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psnet.ahrq.gov/issue/cost-quality-academic-health-centers-annual-costs-its-quality-and-patient-safety
October 14, 2020 - Study
The cost of quality: an academic health center's annual costs for its quality … The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure … safety improvement efforts, but little data exists regarding the total costs of quality improvement programs … and safety infrastructure, including safety measurement and improvement programs. … October 14, 2020
A program to provide clinicians with feedback on their diagnostic performance
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psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
February 15, 2011 - Study
Development of an instrument to measure seniors' patient safety health beliefs … Development of an instrument to measure seniors’ patient safety health beliefs: The Seniors Empowerment … October 2, 2019
Effect of promoting high-quality staff interactions on fall prevention … intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program … See More About The Topic
Long-Term Care
Health Care Providers
Educators
Geriatrics
Quality
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - August 17, 2016
Developing a medication patient safety program, part 2: process and implementation … increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures … View More
See More About The Topic
Intensive Care Units
Health Care Providers
Quality
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psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
February 09, 2011 - It also included specific measures to improve teamwork and reduce the risk of surgical site infection … February 7, 2018
Perspectives in quality: designing the WHO Surgical Safety Checklist … September 24, 2017
Changes in medical errors after implementation of a handoff program
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psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
December 01, 2011 - the Same Author(s)
Nurses' perceptions of simulation-based interprofessional training program … March 14, 2016
Patient safety and quality improvement adaptation during the COVID-19 … Resources
Defects in value associated with hospital-acquired conditions: how improving quality … February 21, 2024
An exploratory analysis of the association between hospital quality … measures and financial performance.
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psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love
January 02, 2017 - numerous studies have examined the psychological impact of error on residents , most safety improvement programs … June 16, 2011
A novel process for introducing a new intraoperative program: a multidisciplinary … March 1, 2011
A model for the departmental quality management infrastructure within an … to quality improvement and patient safety training
January 13, 2021
Professionalism … Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales
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psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - Other states have adopted or are considering similar measures. … In 2015, the Centers for Medicare and Medicaid Services (CMS) implemented the "SEP-1" quality measure … Rhee C, Dantes R, Epstein L, et al; CDC Prevention Epicenter Program. … Preliminary performance on the new CMS Sepsis-1 National Quality Measure: early insights from the Emergency … Quality Network (E-QUAL).
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - Procedural competency assessments should be part of maintenance of certification programs in procedural … But when you move into registry data like the National Surgery Quality Improvement Program (NSQIP) … What I'd like to see is a bundled approach where we have valid, reliable measures in decision-making, … And patient experience measures added to that. … Improvement Program.
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Sarah Mossburg: One way that we measure safety is through performance measures. … What are your thoughts on other ways to measure patient safety and how we can understand if patient safety … is improving other than through performance measures? … Since safety is a dynamic reality, reorienting focus from performance measures of harm to measures that … We are partnering with other academic programs to do the same.
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Sarah Mossburg: One way that we measure safety is through performance measures. … What are your thoughts on other ways to measure patient safety and how we can understand if patient safety … is improving other than through performance measures? … Since safety is a dynamic reality, reorienting focus from performance measures of harm to measures that … We are partnering with other academic programs to do the same.
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psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
June 13, 2018 - This alert is part of a national program to distribute learnings from report analysis to improve medication … April 1, 2015
Move toward full use of metric dosing: eliminate dosage cups that measure … Use cups that measure mL. … October 1, 2021
Medication Safety Certificate Program. … February 9, 2022
Quality and safety in hospital pediatrics during COVID-19: a national
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - When an adverse event occurs in health care, it is critical to understand why and implement measures … So, as we think about each of our safety processes—a communication and resolutions program, root cause … analysis in action, or peer support for the caregiver programs—all of those programs have to work to … They must support each other to change the culture and make each program work successfully. … IHI helps hospitals prepare for new CMS measures to make care safer .
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - 2 ) –an online self-paced course IHI offers, as well as the Patient Safety Executive Development Program … So, as we think about each of our safety processes—a communication and resolutions program, root cause … analysis in action, or peer support for the caregiver programs—all of those programs have to work to … They must support each other to change the culture and make each program work successfully. … IHI helps hospitals prepare for new CMS measures to make care safer .
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psnet.ahrq.gov/issue/older-patients-understanding-emergency-department-discharge-information-and-its-relationship
October 10, 2012 - trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program … High-Risk Medications in the Elderly and Potentially Harmful Drug–Disease Interactions in the Elderly quality … measures. … See More About The Topic
Emergency Departments
Home Care
Health Care Providers
Quality
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - September 19, 2016
Sustaining reliability on accountability measures at the Johns Hopkins … January 27, 2016
A comprehensive obstetric patient safety program reduces liability claims … April 25, 2012
Improving America's Hospitals: The Joint Commission's Report on Quality
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - They also were great at launching our immediate peer support or care for the caregiver program. … From a quality and safety side, things need to be much more systematized. … It's enough to support the program. … TM : In the CANDOR toolkit , the communications skills assessment has allowed us to measure the communication … Another big lesson is, when we look at the skills assessment and measure it, there is a huge bell-shaped
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - The HBPC program has now expanded beyond veterans into modern-day house call programs. … and only then for half of the required measures. … , health care systems, home care providers, and managed care programs. … Measuring quality in home healthcare. … The acute hospital care at home program. CA.gov.
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psnet.ahrq.gov/issue/partnership-patients
October 30, 2019 - overall patient harm and a 12% reduction in 30-day hospital readmissions as a population-based measure … In September 2015, the program awarded $110 million to 17 national, regional, or state hospital associations … October 30, 2019
Medicare and Medicaid programs; reform of requirements for long-term … December 18, 2014
Electronic Health Record Programs: Participation Has Increased, but … Action Needed to Achieve Goals, Including Improved Quality of Care.
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psnet.ahrq.gov/issue/incorporation-quality-and-safety-principles-maintenance-certification-qualitative-analysis
July 18, 2018 - Study
Incorporation of quality and safety principles in maintenance of certification … American Board of Medical Specialties, and many subsequently enter maintenance of certification (MOC) programs … Although board certification and MOC programs have traditionally focused on medical knowledge, this survey … found that most MOC programs now incorporate patient safety and quality improvement content . … December 21, 2017
What is the measure of a safe hospital?
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psnet.ahrq.gov/issue/accuracy-and-safety-medication-histories-obtained-time-intensive-care-unit-admission
October 20, 2021 - October 19, 2022
The I-READI quality and safety framework: a health system’s response … June 29, 2011
Medication reconciliation: developing and implementing a program. … increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures