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psnet.ahrq.gov/issue/rise-exploring-volunteer-retention-and-sustainability-second-victim-support-program
April 21, 2021 - RISE program volunteers surveyed in this study reported positive perceptions of program participation … An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality … Support Tool: validation of an organizational resource for assessing second victim effects and the quality … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures … September 21, 2016
Risk managers' descriptions of programs to support second victims
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psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
March 27, 2024 - Commentary
Redesigning a morbidity and mortality program in a university-affiliated … Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department … Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department … May 27, 2010
Adherence to Surgical Care Improvement Project measures and the association … and measure diagnostic errors.
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - , and patient safety initiatives Alignment of AHS clinical outcomes and quality measures with national … The revisions include clearly defined process, outcome, structure, and patient measures. … Mortality as an Outcome Measure Since 2001, we have tracked our unadjusted system and hospital mortality … as the "ultimate outcome measure." … I had the distinct privilege of having my CEO be the sponsor for the entire Commitment to Quality program
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psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
March 04, 2020 - Identifying unintended consequences of quality indicators: a 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 … Identifying unintended consequences of quality indicators: a qualitative study. … February 15, 2023
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - These definitions are also used by
the National Surgical Quality Improvement Program (NSQIP), although … administration of appropriate antimicrobial prophylaxis) is routinely tracked in the form of process
measures … implemented the CUSP with mentorship from a national project
team, used either the NHSN or NSQIP method to measure … /www.cdc.gov/nhsn/acute-care-hospital/ssi/index.html
https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program … measures) on its Care Compare website.
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psnet.ahrq.gov/node/44834/psn-pdf
January 27, 2016 - Sustaining reliability on accountability measures at the
Johns Hopkins Hospital. … The program included
creating a robust quality management infrastructure through the Armstrong Institute … The authors attribute their
continued success to establishing an enduring quality management infrastructure … https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety … -2013
https://psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement
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psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
June 11, 2013 - Press Release/Announcement
The MacArthur Fellows Program: Peter Pronovost. … June 11, 2013
The MacArthur Fellows Program: Michael Cohen. … Pretender” (Syphilis) is Still Stumping Healthcare Providers
May 26, 2021
Measures … August 20, 2014
The business case for quality: economic analysis of the Michigan Keystone … Patient Safety Program in ICUs.
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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 … By 2006, the program had expanded to include 21 measures (Table) related to
the original three clinical … areas, with the addition of new measures focused on the quality of surgical care. … Care in U.S. hospitals—the Hospital Quality Alliance program. N
Engl J Med. 2005;353:265-274. … Table
Hospital Quality Alliance: Current Measure Set
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?
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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 … These programs spotlight for
organizations exactly where they should deploy their very scarce quality … 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/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections … Public reporting of quality measures is now widely used as a means of spurring hospitals to invest … in
patient safety and quality improvement efforts; however, it remains unclear if reported measures … truly
indicate a higher quality of care. … publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
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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. … February 15, 2023
Implementation of the I-PASS handoff program in diverse clinical environments … Resources
Annual Perspective
Improving Diagnostic Safety and Quality
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psnet.ahrq.gov/issue/medication-safety-certificate-program
September 30, 2020 - April 1, 2015
Move toward full use of metric dosing: eliminate dosage cups that measure … Use cups that measure mL. … February 26, 2014
2005 Quest for Quality Prize. … February 1, 2022
- March 8, 2022
Master of Healthcare Quality and Safety. … October 15, 2018
Safety Quality and Informatics Leadership Program.
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - measure such as falls and moderate to severe pain.4 The review also found
improved satisfaction of … measures of the quality of the nursing practice environment (which includes staffing ratios), and nursing … These measures are intended to illustrate both the quality of nursing care and the degree to
which an … Nurse-sensitive measures continue to set the standard
for quality and safety in care in the acute scare … measures.
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psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
November 02, 2016 - Hospital-associated patient safety issues have been relatively easier to measure and improve, because … In 2007, the agency's Health Information Technology program launched an Ambulatory Safety and Quality … (AHRQ's Patient Safety Indicators and Quality Indicators), specific performance measures required by … A hospital using all of these measures would, however, only scratch the surface of evaluating the quality … Ambulatory Safety and Quality Program.
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - financial resource strain, and transportation. 3 The goal of this innovation was to improve healthcare quality … , both in quality scores and measures. 3 The program was implemented across UNC Health’s 92 primary … to community resources and supports, such as housing support, food banks, and financial assistance programs … Standardized measures should be designed to collect simple screening information. … Teamwork in healthcare: key discoveries enabling safer, high-quality care.
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - it will be the one that, for example, CMS uses in a pay—performance program? … Over the years, we've created programs like endorsement, like measure selection for CMS. … They'll utilize our programs to make sure that they're designing the best possible measures that are … But we have a number of different programs that try to identify where there are critical measure gaps … We can also get into a space where we really start dealing with systems, with sets and programs of measures
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psnet.ahrq.gov/issue/measure-twice-cut-once
June 14, 2023 - Commentary
Measure twice, cut once.
Citation Text:
Atkinson WK. … Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004. … This piece relates how focusing on quality, education, responsibility, and standardization can help … associated with self-reported commitment to, subjective norms toward, and knowledge about preventive measures … October 4, 2011
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/improving-organizational-climate-quality-and-quality-care-does-membership-collaborative-help
December 14, 2016 - Study
Improving organizational climate for quality and quality of care: does membership … Improving organizational climate for quality and quality of care: does membership in a collaborative … Clinics that participated in the collaborative did not achieve greater improvements in the targeted measures … October 19, 2022
The relationship between patients' perception of care and measures of … February 3, 2021
Creating a framework to integrate residency program and medical center
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psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
September 23, 2020 - increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures … increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures … Evaluating the impact of quality and safety interventions is an evolving science . … June 21, 2017
Implementation of the I-PASS handoff program in diverse clinical environments … 12, 2009
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See More About The Topic
Intensive Care Units
Quality
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psnet.ahrq.gov/issue/national-steering-committee-patient-safety
December 24, 2008 - August 1, 2012
AHRQ's Safety Program for Ambulatory Surgery. … December 18, 2008
AHRQ Safety Program for Improving Antibiotic Use. … Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. … August 8, 2018
Request for comments on the proposed measures and 2020 targets for the … National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction