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psnet.ahrq.gov/issue/patient-reasoning-patients-and-care-partners-perceptions-diagnostic-accuracy-emergency-care
October 23, 2024 - Resources From the Same Author(s)
Development and psychometric analysis of a patient-reported measure … 2024
Achieving diagnostic excellence: roadmaps to develop and use patient-reported measures … 2017
RISE: exploring volunteer retention and sustainability of a second victim support program … August 24, 2022
Assessing quality of older persons' emergency transitions between long-term
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psnet.ahrq.gov/issue/occupational-health-and-organizational-culture-within-healthcare-setting-challenges
December 08, 2021 - June 9, 2021
Patient safety and quality improvement adaptation during the COVID-19 pandemic … November 4, 2020
Patient safety in chiropractic teaching programs: a mixed methods study … July 15, 2020
Hospital-acquired conditions reduction program, racial and ethnic diversity … 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality … Measures Report.
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psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
December 23, 2016 - These strategies have been successfully applied and shown to reduce falls in high-quality studies . … June 29, 2022
Addressing health care disparities by improving quality and safety. … measures and associated facility characteristics and racial disparities in US nursing home ratings. … September 14, 2022
The National Imperative to Improve Nursing Home Quality: Honoring … September 29, 2017
Readmissions, observation, and the Hospital Readmissions Reduction Program
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - and safety programs. … measure? … I really like the movement towards structural measures as opposed to the discrete measures of outcomes … after harm or implementing communication and resolution programs. … to track harms and sought to define themselves as a learning health system by deploying an education program
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psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
March 29, 2023 - March 29, 2023
Developing and pilot testing practical measures of preanalytic surgical … August 2, 2012
Changes in medical errors after implementation of a handoff program. … individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality … January 23, 2020
A comprehensive obstetrics patient safety program improves safety climate
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - Management of increased ICP in patients with ICH should always begin with simple but effective measures … If ICP remains elevated clinically despite these simple measures, a more aggressive approach is indicated … ICP monitoring devices are small plastic catheters that are inserted into the brain to measure ICP. … In patients whose ICP remains refractory after the initial simple measures outlined above and osmotic … Andrew Josephson, MD Assistant Clinical Professor of Neurology Director, Neurohospitalist Program
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psnet.ahrq.gov/issue/do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
May 11, 2016 - May 11, 2016
Risk managers' descriptions of programs to support second victims after … Assessing the need for organizational second victim support programs. … October 26, 2016
Case: a second victim support program in pediatrics: successes and challenges … An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … We have also developed benchmarks for nurses to follow and to measure competency. … Perform bladder scan as part of an ongoing part of an IUC management program. … Resources From the Same Author(s)
Rapid expansion of the Healing Emotional Lives of Peers program … during COVID-19: a second victim peer support program for healthcare professionals.
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psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Errors Reporting Program. … Citation Text:
ISMP Medication Errors Reporting Program. … The program also provides access to ISMP's patient safety organization reporting mechanism and publishes … Cite
Citation
Citation Text:
ISMP Medication Errors Reporting Program … Annual Perspective
Improving Diagnostic Safety and Quality
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psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
April 13, 2022 - This quality improvement project aimed to achieve adherence to hand hygiene practices at eight hospitals … Related Resources From the Same Author(s)
Implementing a robust process improvement program … May 1, 2006
Improving the quality of health care: what's taking so long? … June 14, 2011
Accountability measures—using measurement to promote quality improvement … September 20, 2011
The ongoing quality improvement journey: next stop, high reliability
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psnet.ahrq.gov/issue/translating-electronic-health-record-based-patient-safety-algorithms-research-clinical
October 27, 2021 - 21, 2019
Omissions of care in nursing homes: a uniform definition for research and quality … 14, 2022
Effect of communication errors during calls to an antimicrobial stewardship program … 2012
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Developing electronic clinical quality … measures to assess the cancer diagnostic process. … 2023
Annual Perspective
Improving Diagnostic Safety and Quality
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psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
February 28, 2015 - The National Quality Forum has defined 29 never events —patient safety problems that should never … August 21, 2018
Measures and measurement of high-performance work systems in health care … Equity in Patient Safety
March 27, 2024
Prioritizing Patient Safety Through Quality … February 28, 2024
National Healthcare Quality and Disparities Reports. … February 28, 2015
Sentinel Event Program.
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psnet.ahrq.gov/issue/maternal-health-indicators
May 22, 2024 - Agency for Healthcare Quality and Research. 2024. … Twitter
Linkedin
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January 15, 2025
Agency for Healthcare Quality … This set of quality indicators supports the epidemiological or research program use of billing or claims … data to measure severe maternal morbidity . … Agency for Healthcare Quality and Research. 2024.
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psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
November 20, 2019 - Health care organizations measure safety climate by surveying providers and staff at all levels. … They found significant variation in safety and teamwork climate scales of both tools, indicating that … November 20, 2019
The correlation between neonatal intensive care unit safety culture and quality … September 30, 2020
Implementation of the I-PASS handoff program in diverse clinical environments … January 10, 2024
The correlation between neonatal intensive care unit safety culture and quality
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - August 4, 2021
Measures of patient safety in developing and emerging countries: a review … May 1, 2015
Implementation of the I-PASS handoff program in diverse clinical environments … November 16, 2022
Changes in medical errors after implementation of a handoff program … View More
See More About The Topic
Operating Room
Physicians
Nurses
Quality
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psnet.ahrq.gov/issue/parental-misinterpretations-over-counter-pediatric-cough-and-cold-medication-labels
May 04, 2012 - August 4, 2021
Health literacy and quality: focus on chronic illness care and patient … April 8, 2011
Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures. … April 12, 2023
Analysis of readmissions in a mobile integrated health transitional care program
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - The Agency for Healthcare
Research and Quality's Questions Are the Answer program and 20 Tips to Help … Medical Errors fact
sheet, as well as The Joint Commission's Speak Up initiative, are examples of programs … family participation will
always be difficult to predict, leading some to argue that a robust safety program … programs centered around patient education and encouraging patient perspectives to
improve safety culture … psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility
measures
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psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
November 16, 2022 - 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality … Measures Report. … March 20, 2024
National Healthcare Quality and Disparities Reports. … May 31, 2023
Examining the Status of VA’s Electronic Health Record Modernization Program
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
May 12, 2021 - This article describes an evaluation of a quality improvement collaborative to improve follow-up on … 2019
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A multifaceted risk management program … measures to assess the cancer diagnostic process. … June 24, 2009
Dissemination of Lean methods to improve Pap testing quality and patient … Ambulatory Clinic or Office
Primary Care
Missed or Critical Lab Results
Continuous Quality
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psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
May 25, 2016 - This report evaluates the implementation of a quality improvement initiative designed to characterize … IT, better cooperation between risk management and health IT departments, identification of safety measures … Alert Settings Help Improve Management of Sepsis
May 31, 2023
Evaluation of Quality … March 6, 2019
Ambulatory Safety and Quality Program: Health IT Portfolio. … July 23, 2014
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See More About The Topic
Risk Managers
Quality