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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - They build on past efforts of measures to predict unprofessional or disruptive behavior and discuss a … Diagnoses of Cancer
July 31, 2023
Creating a framework to integrate residency program … Creating a physician-led quality imperative. … November 26, 2014
Developing a medication patient safety program — infrastructure and … May 11, 2014
Creating complex health improvement programs as mindful organizations: from
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psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
September 29, 2017 - Citation Text:
Identification and Prioritization of Health IT Patient Safety Measures. … Washington, DC: National Quality Forum; February 2016. … This comprehensive report from the National Quality Forum aims to define and prioritize measures of health … Washington, DC: National Quality Forum; February 2016. … February 27, 2019
Prescription Drug Monitoring Programs: Evidence-based Practices to
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
June 14, 2017 - The ability to use administrative data to measure patient safety is critical, because chart review is … The AHRQ Patient Safety Indicators (PSIs) and the CMS Hospital-acquired Conditions (HACs) aim to measure … Same Author(s)
Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures. … August 27, 2013
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - Read More
Development of an instrument to measure seniors' patient safety … highlights the value that patient perspectives bring to the effort to translate the results of a national measures … program to strengthen strategic progress and patient and family program involvement. … This systematic review identified several gaps in the available safety measures used for quality monitoring … Study
Development of an instrument to measure seniors' patient safety health beliefs
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psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic
September 07, 2022 - T he authors of this perspective proposed a new framework of diagnostic process safety to measure the … quality and safety of diagnostic processes . … This framework can provide a structured approach for designing and testing specific measures of diagnostic … prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program … 19, 2021
Development and usability testing of the Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery
February 12, 2020 - July 31, 2013
Transparency, public reporting, and a culture of change to quality and … September 23, 2020
Interdisciplinary Quality Improvement Conference: using a revised … Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures … March 2, 2022
Implementation of a comprehensive unit-based safety program to reduce surgical … April 22, 2020
Reducing three infections across cardiac surgery programs: a multisite
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psnet.ahrq.gov/issue/healthcare-411-patient-perspective
October 23, 2019 - Rockville, MD: Agency for Healthcare Research and Quality. September 29, 2010. … August 1, 2012
AHRQ's Safety Program for Ambulatory Surgery. … November 17, 2010
Ambulatory Safety and Quality Program: Health IT Portfolio. … September 29, 2017
Selecting Quality and Resource Use Measures: A Decision Guide for … Community Quality Collaboratives.
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - For example, part of the challenge is how do you measure diagnostic errors? … RK : AHRQ publishes an annual report that describes many measures of quality, safety, and disparities … It also showed improvements in quality on a number of measures publicly reported by CMS. … For example, we don't yet have good measures of diagnostic acumen, or of the quality of a physician's … ability to measure much of what matters in medical care.
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - represent the single source of measures for public reporting and pay-for-performance programs. … in its public reporting and payment programs. … Once a measure is developed and endorsed by the organization, is the organization's role in that measure … Our role does continue, though, once a measure goes out the door. … It's often used in the context of pay-for-performance programs.
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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 … July 14, 2021
Implementation of the I-PASS handoff program in diverse clinical environments … Safety Innovations
Patient and Family Centered I-PASS (Family-Centered Communication Program
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - Studies of medication reconciliation may measure processes (such as the proportion of patients for … As a result, evaluating the effectiveness of safety programs remains a challenge for most organizations … for use on a national basis (as well as retiring outdated measures), creating measures of patient safety … The CMS National Quality Strategy emphasizes the ongoing transition to digital quality measures (such … as electronic clinical quality measures, or eCQMs, based on information from the electronic health record
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psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
April 21, 2021 - Clinical data sharing improves quality measurement and patient safety. … This study compared quality measure calculations between an individual electronic health record (EHR) … The results show that adding HIE data changed 15% of quality measure calculations. … The authors suggest that incorporating HIE data into reimbursement programs could promote more accurate … and representative quality measurement.
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psnet.ahrq.gov/issue/typology-solutions-addressing-diagnostic-disparities-gaps-and-opportunities
November 02, 2022 - 2022
Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures … January 10, 2024
Development and psychometric analysis of a patient-reported measure … November 20, 2019
Case: a second victim support program in pediatrics: successes and … 2023
Annual Perspective
Improving Diagnostic Safety and Quality … April 26, 2023
Quality and safety: learning from the past and (re)imagining
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psnet.ahrq.gov/issue/explaining-matching-michigan-ethnographic-study-patient-safety-program
August 20, 2018 - Study
Explaining Matching Michigan: an ethnographic study of a patient safety program … Explaining Matching Michigan: an ethnographic study of a patient safety program. … Explaining Matching Michigan: an ethnographic study of a patient safety program. … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … March 6, 2013
A multifaceted program for improving quality of care in intensive care
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
March 25, 2020 - Book/Report
Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement … Final Report Washington DC; National Quality Forum: October 6, 2020. … Final Report Washington DC; National Quality Forum: October 6, 2020. … December 3, 2008
Identification and Prioritization of Health IT Patient Safety Measures … February 23, 2022
A program to provide clinicians with feedback on their diagnostic performance
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psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - This AHRQ-supported study discusses one of the best-studied tools to measure and assess patient safety … authors describe their findings with a goal that their tool will allow health care organizations to measure … and quality of resuscitations. … in 11 centers across multiple economic strata: effect on care process measures. … 30, 2008
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See More About The Topic
Health Care Providers
Quality
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - The measures are built into Ascension’s harm dashboard on Tableau. … Form teams to support intervention quality. … Form teams to support intervention quality. … potential RSI events, and one outcome measure, rates of RSI harm events. … There must be reachable goals for these reliability measures.
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psnet.ahrq.gov/issue/evaluating-efforts-optimize-teamstepps-implementation-surgical-and-pediatric-intensive-care
April 12, 2014 - Teamwork training programs have resulted in some notable successes , but many other attempts have failed … In this AHRQ-funded study, the TeamSTEPPS training program was introduced in two intensive care units … The program resulted in improvement in directly observed team behaviors and measures of safety culture … and quality of resuscitations. … View More
See More About The Topic
Intensive Care Units
Health Care Providers
Quality
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - As a result, evaluating the effectiveness of safety
programs remains a challenge for most organizations … for use on a national basis (as well as retiring outdated
measures), creating measures of patient safety … The CMS National Quality Strategy emphasizes the ongoing
transition to digital quality measures (such … as electronic clinical quality measures, or eCQMs, based on
information from the electronic health … /Value-Based-Programs/CMS-Quality-Strategy
https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
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psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
January 11, 2013 - Washington, DC: National Quality Forum; June 2012. … This report from the National Quality Forum endorses six evidence-based measures that are suitable … for public reporting and quality improvement efforts. … Washington, DC: National Quality Forum; June 2012. … 2011
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs