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Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. | PSNet

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January 10, 2011 - Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. … Related Resources From the Same Author(s) The power of collaboration with patient safety programs … 2024 Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures … Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality … January 14, 2011 Teaching quality improvement.

National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. | PSNet

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November 02, 2022 - Study National quality program achieves improvements in safety culture and reduction … National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in … The program included an assessment of the quality at each site followed by an individual improvement … The authors report significant improvements across measures of patient safety such as health care–associated … National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in

Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. | PSNet

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July 14, 2010 - Commentary Prospective daily review of discharge medications by pharmacists: effects on measures … Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency … Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program … December 21, 2014 Effects of duty hour restrictions on core competencies, education, quality … July 3, 2014 ACGME duty-hour recommendations—a national survey of residency program directors

Measuring preventable harm: helping science keep pace with policy. | PSNet

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December 29, 2014 - This commentary discusses the shortcomings in policy measures to improve patient safety. … December 29, 2014 Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures. … and performance measures for improvement. … September 7, 2011 Board quality scorecards: measuring improvement.

Patient Safety Project 2015–2017. | PSNet

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April 15, 2005 - National Quality Forum; NQF. … The National Quality Forum (NQF) has been a leader in defining patient safety reporting measures. … National Quality Forum; NQF. … September 27, 2016 Patient Safety Measures. … February 15, 2011 ISMP Medication Errors Reporting Program.

Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. | PSNet

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November 21, 2017 - Study Implementation of a surgical comprehensive unit-based safety program to reduce … Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections … Implementation of a comprehensive unit-based safety program was associated with a reduction in surgical … Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections … Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures

The new CMS hospital quality star ratings: the stars are not aligned. | PSNet

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May 26, 2021 - The authors offer recommendations to CMS to improve their comparison program, including reducing the … number of measures tracked, investing more in quality measurement at a national level, and developing … March 27, 2017 Associations between hospital characteristics, measure reporting, and … with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program … Related Resources Unintended harm associated with the Hospital Readmissions Reduction Program

Determinants of adverse events in vascular surgery. | PSNet

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March 21, 2012 - In surgical patients, the National Surgical Quality Improvement Program measures have been shown to … March 21, 2012 Performance measures in neurosurgical patient care: differing applications … Improvement program data. … Successful implementation of the Department of Veterans Affairs' National Surgical Quality … Improvement Program in the private sector: the Patient Safety in Surgery study.

Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program. | PSNet

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March 21, 2012 - March 21, 2012 Using the opportunity estimator tool to improve engagement in a quality … Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures … surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality … Improvement Program. … August 13, 2014 Identifying opportunities for quality improvement in surgical site infection

In Conversation With… Christine Cassel, MD | PSNet

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February 26, 2025 - We spoke with her about NQF's work in developing and utilizing measures to improve safety and quality … and additional measures used in public reports and other public programs, HHS created the Measure Applications … pay-for-performance program. … They are tricky to measure, and given the profusion of measures in safety that your organization does … and Safety Programs in Obstetrics and Gynecology.

Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. | PSNet

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October 04, 2006 - Study Engagement of leadership in quality improvement initiatives: executive quality … Citation Text: Engagement of leadership in quality improvement initiatives: executive quality improvement … July 14, 2010 A simulation systems testing program using HFMEA methodology can effectively … November 18, 2016 A program to prevent catheter-associated urinary tract infection in … March 2, 2016 Sustaining reliability on accountability measures at the Johns Hopkins

Editorial Team | PSNet

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May 23, 2025 - measures, using outcomes data to improve the quality and effectiveness of health care, and studying … and outcomes of health care, refining, validating, and adapting measures that can be used to provide … Payment Program. … She has extensive experience managing research projects of varying scales and complexities, particularly … for Medicare and Medicaid (CMS) and their respective quality indicator and patient safety programs.

Defining patient safety in hospice: principles to guide measurement and public reporting. | PSNet

psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting

September 23, 2020 - Detailing how safety measures for hospitals can result in unintended consequences when implemented in … hospice care , this commentary recommends developing hospice-specific safety measures. … May 23, 2018 Implementation of the I-PASS handoff program in diverse clinical environments … November 16, 2022 Expert consensus on currently accepted measures of harm. … November 25, 2020 Assessment of nursing home reporting of major injury falls for quality

Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. | PSNet

psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american

September 22, 2021 - Improvement Program. … Improvement Program. … The National Surgical Quality Improvement Program (NSQIP) was developed to monitor and enhance the … Improvement Program. … Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures

Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. | PSNet

psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned

September 25, 2019 - measures related to safety in a single location in order to facilitate collaboration at local sites. … Improvement Program and the Patient Safety Indicators. … May 19, 2014 Using harm-based weights for the AHRQ Patient Safety for Selected Indicators … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … 2011 Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs

Processes for identifying and reviewing adverse events and near misses at an academic medical center. | PSNet

psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center

September 25, 2024 - Resources From the Same Author(s) Peer support to promote surgeon well-being: the APSA program … Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales … April 18, 2018 Examining the relationship of an all-cause harm patient safety measure … and critical performance measures at the frontline of care. … October 31, 2017 Closing the gap and raising the bar: assessing board competency in quality

Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. | PSNet

psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence

October 19, 2022 - Commentary Linking Joint Commission inpatient core measures and National Patient … Linking joint commission inpatient core measures and national patient safety goals with evidence. … Linking joint commission inpatient core measures and national patient safety goals with evidence. … April 24, 2018 Implementation of the I-PASS handoff program in diverse clinical environments … safety by creating a house staff quality council.

Organizational factors associated with high performance in quality and safety in academic medical centers. | PSNet

psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical

January 03, 2017 - This study examined discharge data from 79 AMCs to generate a scoring method for measures of safety, … errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs … January 3, 2017 Implementation of the I-PASS handoff program in diverse clinical environments … 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

A comprehensive obstetric patient safety program reduces liability claims and payments. | PSNet

psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments

June 22, 2017 - , standardizing care protocols, and establishing a robust quality assurance mechanism (including a dedicated … December 4, 2016 Sustaining reliability on accountability measures at the Johns Hopkins … January 30, 2013 A resident-led institutional patient safety and quality improvement … March 21, 2012 The power of collaboration with patient safety programs: building safe … January 10, 2011 Improving America's Hospitals: The Joint Commission's Report on Quality

Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes. | PSNet

psnet.ahrq.gov/issue/comparing-catheter-associated-urinary-tract-infection-prevention-programs-between-veterans

December 21, 2017 - Study Comparing catheter-associated urinary tract infection prevention programs between … Department of Veterans Affairs (VA) nursing homes and non-VA nursing homes participating in the AHRQ Safety Program … Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures … May 17, 2018 A program to prevent catheter-associated urinary tract infection in acute … April 13, 2011 Characteristics of healthcare organisations struggling to improve quality

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