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psnet.ahrq.gov/issue/assessing-excess-costs-hospital-adverse-events-covered-ahrqs-patient-safety-indicators
January 10, 2024 - November 29, 2023
Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures. … measures and financial performance. … Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program … with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program
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psnet.ahrq.gov/issue/sepsis-quality-safety-net-hospitals-analysis-medicares-sep-1-performance-measure
May 05, 2021 - measure. … Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. … The 703 safety-net hospitals performed worse on the CMS SEP-1 quality measure and this association was … Sepsis quality in safety-net hospitals: An analysis of Medicare's SEP-1 performance measure. … June 21, 2017
Combined impact of Medicare's hospital pay for performance programs on
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psnet.ahrq.gov/issue/hospital-acquired-infections-surgical-patients-impact-covid-19-related-infection-prevention
March 17, 2021 - Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures … Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures … The COVID-19 pandemic led to changes in infection control and prevention measures to limit nosocomial … December 23, 2020
Restructuring of a general surgery residency program in an epicenter … June 3, 2020
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Operating Room
Quality
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psnet.ahrq.gov/issue/link-between-clinically-validated-patient-safety-indicators-and-clinical-outcomes
November 16, 2016 - The AHRQ Patient Safety Indicators are publicly reported measures of hospital performance. … Related Resources From the Same Author(s)
Agency for Healthcare Research and Quality … 16, 2016
Navigating a ship with a broken compass: evaluating standard algorithms to measure … November 2, 2022
Using harm-based weights for the AHRQ Patient Safety for Selected Indicators … 1, 2018
Navigating a ship with a broken compass: evaluating standard algorithms to measure
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psnet.ahrq.gov/issue/wake-call-night-shifts-adversely-affect-nurse-health-and-retention-patient-and-public-safety
April 24, 2018 - Organizational strategies to promote nurses' health and reduce errors are also summarized, ranging from low-cost measures … such as breaks for physical activity during the shift to high-cost measures such as referral to sleep … July 14, 2021
Changes in medical errors after implementation of a handoff program. … August 14, 2019
Mastering improvement science skills in the new era of quality and safety … : the Veterans Affairs National Quality Scholars Program.
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psnet.ahrq.gov/issue/full-implementation-computerized-physician-order-entry-and-medication-related-quality
September 07, 2011 - measures. … This study compared quality of care measures for hospitals with and without CPOE systems. … Investigators found that CPOE-driven hospitals performed better on 5 of 11 measures related to medication … ordering and on 1 of 9 non–medication-related quality measures. … December 22, 2010
Does the Leapfrog program help identify high-quality hospitals?
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psnet.ahrq.gov/issue/customized-triggers-program-childrens-hospitals-experience-improving-trigger-usability
September 01, 2021 - Study
A customized triggers program: a children's hospital's experience in improving … A customized triggers program: a children's hospital's experience in improving trigger usability. … events in near real-time to facilitate appropriate preventative measures. … February 16, 2022
Making the business case for quality and safety. … 12, 2008
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Children's Hospitals
Quality
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psnet.ahrq.gov/issue/measures-and-measurement-high-performance-work-systems-health-care-settings-propositions
December 21, 2017 - Commentary
Measures and measurement of high-performance work systems in health care … Measures and measurement of high-performance work systems in health care settings: Propositions for improvement … Measures and measurement of high-performance work systems in health care settings: Propositions for improvement … September 30, 2020
Implementing a robust process improvement program in the neonatal … September 29, 2017
Pediatric Quality Indicators Overview.
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psnet.ahrq.gov/issue/performance-measures-neurosurgical-patient-care-differing-applications-patient-safety
June 03, 2020 - Study
Performance measures in neurosurgical patient care: differing applications … Performance Measures in Neurosurgical Patient Care: Differing Applications of Patient Safety Indicators … Performance Measures in Neurosurgical Patient Care: Differing Applications of Patient Safety Indicators … July 22, 2015
Patient safety in plastic surgery: identifying areas for quality improvement … Improvement Program and the Patient Safety Indicators.
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - Some measures are more problematic, the biggest one being the readmissions measure. … RW: One of the tensions between safety and quality is that while it's relatively easy to measure mortality … and maybe case-mix adjust mortality and certain process measures, it's pretty hard to measure diagnostic … And do you worry that because it's easier to measure quality we'll take
our eye off the safety ball? … have to play a bigger role with things like accountable care
organizations or pay-for-performance programs
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psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
May 20, 2009 - Building on a model of structure, process, and outcome measures used to evaluate health care quality, … the authors present a detailed discussion of attributes necessary for safety-specific measures. … February 13, 2018
A comprehensive perinatal patient safety program to reduce preventable … December 23, 2016
Adherence to simple and effective measures reduces the incidence of … study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program
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psnet.ahrq.gov/node/73910/psn-pdf
October 06, 2021 - Association of hospital public quality reporting with
electronic health record medication safety performance … https://psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record- … medication-safety
Hospitals participating in the voluntary Leapfrog program must publicly report data … on several quality
measures. … Hospitals that participated in the Computerized Provider Order Entry (CPOE) Evaluation Tool,
which measures
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psnet.ahrq.gov/node/41284/psn-pdf
May 04, 2012 - In surgical patients, the National Surgical Quality Improvement Program
measures have been shown to … effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program … https://psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
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psnet.ahrq.gov/issue/inpatient-quality-indicators
December 22, 2014 - Multi-use Website
Inpatient Quality Indicators. … Citation Text:
Inpatient Quality Indicators. … The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality measures … January 31, 2018
AHRQ's Safety Program for Ambulatory Surgery. … September 27, 2016
Pediatric Quality Indicators Overview.
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - found that falls occur at a rate of 3–5 per 1000 bed-days, and the
Agency for Healthcare Research and Quality … First, fall prevention
measures must be individualized—there is no "one size fits all" method to preventing … A successful
program must include a combination of strategies:
environmental measures, such as nonslip … Measures to improve the overall culture of safety in a
particular unit may be helpful. … One widely cited,
high-quality randomized trial documented a significant reduction in falls among elderly
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psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
October 30, 2024 - Program) that reduces reimbursement to hospitals with elevated rates of a range of HACs. … The program measures HAC rates by a composite Patient Safety Indicator (PSI90), which includes 10 specific … , 2024
Defects in value associated with hospital-acquired conditions: how improving quality … November 29, 2017
Effect of a hospital-wide measure on the readmissions reduction program … 2017
From board to bedside: how the application of financial structures to safety and quality
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psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - 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 … our ability to measure much of
what matters in medical care.
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psnet.ahrq.gov/node/47207/psn-pdf
July 19, 2018 - National quality program achieves improvements in
safety culture and reduction in preventable harms … National Quality Program Achieves Improvements in Safety Culture
and Reduction in Preventable Harms … https://psnet.ahrq.gov/issue/national-quality-program-achieves-improvements-safety-culture-and-reduction … 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
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psnet.ahrq.gov/issue/medication-safety-neonatal-intensive-care-unit-big-measures-our-smallest-patients
September 18, 2024 - Commentary
Medication safety in the neonatal intensive care unit: big measures for … Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. … Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality … Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. … July 20, 2022
Quality and safety practices among academic obstetrics and gynecology departments
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psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-program
January 19, 2022 - Commentary
Deploying and measuring a risk and patient safety program. … Deploying and measuring a risk and patient safety program. … Strategies utilized in the program included RiskRounds and web-based modules. … Deploying and measuring a risk and patient safety program. … Download Citation
Related Resources From the Same Author(s)
Care quality