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Adverse events and emergency department opioid prescriptions in adolescents. | PSNet

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December 21, 2022 - mortality and costs after design and implementation of a nurse-based early recognition and response program … November 11, 2015 Patients' experiences and perspectives of patient-reported outcome measures … systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality

To expand the evidence base about harms from tests and treatments. | PSNet

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May 19, 2021 - June 23, 2021 Alternatives to opioid education and a prescription drug monitoring program … 2023 Annual Perspective Improving Diagnostic Safety and Quality … April 26, 2023 Patients' experiences and perspectives of patient-reported outcome measures

Description of the development and validation of the Canadian Paediatric Trigger Tool. | PSNet

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January 25, 2017 - From implementation to sustainment: a large-scale adverse event disclosure support program … August 18, 2021 Application of a trigger tool in near real time to inform quality improvement … 2010 The impact of electronic medical records data sources on an adverse drug event quality … measure. … Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program

Maternal Safety | PSNet

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January 31, 2024 - This AHRQ-funded program draws from comprehensive unit-based safety program principles to reduce errors … The program seeks to inform the... … mortality conference model to review cases of serious maternal harm and implemented several safety measures … The Agency for Healthcare Research and Quality adapted its Comprehensive Unit-based Safety Program, a … This AHRQ-funded program draws from comprehensive unit-based safety program principles to reduce errors

In Conversation with...Eric Coleman, MD, MPH | PSNet

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December 01, 2007 - 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 … Sunil Kripalani, MD, MSc Associate ProfessorDirector, Section of Hospital MedicineAssociate Director, Program

'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. | PSNet

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December 21, 2017 - Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales … Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales … Both scales performed well on psychometric testing. … December 21, 2017 Improving resident engagement in quality improvement and patient safety … December 21, 2017 Causes of death of residents in ACGME-accredited programs 2000 through

The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network. | PSNet

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February 07, 2022 - 27, 2021 Effect of communication errors during calls to an antimicrobial stewardship program … Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures … September 16, 2020 Is there a link between nursing home reported quality and COVID-19 … More See More About The Topic Hospitals Facility and Group Administrators Quality

Enhancing patient safety in pediatric primary care: implementing a patient safety curriculum. | PSNet

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January 15, 2020 - implementation of a patient safety curriculum in a pediatric primary care practice and the results of the program … January 15, 2020 Bridging leadership roles in quality and patient safety: experience … April 24, 2018 The Quality and Safety Educators Academy: fulfilling an unmet need for … a neonatology fellowship program. … January 9, 2014 Developing and testing a tool to measure nurse/physician communication

Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes | PSNet

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April 10, 2024 - The rating system uses three types of data: health inspection, staffing, and quality measures that represent … actions, provided updated instructions for states to enforce federal safety guidelines, and put in place measures … to keep NHs accountable including civil money penalties for noncompliance with infection control measures … appropriate care to residents with mild and asymptomatic cases Help NH staff implement best-practice safety measures … October 28, 2020 Use of simulation to measure the effects of just-in-time information

Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. | PSNet

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April 08, 2011 - Study Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial … Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. … Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. … for interns: teamwork and quality of resuscitations. … and quality of resuscitations.

Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet

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September 24, 2024 - What is your reaction to CMS putting that into a proposed quality measure? … and safety programs. … measure? … I really like the movement towards structural measures as opposed to the discrete measures of outcomes … after harm or implementing communication and resolution programs.

The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. | PSNet

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September 19, 2016 - Support Tool: validation of an organizational resource for assessing second victim effects and the quality … An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality … 2021 RISE: exploring volunteer retention and sustainability of a second victim support program … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures

High Reliability Organization (HRO) Principles and Patient Safety | PSNet

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February 26, 2025 - highest status Despite the association of HRO principles with improved patient safety and availability of programs … The authors report that use of their HRO-based tool, implemented in 38 Veterans Health Administration programs … Based on interviews with hospital executives, program leaders, staff, and physicians, the study found … Kathie Sutcliffe and I developed a measure that has been deployed in various places. … Engaging with some of the process measures and surveys can also validate high reliability.

In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet

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February 26, 2025 - Kathie Sutcliffe and I developed a measure that has been deployed in various places. … In terms of outcome measures, many of the studies I have done rely on a health system being willing to … Engaging with some of the process measures and surveys can also validate high reliability. … highest status Despite the association of HRO principles with improved patient safety and availability of programs … The authors report that use of their HRO-based tool, implemented in 38 Veterans Health Administration programs

Antibiotic and Opioid Stewardship in Dentistry | PSNet

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December 07, 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 … are the most common types of stewardship programs. … dental care has lagged behind medical care, resulting in a dearth of quality measures available for … use an electronic dental record, it’s not the same as medical practices that are used to submitting measures

Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. | PSNet

psnet.ahrq.gov/issue/bridging-gap-framework-and-strategies-integrating-quality-and-safety-mission-teaching

April 24, 2018 - Commentary Bridging the gap: a framework and strategies for integrating the quality … Bridging the Gap: A Framework and Strategies for Integrating the Quality and Safety Mission of Teaching … Engaging residents and fellows in quality and safety programs is a recognized strategy to address a … from a neonatology fellowship program. … January 9, 2014 Developing and testing a tool to measure nurse/physician communication

Classics and Emerging Classics | PSNet

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August 01, 2023 - The AHRQ Patient Safety Indicators (PSIs) represent quality measures that … 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 teams … Assessing the need for organizational second victim support programs. … Even though all study participants agreed that organizations should offer support programs to second

Fumbled Handoff | PSNet

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September 01, 2006 - risk for harm.( 3 ) Although practitioners are generally effective in bridging gaps, in this case the measures … Moreover, signouts are carried out in a culture unique to their hospital or training program. … as a "systems issue" will require that we observe the sign-out process at each hospital or training program … Using a computerized sign-out program to improve continuity of inpatient care and prevent adverse events … first six years of a novel financial incentive program.

Innovations in Promoting Hand Hygiene Compliance | PSNet

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May 01, 2014 - Although the Five Moments can add value to any hand hygiene improvement program ( 3,5 ), in many medical … An effective program to improve hand hygiene compliance will combine accurate and cost-effective methods … unit and individual level), efforts to make hand hygiene compliance as easy as possible, educational programs … Automated measures of hand hygiene compliance among healthcare workers using ultrasound: validation and … Using high-technology to enforce low-technology safety measures: the use of third-party remote video

Hospital Compare. | PSNet

psnet.ahrq.gov/issue/hospital-compare

May 26, 2021 - Most recently, listings from the Hospital-Acquired Condition Reduction Program (HACRP) and data on … March 10, 2021 Hospital-Acquired Condition Reduction Program (HACRP). … May 4, 2015 Medicare and Medicaid Programs and the Children’s Health Insurance Program … Programs Requirements; and Other Policy Changes. … April 30, 2024 Maryland Hospital Patient Safety Program Annual Report.

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