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psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - However, nonspecific
symptoms such as change in voice quality, neck tightness, neck pain/pressure, neck … Nonspecific symptoms such as change in voice quality, neck tightness, neck pain/pressure, neck
swelling … Bittner, MD, PhD Program Director, Critical Care Fellowship Associate Director, Surgical
Intensive Care … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - devoted to detecting or learning from cases wherein desired outcomes were
achieved, and attempts to measure … This approach is inherently challenging because expected daily events are
difficult to detect and measure … A strong program for a hard problem. Saf
Science. 71(b):123-141. [Free full text]
15. … Agency for Healthcare Research
and Quality. September 7, 2019. … Agency for Healthcare Research and Quality March 30, 2022.
Accessed January 23, 2025.
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Because such communication was lacking, the quality of care was compromised. … discharge. 9 Indeed, 23% of patients discharged to SNF are readmitted to the hospital within 30 days, a measure … that is seen as a surrogate for suboptimal quality of care. … Patient Safety Primers
Post-Acute Transitional Services: Safety in Home-Based Care Programs
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psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
March 27, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … March 29, 2012
Measures of patient safety in developing and emerging countries: a review
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psnet.ahrq.gov/node/33602/psn-pdf
March 15, 2025 - Health care organizations increasingly understand that safe, high-quality care cannot be
achieved without … over the course of their careers, find themselves in situations that prevent them from providing high-quality … Maintenance of Certification (MOC) to retain their professional licensure and credentials, and
these programs … The trend to align quality improvement initiatives and individual certification requirements so
that … delivery and documentation (including electronic health
records, simulation, and new methods of measuring quality
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psnet.ahrq.gov/node/33818/psn-pdf
November 01, 2016 - Bindman was appointed as Director of the Agency for Healthcare Research and Quality
(AHRQ) in May 2016 … health care delivery system and trying to apply that research to make the system more effective, higher
quality … question brings up, there are many more aspects of health
care delivery than that, which are ripe for quality … What was remarkable about this program, and AHRQ was an early
supporter of it and evaluated the work … that they were able to do, is that they were actually able to achieve
quality outcomes for patients
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - a cancer patient named Paula Carroll founded a nonprofit corporation called Consumers for
Medical Quality … But as the field of patient safety and quality developed over the
past several decades, the patient … But as health care reform
moves out into the community, some programs have visibly shifted their emphasis … Community prevention: the program of the People's Medical Society. … The Best Practice: How the New Quality Movement Is Transforming Medicine.
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - MDW : The first thing to say about the Michigan program was that it had a very good technical intervention … When the attempt was made to take it to England without understanding what was there, the program was … That means a really sophisticated understanding of both the components of your program and its mechanisms … MDW : That is, in fact, where my current research program is going. … Change the ability to improve care, improve safety, and improve quality?
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - Addressing the gaps in quality and safety in primary care requires interprofessional quality improvement … interoperability, that didn’t really happen to the extent that we expected from the meaningful use incentive program … During the meeting, attendees would talk about the TeamSTEPPS program, the tools and materials, and how … Like other safety improvement measures, such changes could be applied in a variety of settings. … The study authors believe that future programs could improve data collection through more robust data
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … other states, it often is a health department that is going to be responsible for administering the program … Your report says, "The information in this report should not be used to compare the safety or quality … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … However, nonspecific symptoms such as change in voice quality, neck tightness, neck pain/pressure, neck … Bittner, MD, PhD Program Director, Critical Care Fellowship Associate Director, Surgical Intensive … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
October 28, 2020 - Specifically, I work with the Quality Improvement Program of Missouri and I am a co-investigator on the … Missouri Quality Initiative. … We also added this very intense layer of support that included a program manager who worked with the … CC : We looked at certain quality measures but they were not impacted as much as I had hoped or expected … Changes in US nursing home infection prevention and control programs from 2014 to 2018.
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - facilities who participate in Medicare or Medicaid have in place an Infection Prevention and Control Program … Changes in US nursing home infection prevention and control programs from 2014 to 2018. … Specifically, I work with the Quality Improvement Program of Missouri and I am a co-investigator on the … We also added this very intense layer of support that included a program manager who worked with the … CC : We looked at certain quality measures but they were not impacted as much as I had hoped or expected
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … April 25, 2016
Use of an interactive, telephone-based self-management support program
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psnet.ahrq.gov/node/49446/psn-pdf
August 30, 2021 - At 2 am, when the nurse came to measure the
hourly fingerstick, she found the patient somnolent, tremulous … Increasingly, quality improvement efforts focus on decreasing the extent of "underuse" of effective … Quality improvement efforts, exemplified by those of the Institute for Healthcare
Improvement in its … Rubin, MD, PhD Professor of Medicine Director, Quality of Care Research The Johns Hopkins
University … Medication Education Program. Accessed April 20,
2004.
8. Lillis K. Automated dosing.
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Blindness and low vision affect health care quality and access in many specific ways.( 2,3 ) In 2001, … More than Ramps: A Guide to Improving Health Care Quality and Access for People with Disabilities. … Use of administrative data to find substandard care: validation of the complications screening program
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psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Functional health literacy and the quality of physician-patient communication among diabetes patients … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … October 21, 2010
Use of an interactive, telephone-based self-management support program
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - Chalapathy Venkatesan: I am the Chief Quality and Safety Officer at Inova Health System. … As a healthcare system, we have a lot of external objective measures of high performance in safety, such … Still, underneath those objective measures, we saw inconsistent performance and recurrent safety events … would provide to other organizations that are interested in integrating Safety-II into their safety programs … Safety-II has gained traction, there has been an increase in its practical application in patient safety programs
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - Safety-II has gained traction, there has been an increase in its practical application in patient safety programs … Chalapathy Venkatesan: I am the Chief Quality and Safety Officer at Inova Health System. … As a healthcare system, we have a lot of external objective measures of high performance in safety, such … Still, underneath those objective measures, we saw inconsistent performance and recurrent safety events … would provide to other organizations that are interested in integrating Safety-II into their safety programs
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … [Available at] 6. 2008 National Patient Safety Goals Hospital Program. The Joint Commission. … The Joint Commission Accreditation Program: Ambulatory Health Care National Patient Safety Goals. … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure