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psnet.ahrq.gov/issue/stop-orders-reduce-inappropriate-urinary-catheterization-hospitalized-patients-randomized
February 23, 2022 - February 23, 2022
A novel process for introducing a new intraoperative program: a multidisciplinary … August 3, 2016
Accountability measures—using measurement to promote quality improvement … September 20, 2011
Hospital performance trends on national quality measures and the association … December 4, 2016
Adherence to simple and effective measures reduces the incidence of
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psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
May 28, 2015 - this commentary reviews consensus statements developed to standardize outcome, process, and structural measures … Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program … September 6, 2016
Hospital Readmissions Reduction Program: implications for pharmacy. … February 18, 2015
Developing a medication patient safety program, part 2: process and … 2010
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Hospitals
Pharmacists
Quality
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psnet.ahrq.gov/issue/evaluation-association-between-nursing-home-survey-patient-safety-culture-nhsops-measures-and
April 05, 2017 - Culture and also measured rates of catheter-associated urinary tract infections (CAUTIs) as part of a quality … From the Same Author(s)
Comparing catheter-associated urinary tract infection prevention programs … May 8, 2019
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Infection control measure … July 1, 2017
Comparing catheter-associated urinary tract infection prevention programs … April 5, 2017
Economic evaluation of quality improvement interventions for bloodstream
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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - implementation of a “scorecard” that showed residents’ performance in relation
to their peers on a measure … Define measures and goals.
Establish protocols.
Secure resources. … Work with a quality improvement team. … Adapting a blood clot program for routine use in U.S.
hospitals. … CMS Measures Inventory Tool. Venous
Thromboembolism Prophylaxis (eCQM).
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psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
November 30, 2016 - Topics covered include the ineffectiveness of current measures and lack of leadership commitment to … NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program … cultivating organization wide quality improvement and health care professional engagement. … March 8, 2019
Heart Failure: The Decline of a Historic Transplant Program. … January 30, 2019
Patient Safety: Exploring Quality of Care in the US.
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psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
July 28, 2014 - Kizer, MD, MPH: health care quality evangelist. Interview by Brian Vastag. … Kizer, then of the National Quality Forum , addresses the inception of now well-known quality improvement … January 6, 2018
Measures of patient safety in developing and emerging countries: a review … March 23, 2011
Implementation of the I-PASS handoff program in diverse clinical environments … March 20, 2013
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - They build on past efforts of measures to predict unprofessional or disruptive behavior and discuss a … Diagnoses of Cancer
July 31, 2023
Creating a framework to integrate residency program … Creating a physician-led quality imperative. … November 26, 2014
Developing a medication patient safety program — infrastructure and … May 11, 2014
Creating complex health improvement programs as mindful organizations: from
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psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-medical-schools
March 23, 2011 - piece discusses why medical students need a universal patient safety curriculum and outlines such a program … RIS
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Related Resources From the Same Author(s)
Measures … Successful implementation of the Department of Veterans Affairs' National Surgical Quality … Improvement Program in the private sector: the Patient Safety in Surgery study. … November 14, 2018
The quality and safety track: training future physician leaders.
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
June 14, 2017 - The ability to use administrative data to measure patient safety is critical, because chart review is … The AHRQ Patient Safety Indicators (PSIs) and the CMS Hospital-acquired Conditions (HACs) aim to measure … Same Author(s)
Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures. … August 27, 2013
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - Consumers
and purchasers are a very important audience, but measures should also be useful for quality … in its public reporting and payment programs. … Once a measure is developed and endorsed by the organization, is the organization's role in that measure … Our role does continue, though, once a measure goes out the door. … It's often used in the context of pay-for-performance programs.
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psnet.ahrq.gov/issue/impact-national-multimodal-intervention-prevent-catheter-related-bloodstream-infection-icu
September 13, 2023 - March 29, 2012
Measures of patient safety in developing and emerging countries: a review … improvement program. … improvement programs. … December 29, 2014
Implementing a national program to reduce catheter-associated urinary … August 21, 2013
A multifaceted program for improving quality of care in intensive care
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psnet.ahrq.gov/issue/variability-measurement-hospital-wide-mortality-rates
July 01, 2016 - Hospital-wide mortality rates are widely used as a marker of health care quality , but it remains unclear … how to most accurately measure them. … August 2, 2023
Implementation of the I-PASS handoff program in diverse clinical environments … April 30, 2024
Maryland Hospital Patient Safety Program Annual Report. … December 18, 2013
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Hospitals
Quality
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psnet.ahrq.gov/issue/quality-and-safety-outcomes-hospital-merger-following-full-integration-safety-net-hospital
June 22, 2022 - Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. … December 21, 2022
Quality measures for patients at risk of adverse outcomes in the Veterans … August 17, 2022
Program access, depressive symptoms, and medical errors among resident … Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program … May 13, 2015
The impact of hospital-acquired conditions on Medicare program payments.
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - HMS is one of 20+ Collaborative Quality Initiatives (CQIs) funded and in partnership with Blue Cross … Blue Shield of Michigan (BCBSM) as a part of its Value Partnerships Program . … and data collection training Access to electronic health records Patient inclusion criteria Outcome measures … standardized local data Access to data from other participating (and non-participating) sites Outcome measures … HMS determined the specific patient outcome measures, which included CLABSI, DVT, and catheter occlusion
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psnet.ahrq.gov/issue/use-multidisciplinary-rounds-simultaneously-improve-quality-outcomes-enhance-resident
December 18, 2014 - Study
Use of multidisciplinary rounds to simultaneously improve quality outcomes, … Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education … measures for pneumonia and congestive heart failure. … November 13, 2024
Implementation of the I-PASS handoff program in diverse clinical environments … February 18, 2011
A multidisciplinary teamwork training program: The Triad for Optimal
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psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
June 30, 2021 - The AHRQ patient safety indicators (PSIs) are widely used measures of preventable complications and … quality of care . … March 16, 2022
A new index for obstetrics safety and quality of care: integrating cesarean … July 28, 2021
A program to provide clinicians with feedback on their diagnostic performance … Improvement program data.
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psnet.ahrq.gov/issue/monitoring-and-reducing-central-line-associated-bloodstream-infections-national-survey-state
December 01, 2010 - line infections in intensive care units in Michigan —powered by a checklist of infection control measures—is … However, this survey finds that few other states have implemented coordinated programs to reduce infections … December 30, 2014
Implementing a national program to reduce catheter-associated urinary … January 14, 2014
Explaining Matching Michigan: an ethnographic study of a patient safety program … July 31, 2013
Using the opportunity estimator tool to improve engagement in a quality
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psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
December 21, 2014 - Study
Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental … Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. … Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. … April 10, 2024
Development of patient safety measures to identify inappropriate diagnosis … View More
See More About The Topic
General Hospitals
Pharmacists
Quality
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - I cannot go to my board and talk to them about the details of a new measure on maternity care. … But I can talk to them about why we think it's important to have this maternity measure. … Within a year or two of implementing this program, virtually all the restaurants became "A" restaurants … Within a year of implementing the same program in New York City, a poll of New Yorkers asking if they … That's an enormous percentage for a year-old program.
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psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
April 24, 2018 - This commentary provides an overview of the findings from To Err Is Human and Crossing the Quality … November 16, 2022
Changes in medical errors after implementation of a handoff program … November 12, 2014
The Diagnostic Error Index: a quality improvement initiative to identify … and measure diagnostic errors. … correlates with reported levels of communication and collaboration on surgical teams but not with scale measures