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Teamwork Toolkit. | PSNet

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July 21, 2021 - Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019. … Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019. … March 10, 2021 AHRQ Safety Program for Improving Antibiotic Use. … Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. … and performance measures for improvement.

The relationship between patients' perception of care and measures of hospital quality and safety. | PSNet

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February 13, 2019 - The relationship between patients' perception of care and measures of hospital quality and safety. … However, their findings do add to the argument for greater patient-driven measures in assessing the quality … The relationship between patients' perception of care and measures of hospital quality and safety. … December 21, 2014 Four states with robust prescription drug monitoring programs reduced … February 10, 2012 Hospital performance trends on national quality measures and the association

In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet

psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health

March 29, 2023 - I currently work as the Senior Director for Quality Improvement and Programs at the American College … program. … These programs are focused on improving the quality of care and are highly integrated within the health … We can measure screening usually, but often we cannot measure whether a referral was actually followed … As a part of its bundles, the AIM program highlights important data collection resources and measures

Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration. | PSNet

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November 24, 2021 - November 24, 2021 Physicians' perspectives regarding prescription drug monitoring program … October 19, 2022 Implementation of the I-PASS handoff program in diverse clinical environments … quality improvement: what is the destination and how do we get there? … of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program … and performance measures for improvement.

Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. | PSNet

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January 02, 2017 - This commentary describes a program to enhance teamwork and safety culture in obstetric care and … April 13, 2016 Obstetric safety and quality. … valid measures of hospital safety? … August 26, 2020 Quality improvement initiatives lead to reduction in nulliparous term … November 1, 2016 Failure to rescue as a process measure to evaluate fetal safety during

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. | PSNet

psnet.ahrq.gov/issue/validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality

July 14, 2009 - Improvement program data. … Program data. … Program data. … Improvement Program and the Patient Safety Indicators. … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure

Bringing diagnosis into the quality and safety equations. | PSNet

psnet.ahrq.gov/issue/bringing-diagnosis-quality-and-safety-equations

October 10, 2018 - Commentary Bringing diagnosis into the quality and safety equations. … Bringing diagnosis into the quality and safety equations. JAMA. 2012;308(12):1211-2. … Bringing diagnosis into the quality and safety equations. JAMA. 2012;308(12):1211-2. … December 16, 2020 Implementation of the I-PASS handoff program in diverse clinical environments … February 3, 2011 Accountability measures—using measurement to promote quality improvement

Equity in Patient Safety | PSNet

psnet.ahrq.gov/perspective/equity-patient-safety

September 24, 2024 - In particular, researchers attempting to develop an AI program to predict pediatric sepsis tried to avoid … In this case, the AI developers are reworking their program to eliminate this disparity. … Advances in patient safety have come from adverse-event reporting data and quality measures. … maternal morbidity among Black patients based on two indicators of structural racism: incarceration and a measure … Safety Innovations Patient and Family Centered I-PASS (Family-Centered Communication Program

Reducing anticoagulant medication adverse events and avoidable patient harm. | PSNet

psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm

May 19, 2021 - In this study, a hospital system instituted several patient safety measures, including an anticoagulation … October 6, 2016 Implementation of the I-PASS handoff program in diverse clinical environments … March 12, 2025 Team training in the neonatal resuscitation program for interns: teamwork … and quality of resuscitations. … The Topic Hospital Pharmacists Hospitals Health Care Executives and Administrators Quality

Using the AHRQ Quality Indicators to improve health care quality. | PSNet

psnet.ahrq.gov/issue/using-ahrq-quality-indicators-improve-health-care-quality

December 23, 2008 - Commentary Using the AHRQ Quality Indicators to improve health care quality. … Using the AHRQ Quality Indicators to Improve Health Care Quality. … Using the AHRQ Quality Indicators to Improve Health Care Quality. … October 26, 2010 Medication therapy management programs: forming a new cornerstone for … July 24, 2019 A systematic review of patient safety measures in adult primary care.

When the Meds Don’t Reach the Bed | PSNet

psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed

May 16, 2022 - of hospital quality, 2 and that a hospital readmission reflects poor quality care. … Meds-to-Beds Programs Meds-to-Beds (M2B) is a unique quality improvement initiative aimed at preventing … Reconsidering Hospital Readmission Measures. … International journal for quality in health care: journal of the International Society for Quality in … July 17, 2024 Improving patient safety in public hospitals: developing standard measures

Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. | PSNet

psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship

August 30, 2023 - from a neonatology fellowship program. … program. … program. … September 15, 2011 Developing and testing a tool to measure nurse/physician communication … Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program

Patient safety measurement tools used in nursing homes: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/patient-safety-measurement-tools-used-nursing-homes-systematic-literature-review

January 11, 2023 - Safety culture has been shown to be associated with nursing home quality indicators such as discharge … Numerous surveys exist to measure safety culture. … April 6, 2022 Combined impact of Medicare's hospital pay for performance programs on … quality and safety outcomes is mixed. … A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program

Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions. | PSNet

psnet.ahrq.gov/issue/measurement-matters-changing-penalty-calculations-under-hospital-acquired-condition-reduction

August 10, 2022 - Measurement matters: changing penalty calculations under the hospital acquired condition reduction program … Measurement matters: changing penalty calculations under the hospital acquired condition reduction program … Resources From the Same Author(s) Combined impact of Medicare's hospital pay for performance programs … on quality and safety outcomes is mixed. … June 23, 2021 The impact of hospital accreditation on the quality of healthcare: a systematic

Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients. | PSNet

psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician

June 25, 2014 - some of the most effective patient safety interventions to date, including the landmark Keystone ICU program … recently, checklists have failed to yield improvements in some settings, highlighting that successful programs … The intervention group showed some improvements in a few process measures, such as use of low tidal volumes … Related Resources From the Same Author(s) Developing a reliable and valid patient measure … May 20, 2019 Advances in perioperative quality and safety.

Signout Fallout | PSNet

psnet.ahrq.gov/web-mm/signout-fallout

November 16, 2022 - Evaluation of verbal and written handoffs demonstrated significant gains across 14 out of 14 process measures … (p<0.001 for all 14 measures). … A central hallmark of I-PASS and other high-quality handoff communication programs is the emphasis on … An additional benefit of a direct observation program is the opportunity to generate quality improvement … , computerized handoff tools, training programs, and workplace-based assessment.

Vital signs: maternity care experiences — United States, April 2023. | PSNet

psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023

July 19, 2023 - July 19, 2023 Implementation of the I-PASS handoff program in diverse clinical environments … October 19, 2022 Changes in medical errors after implementation of a handoff program. … of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 … April 24, 2018 Development of patient safety measures to identify inappropriate diagnosis … of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19

Impact of a comprehensive safety initiative on patient-controlled analgesia errors. | PSNet

psnet.ahrq.gov/issue/impact-comprehensive-safety-initiative-patient-controlled-analgesia-errors

April 02, 2014 - incidents associated with PCA errors, this Canadian hospital system implemented a multifaceted safety program … October 19, 2022 A program to prevent catheter-associated urinary tract infection in … Evaluating implementation of a rapid response team: considering alternative outcome measures … May 7, 2014 Patient-reported safety and quality of care in outpatient oncology. … See More About The Topic Specialty Hospitals Health Care Providers Risk Managers Quality

Periodic Issue | PSNet

psnet.ahrq.gov/periodic-issue/periodic-issue-472

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 … Study Early experience of peer advocate program: using quality improvement to optimize … Peer messenger programs have been shown to be effective at reducing unprofessional behavior. … This scoping review includes 63 studies that collectively reported on 47 instruments or scales used to

Radiology research in quality and safety: current trends and future needs. | PSNet

psnet.ahrq.gov/issue/radiology-research-quality-and-safety-current-trends-and-future-needs

November 16, 2022 - Radiology Research in Quality and Safety: Current Trends and Future Needs. … authors discuss safety culture , education, data infrastructure, incident reporting , and performance measures … Related Resources From the Same Author(s) Implementation of the I-PASS handoff program … May 19, 2021 Building the bridge to quality: an urgent call to integrate quality improvement … May 4, 2022 Quality Special Issue.

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