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Application of AHRQ patient safety indicators to English hospital data. | PSNet

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September 20, 2011 - August 4, 2015 Staff perceptions of quality of care: an observational study of the NHS … hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program … September 23, 2020 Quality & safety in the time of coronavirus--design better, learn … June 22, 2011 "Canary measures" among the AHRQ Patient Safety Indicators. … November 13, 2009 View More See More About The Topic Hospitals Quality

Ensuring safe practice by late career physicians: institutional policies and implementation experiences. | PSNet

psnet.ahrq.gov/issue/ensuring-safe-practice-late-career-physicians-institutional-policies-and-implementation

May 20, 2019 - April 5, 2013 Can communication-and-resolution programs achieve their potential? … September 29, 2017 Communication-and-resolution programs: the challenges and lessons … co-workers' unprofessional behaviours within the context of a professional accountability culture change program … 2017 Between surveillance and subjectification: professionals and the governance of quality … March 5, 2014 Hospital performance trends on national quality measures and the association

The Economic Measurement of Medical Errors. | PSNet

psnet.ahrq.gov/issue/economic-measurement-medical-errors

March 23, 2022 - February 2, 2022 The effect of a transitional pharmaceutical care program on the occurrence … November 4, 2020 Pediatric Quality and Safety. … View More Related Resources Maryland Hospital Patient Safety Program

Effectiveness and efficiency of root cause analysis in medicine. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine

July 11, 2012 - of root cause analysis (RCA) continues to serve an important role in improving patient safety and quality … From the Same Author(s) Complications in surgery: root cause analysis and preventive measures … June 8, 2022 Analysis of readmissions in a mobile integrated health transitional care program … October 14, 2020 The aspects of healthcare quality that are important to health professionals … December 21, 2014 Wake Up Safe and root cause analysis: quality improvement in pediatric

Work patterns and fatigue-related risk among junior doctors. | PSNet

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July 29, 2020 - doctors and discovered that night work and unpredictable schedules were associated with greater fatigue measures … Related Resources From the Same Author(s) Restructuring of a general surgery residency program … The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality

Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/toward-safer-opioid-prescribing-hiv-care-tower-mixed-methods-cluster-randomized-trial

September 07, 2022 - using TOWER were more adherent to the CDC guidelines, with no worsening patient-reported outcome measures … September 7, 2022 Implementation of the I-PASS handoff program in diverse clinical environments … 2011 View More See More About The Topic Ambulatory Clinic or Office Quality

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. | PSNet

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January 15, 2014 - This program report highlights the implementation processes of the AHRQ-funded CUSP initiative that … builds on the successful Keystone program in Michigan to reduce central line infections. … April 27, 2022 Reducing three infections across cardiac surgery programs: a multisite … program. … March 2, 2011 Quality of traditional surveillance for public reporting of nosocomial

Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

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January 12, 2022 - This improvement report discusses the development of a program that used simulation to enhance trainees … The students involved in the program gained confidence in their ability to recognize, identify, and report … June 28, 2010 Development of a measure of patient safety event learning responses. … March 19, 2018 Coaching the debriefer: peer coaching to improve debriefing quality in … simulation programs.

EMS Patient Safety in the Field | PSNet

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July 28, 2021 - Guide to Building an Effective EMS Wellness and Resilience Program. … /nemssc/ems-safety-program-guide-10-11-17.pdf? … At the regional level, most states have developed some definitions and some quality measures. … The ability to use correct data systems and quality measures, not over-apply quality measures, and not … There are always unexpected situations and circumstances that quality measures are not designed to take

Association of changing hospital readmission rates with mortality rates after hospital discharge. | PSNet

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August 20, 2018 - Association between hospital penalty status under the Hospital Readmission Reduction Program … January 17, 2018 Readmission rates after passage of the Hospital Readmissions Reduction Program … March 22, 2017 Considering chance in quality and safety performance measures: an analysis

Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. | PSNet

psnet.ahrq.gov/issue/implementing-pre-operative-checklist-increase-patient-safety-1-year-follow-personnel

October 19, 2012 - the effectiveness of a mandatory timeout, during which a formal checklist of perioperative safety measures … January 15, 2025 Changes in medical errors after implementation of a handoff program. … View More See More About The Topic Operating Room Health Care Providers Quality

Safety at the time of the COVID-19 pandemic: how to keep our oncology patients and healthcare workers safe. | PSNet

psnet.ahrq.gov/issue/safety-time-covid-19-pandemic-how-keep-our-oncology-patients-and-healthcare-workers-safe

September 03, 2011 - They also propose measures focused on healthcare worker safety, including appropriate use of personal … Citation Related Resources From the Same Author(s) HIM functions in healthcare quality … August 12, 2020 Restructuring of a general surgery residency program in an epicenter

Diagnostic Errors | PSNet

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December 01, 2013 - Importantly, research advances have put us in a position in which we may soon be able to measure the … Further standardization and pilot implementation will be needed in order to be able to create measures … Even in the absence of rigorous and standard measures, 2014 provided actionable information about how … and Informatics Program at the Houston Veterans Affairs (VA) Center for Innovations in Quality, Effectiveness … HS : It's important to find training programs that can support innovation, create the right mentorship

State sepsis mandates—a new era for regulation of hospital quality. | PSNet

psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality

October 02, 2019 - State Sepsis Mandates - A New Era for Regulation of Hospital Quality. … This commentary discusses successful programs , built on policy mandates, that aim to ensure effective … in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. … Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure … August 5, 2020 Restructuring of a general surgery residency program in an epicenter of

Increases in drug and opioid overdose deaths—United States, 2000–2015. | PSNet

psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015

January 23, 2019 - January 5, 2017 Piloting a patient safety and quality improvement co-curriculum. … January 12, 2022 Use of prescribing safety quality improvement reports in UK general … November 8, 2012 Weekly variation in health-care quality by day and time of admission … Measures Report. … September 7, 2016 Medication Safety Program.

Prevention Quality Indicators Overview. | PSNet

psnet.ahrq.gov/issue/prevention-quality-indicators-overview

December 24, 2008 - Agency for Healthcare Research and Quality. … The Agency for Healthcare Research and Quality (AHRQ) Prevention Quality Indicators use hospital admissions … August 1, 2012 AHRQ's Safety Program for Ambulatory Surgery. … October 15, 2008 AHRQ Safety Program for Improving Antibiotic Use. … May 24, 2015 Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program

Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. | PSNet

psnet.ahrq.gov/issue/demonstrating-value-postgraduate-fellowships-physicians-quality-improvement-and-patient

November 04, 2015 - Students in these programs reported a positive impact of the fellowship on their careers, with nearly … September 15, 2011 Developing and testing a tool to measure nurse/physician communication … June 2, 2021 Associations between national board exam performance and residency program … Improving resident and fellow engagement in patient safety through a graduate medical education incentive program … November 18, 2013 Teaching but not learning: how medical residency programs handle errors

Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. | PSNet

psnet.ahrq.gov/issue/association-hospital-employee-satisfaction-patient-safety-and-satisfaction-within-veterans

August 04, 2021 - February 14, 2017 Quality and safety implications of emergency department information … adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality … Improvement Program and the Patient Safety Indicators. … medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures

In Conversation with...Dean Schillinger, MD | PSNet

psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md

March 01, 2009 - UCSF Center for Vulnerable Populations, and Chief of the California Diabetes Prevention and Control Program … So it's been a good enough surrogate measure for the larger construct. … The current measures don't even approach that. … And this can be done at a very low cost to the health care system, particularly as one scales it up. … Bailey, MPH Program Director, Health Literacy and Learning Program Institute for Healthcare StudiesNorthwestern

Investigating the impact of a pharmacist intervention on inappropriate prescribing practices at hospital admission and discharge in older patients: a secondary outcome analysis from a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/investigating-impact-pharmacist-intervention-inappropriate-prescribing-practices-hospital

November 30, 2022 - adults are associated with adverse events, increased hospital readmissions, and lower health-related quality … May 1, 2024 Strength of safety measures introduced by medical practices to prevent a … Practical applications for quality improvement in healthcare. … February 21, 2024 Voices from frontline nurses on care quality and patient safety during … November 6, 2024 A clinical pharmacist-led transitions of care program for veterans with

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