-acquired-condition-reduction-program
September 29, 2021 - They found that penalized hospitals did not have lower HAC rates or improve other measures of clinical … quality. … By contrast, quality improvement collaboratives like Partnership for Patients have markedly reduced … June 25, 2018
Composite measures for profiling hospitals on bariatric surgery performance … measures and financial performance.
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psnet.ahrq.gov/node/45352/psn-pdf
September 01, 2018 - Predictors of gaps in patient safety and quality in U.S.
hospitals. … Predictors of Gaps in Patient Safety and Quality in U.S. Hospitals. … and financial incentives have led to an increased focus on hospital quality. … Because
public reporting programs measure hospital performance using averages or rankings of observed … and safety measures and its actual performance on those measures as publicly reported
by the Centers
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psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
March 09, 2022 - Review
Electronic health record nudges and health care quality and outcomes in primary … Electronic health record nudges and health care quality and outcomes in primary care: a systematic review … measures—whether the nudge was accepted— not the impact on patient safety. … Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures … November 13, 2024
How intervention studies measure the effectiveness of medication safety-related
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - Multiple
approaches are necessary to get closer to concepts that we're trying to measure. … PR: Well, the simple answer is you can't improve what you don't measure. … The Program started with a fairly limited set of measures that are now called Inpatient Quality Indicators … or
IQI, including risk-adjusted mortality measures and measures of volume on specific procedures for … from The Joint Commission, from Hospital Compare, from process measures,
risk-adjusted mortality measures
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psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-are-not-aligned
May 26, 2021 - The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. … offer recommendations to CMS to improve their comparison program, including reducing the number of measures … March 27, 2017
Associations between hospital characteristics, measure reporting, and … Eisenberg Patient Safety and Quality Awards. … Eisenberg Patient Safety and Quality Awards.
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - Better quality care is more efficient, higher quality care. … One of the most surprising measures was to reduce the rate of early elective delivery in this country … The NHSN website and data collection system and its measures are as standardized as they come. … The Partnership for Patients 2.0 statement of work does have a suggested standardized list of measures … patient safety, the fact is it is not standardized, and people do use a lot of different measures.
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psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety
December 06, 2023 - Health information technology (IT) has promise for improving safety, but processes to measure and … Drawing from sociotechnical approaches and continuous quality improvement , this commentary outlines … May 18, 2022
Developing electronic clinical quality measures to assess the cancer diagnostic … May 31, 2023
Quality and safety: learning from the past and (re)imagining the future. … July 22, 2015
Smart pumps: advanced capabilities and continuous quality improvement.
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psnet.ahrq.gov/issue/instruments-patient-safety-assessment-scoping-review
October 12, 2022 - Measuring patient safety is essential to ensuring healthcare organizations are providing safe, high-quality … This scoping review includes 63 studies that collectively reported on 47 instruments or scales used to … March 9, 2022
Moving towards a core measures set for patient safety in perioperative … September 23, 2020
Effect of a quality improvement intervention with daily round checklists … October 18, 2023
Relationship of the nursing practice environment with the quality of
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psnet.ahrq.gov/node/43675/psn-pdf
April 18, 2016 - April 18, 2016
Washington, DC: National Quality Forum; 2016. … https://psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report
The value of current measures … information about a consensus-driven initiative to evaluate the reliability of existing patient safety
measures … psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report
https://psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters
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psnet.ahrq.gov/node/44820/psn-pdf
March 08, 2017 - March 8, 2017
National Quality Forum; NQF. … https://psnet.ahrq.gov/issue/patient-safety-project-2015-2017
The National Quality Forum (NQF) has been … a leader in defining patient safety reporting measures. … website provides information about the third cycle of an NQF patient safety project that solicited new
measures … //psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/patient-safety-measures
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psnet.ahrq.gov/node/867632/psn-pdf
February 26, 2025 - Measuring patient safety is essential to ensuring healthcare organizations are providing safe, high-quality … This scoping review includes 63 studies that collectively reported on 47 instruments or scales used to … perspective/measuring-patient-safety
https://psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - Robert Wachter, Editor, AHRQ WebM&M : In your career you've done a lot of work in quality, quality assessment … I think that that's really true for these so-called softer measures as well. … ago, to try to measure health outcomes that weren't death or heart attacks or hospitalizations. … Not only do we have generic measures of quality of life, but we have all kinds of disease-specific measures … RW : I was struck, again in your clinical analogy, that as you measure all of these potential confounders