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Fighting against COVID-19: innovative strategies for clinical pharmacists. | PSNet

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March 24, 2019 - April 15, 2020 Is there a link between nursing home reported quality and COVID-19 cases … April 17, 2024 Developing electronic clinical quality measures to assess the cancer diagnostic … View More Related Resources Risk Evaluation and Mitigation Strategy (REMS) Programs … January 23, 2019 Hospital Readmissions Reduction Program: implications for pharmacy.

What can safety cases offer for patient safety? A multisite case study. | PSNet

psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study

February 07, 2024 - , researchers use the “safety case” approach to evaluate the safety of the Safer Clinical Systems program … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … July 24, 2024 Quality and patient safety metrics: developing a structured program for … July 10, 2024 Quality improvement lessons learned from National Implementation of the … View More See More About The Topic Medicine Nurse Care Continuous Quality

Care Transitions | PSNet

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December 01, 2007 - Sunil Kripalani, MD, MSc Associate ProfessorDirector, Section of Hospital MedicineAssociate Director, Program … hospitals to skilled nursing facilities or to home, what's the magic in those measures? … measure of their transition experience. … This three-item measure has been endorsed by the National Quality Forum , which of course opens the … But, having said that, our Care Transitions Program has developed a self-care model, called the Care

AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. | PSNet

psnet.ahrq.gov/issue/tutorial-ahrq-sopsr-data-entry-and-analysis-tool

December 10, 2024 - Citation Text: AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. … Rockville, MD: Agency for Healthcare Research and Quality. January 15, 2025. … This webinar will introduce the AHRQ Surveys on Patient Safety Culture ™ (SOPS®) program. … Rockville, MD: Agency for Healthcare Research and Quality. January 15, 2025. … August 1, 2012 AHRQ's Safety Program for Ambulatory Surgery.

Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet

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February 26, 2025 - Dashboards to drive conversations in monthly quality meetings. … Data-driven talking points shared at monthly quality meetings. … seven total operating room fires over the study period but also was not able to track nor therefore measure … Dashboards to drive conversations in monthly quality meetings. … Data-driven talking points shared at monthly quality meetings.

Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events-prospective

October 18, 2023 - May 17, 2023 Effect of a quality improvement intervention with daily round checklists … August 14, 2018 Adherence to simple and effective measures reduces the incidence of ventilator-associated … November 5, 2015 Association of note quality and quality of care: a cross-sectional study … October 31, 2014 Medication safety program reduces adverse drug events in a community … April 27, 2010 Improving the quality of written prescriptions in a general hospital:

The impact of hospital accreditation on the quality of healthcare: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-healthcare-systematic-literature-review

October 20, 2021 - Accreditation programs, such as Magnet Hospital Program and The Joint Commission , are intended to … improve hospital patient safety and quality. … A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program … July 29, 2020 Hospital-acquired Conditions Reduction Program, patient safety, and Magnet … May 13, 2020 An organization-specific and modifiable inpatient safety composite measure

Remote Patient Monitoring | PSNet

psnet.ahrq.gov/perspective/remote-patient-monitoring

March 15, 2023 - monitor patients outside the traditional care setting using digital medical devices, such as weight scales … Historically, RPM has been used to measure symptoms of chronic conditions, such as cardiac diseases, … Patients may have experienced this through wearable devices, like Holter monitors that can measure heart … For congestive heart failure, you would need to monitor daily weights in addition to blood pressure. … You can potentially use indirect measures like in value-based care and ACOs, or you can calculate savings

Audit of missed or delayed antimicrobial drugs. | PSNet

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August 01, 2012 - September 26, 2016 ISMP National Vaccine Errors Reporting Program: one in three vaccine … 10, 2016 Missed medication doses in hospitalised patients: a descriptive account of quality … improvement measures and time series analysis. … See More About The Topic Hospitals Physicians Nurses Nurse Managers Quality

Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. | PSNet

psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses

February 24, 2011 - Health care professionals tended to favor punitive measures such as fines, suspensions, and firing, over … February 18, 2011 Clinical communities at Johns Hopkins Medicine: an emerging approach to quality … September 2, 2015 Association of postoperative readmissions with surgical quality using … August 17, 2018 Implementation of the I-PASS handoff program in diverse clinical environments … November 26, 2014 Communication-and-resolution programs: the challenges and lessons learned

Coping and recovery in surgical residents after adverse events: the second victim phenomenon. | PSNet

psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon

July 11, 2012 - From the Same Author(s) Complications in surgery: root cause analysis and preventive measures … August 17, 2022 Evaluation of a second victim peer support program on perceptions of … May 18, 2022 Building a program of expanded peer support for the entire health care team … 2016 View More See More About The Topic Hospitals Operating Room Quality

The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations. | PSNet

psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety

September 23, 2020 - This case study reviews several patient safety measures for electronic prescribing for diabetes in outpatient … February 24, 2011 Implementation of the I-PASS handoff program in diverse clinical environments … Delayed Diagnoses of Cancer July 31, 2023 Integrating and evaluating the data quality … July 12, 2017 Impact of electronic health record systems on information integrity: quality

Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. | PSNet

psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer

September 15, 2021 - Related Resources From the Same Author(s) Preliminary study of patient safety and quality … April 21, 2021 A comprehensive quality assurance program for personnel and procedures … November 4, 2020 View More Related Resources Quality and Safety … May 30, 2012 An international review of patient safety measures in radiotherapy practice … View More See More About The Topic Ambulatory Clinic or Office Risk Managers Quality

Beyond communication: the role of standardized protocols in a changing health care environment. | PSNet

psnet.ahrq.gov/issue/beyond-communication-role-standardized-protocols-changing-health-care-environment

October 12, 2011 - Download Citation Related Resources From the Same Author(s) Beyond service quality … October 12, 2011 Measures and measurement of high-performance work systems in health … January 11, 2023 Quality improvement for patient safety: project-level versus program-level … December 30, 2014 Unit-based care teams and the frequency and quality of physician–nurse … December 21, 2014 Improving the quality of the surgical morbidity and mortality conference

Aiming higher to enhance professionalism: beyond accreditation and certification. | PSNet

psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification

February 03, 2011 - June 21, 2015 Improving the quality of health care: what's taking so long? … June 14, 2011 Accountability measures—using measurement to promote quality improvement … April 26, 2023 Creating a framework to integrate residency program and medical … center approaches to quality improvement and patient safety training January 13, 2021 … September 20, 2016 Equipped: overcoming barriers to change to improve quality of care

Radiologist age and diagnostic errors. | PSNet

psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors

March 02, 2022 - March 2, 2022 Implementation of the I-PASS handoff program in diverse clinical environments … October 26, 2022 View More Related Resources Cross-Check QA: a quality … September 13, 2023 Developing electronic clinical quality measures to assess the cancer

One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs. | PSNet

psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and

July 01, 2016 - editorial highlights, this study supports the importance of vigorously evaluating a range of impact measures … , including quality, safety, costs, and staff and patient experiences. … January 15, 2014 Implementation of the I-PASS handoff program in diverse clinical environments … February 20, 2019 How do hospital boards govern for quality improvement? … November 21, 2017 Prospects for comparing European hospitals in terms of quality and

Reducing diagnostic error through medical home-based primary care reform. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-error-through-medical-home-based-primary-care-reform

July 15, 2015 - 16, 2020 Development and usability testing of the Agency for Healthcare Research and Quality … May 25, 2022 Measures to improve diagnostic safety in clinical practice. … February 23, 2018 Evaluation of outcomes from a national patient-initiated second-opinion program … Annual Perspective Improving Diagnostic Safety and Quality … July 14, 2010 Creating a better discharge summary: improvement in quality and timeliness

TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. | PSNet

psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety

December 24, 2008 - The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program was developed … The 3.0 version of the widely implemented program is organized around 5 key strategies: patient focus … It provides new tools to measure its impact , supports increased emphasis on the role of patients in … August 1, 2012 AHRQ's Safety Program for Ambulatory Surgery. … Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic.

Handoffs and Transitions | PSNet

psnet.ahrq.gov/perspective/handoffs-and-transitions

February 01, 2007 - The implementation of I-PASS in nine pediatric residency programs required adoption of the tool and guidelines … prospectively studied more than 10,000 patient admissions, using active surveillance strategies to measure … Programs with systems in which every holdover patient was reviewed sequentially in a designated location … the support program and usual care groups, and a trend toward increased emergency department visits … financial penalties for worse quality, use of measures that result in incorrect conclusions about quality

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