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psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
January 15, 2014 - Several validated survey tools are available to measure hospital safety and teamwork climates, including … Nationwide Children's Hospital in Ohio introduced a comprehensive patient safety and high reliability program … that included numerous quality improvement activities and extensive training in error prevention for … Related Resources From the Same Author(s)
A comprehensive patient safety program … November 11, 2020
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/node/36442/psn-pdf
July 23, 2023 - July 23, 2023
Department of Health and Human Services, Agency for Healthcare Research and Quality, Department … The Team Strategies and Tools to
Enhance Performance and Patient Safety (TeamSTEPPS) program was developed … 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
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - perhaps get additional attention, and we tend to pay less attention to other things that are harder to measure … or an infection prevention program. … We need to make sure that those leaders are absolutely involved in whatever it is that you want to measure … How Does Infection Prevention Fit Into a Safety Program? … Texas Health Care Transformation and Quality Improvement Program.
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psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using
March 09, 2011 - March 9, 2011
Implementation of the I-PASS handoff program in diverse clinical environments … January 19, 2012
How best to measure surgical quality? … Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and … the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative … measure.
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psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
August 25, 2021 - Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures … September 23, 2020
Restructuring of a general surgery residency program in an epicenter … 29, 2020
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See More About The Topic
Intensive Care Units
Quality
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - Fortunately, the error led to no inappropriate resuscitative measures, but the event did generate a hospital … interventions in the operating room versus other clinical situations, many patients accept resuscitative measures … These educational programs would be particularly important for new staff members or trainees. … Bernard Lo, MD Professor of Medicine Director, Program in Medical Ethics Division of General Internal … For example, drugs to support blood pressure and measures to maintain breathing are used in the operating
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psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - be significant, and many of the strategies aimed at reducing waste may also act as additional safety measures … swaps between different medication classes. 3 Merry and colleagues demonstrated that a multimodal program … Controlled Substance Accountability
The goal of controlled substance drug diversion programs is to … carefully examine the strategies that are currently present and to work to develop additional safety measures … s0001-2092(06)60495-x
National Patient Safety Goals Effective January 1, 2020: Hospital Accreditation Program
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psnet.ahrq.gov/issue/patient-safety-climate-strength-concept-requires-more-attention
March 04, 2011 - This study analyzed safety culture surveys from an accreditation program in a novel manner. … A past PSNet interview discussed how to measure and change safety culture. … 'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure … 'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure … January 15, 2014
Organizational factors associated with high performance in quality and
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - Many measures exist, but none are yet accepted as being truly adequate, and this leads to the differing … Studies have identified that burnout and measures of well-being (such as depression, stress, and anxiety … to intervene. 15-18 For example, there has been increased interest in implementing peer support programs … Peer support programs for physicians: mitigate the effects of emotional stressors through peer support … January 27, 2021
Perspective
Building a Safety Program
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psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
June 16, 2021 - that the enhanced checklist required less time to complete per patient and improved certain process measures … 2022
Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality … November 24, 2021
Implementing a watcher program to improve timeliness of recognition … View More
See More About The Topic
Intensive Care Units
Children's Hospitals
Quality
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - Compare, to using either public domain or proprietary risk algorithms, to using the Patient Activation Measure … The Family Caregiver Activation in Transitions (FCAT) Tool: A New Measure of Family Caregiver Self-Efficacy … Journal for Healthcare Quality. 2015:37(1):2-11. … Journal for Healthcare Quality. 2015:37(1):12-21. … Achieving positive ROI via targeted care coordination programs. The SCAN Foundation September 2014.
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
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 … use an electronic dental record, it’s not the same as medical practices that are used to submitting measures … are the most common types of stewardship programs. … dental care has lagged behind medical care, resulting in a dearth of quality measures available for
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - Strictly speaking, these efforts only fit the definition of a health literacy improvement program if … programs. … Measures of Health Literacy: Workshop Summary. … Agency for Healthcare Research and Quality. … October 28, 2020
Use of simulation to measure the effects of just-in-time information
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - Read More
Developing a measure of value in health care. … This article discusses the primary definition of value in health care and how established quality measures … Safety Program in ICUs. … Commentary
Developing a measure of value in health care. … This article discusses the primary definition of value in health care and how established quality measures
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psnet.ahrq.gov/issue/systematic-review-teamwork-intensive-care-unit-what-do-we-know-about-teamwork-team-tasks-and
January 23, 2019 - Teamwork usually entailed joint strategy and shared goals, and quality improvement approaches to enhance … An AHRQ WebM&M perspective describes the Veterans Health Administration's medical team training program … August 21, 2024
Teamwork in healthcare: key discoveries enabling safer, high-quality … May 24, 2012
Reducing three infections across cardiac surgery programs: a multisite cross-unit … View More
See More About The Topic
Intensive Care Units
Nurse Managers
Quality
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psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare
February 15, 2023 - February 15, 2023
What quality and safety of care for patients admitted to clinically … April 10, 2019
Effectively leading for quality. … Related Resources
How payers can help hospitals become safer through value-based programs … analysis of hospital readmission rates after the implementation of Hospital Readmissions Reduction Program … February 19, 2020
Effect of a hospital-wide measure on the readmissions reduction program
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - primary team agreed on the need to start treatment for tumor lysis syndrome with hemodialysis and other measures … Despite aggressive measures to maintain her circulation, blood pressures further dropped, and a code … In addition, even though diagnosis is often portrayed in educational programs and case presentations … Since existing programs focused on teamwork are already well-rooted in many health care systems and health … professions education programs, it is likely that they can be tweaked to focus on diagnostic performance
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psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
December 08, 2021 - Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality … Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures
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psnet.ahrq.gov/issue/effect-multidisciplinary-care-teams-intensive-care-unit-mortality
January 17, 2018 - Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure … Settings Help Improve Management of Sepsis
May 31, 2023
Implementing a watcher program … mortality and costs after design and implementation of a nurse-based early recognition and response program … April 22, 2009
Measurable outcomes of quality improvement in the trauma intensive care … unit: the impact of a daily quality rounding checklist.
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psnet.ahrq.gov/node/33596/psn-pdf
January 29, 2025 - As a safety and quality measure, FTR has been defined as the inability to prevent death after
development … Patient-facing interventions and multi-component
programs to increase engagement in care escalation … quality measure. … measure, controversies about the detailed specifications of these measures continued over the subsequent … /primer/patient-safety-indicators
https://psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care