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psnet.ahrq.gov/issue/six-steps-head-hand-simulator-based-transfer-oriented-psychological-training-improve-patient
August 20, 2018 - The authors describe a pilot training program for physicians, nurses, and paramedics that combined crew … June 24, 2009
Strength of safety measures introduced by medical practices to prevent … June 8, 2011
Team training in the neonatal resuscitation program for interns: teamwork … and quality of resuscitations. … December 17, 2008
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See More About The Topic
Quality and Safety
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psnet.ahrq.gov/issue/nurturing-creativity-2006-macarthur-fellows
April 03, 2012 - Citation
Related Resources From the Same Author(s)
The MacArthur Fellows Program … April 3, 2012
The MacArthur Fellows Program: Peter Pronovost. … Pretender” (Syphilis) is Still Stumping Healthcare Providers
May 26, 2021
Measures … Eisenberg Patient Safety and Quality Award. … Eisenberg Patient Safety and Quality Awards.
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psnet.ahrq.gov/issue/medication-errors-family-practice-hospitals-and-after-discharge-hospital-ethical-analysis
September 23, 2020 - September 27, 2017
Implementing the Comprehensive Unit-Based Safety Program (CUSP) to … July 14, 2010
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Related Resources
National Healthcare Quality … , 2012
Better medical office safety culture is not associated with better scores on quality … measures. … March 3, 2010
Creating a better discharge summary: improvement in quality and timeliness
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psnet.ahrq.gov/issue/comparative-safety-endovascular-aortic-aneurysm-repair-over-open-repair-using-patient-safety
November 16, 2022 - this chart review study found that endovascular repair was safer, emphasizing the utility of these measures … Related Resources From the Same Author(s)
Implementation of the I-PASS handoff program … July 3, 2016
The quality of pharmacologic care for vulnerable older patients. … Successful implementation of the Department of Veterans Affairs' National Surgical Quality … Improvement Program in the private sector: the Patient Safety in Surgery study.
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psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events
September 01, 2021 - They also contend that measures should be constructed for relatively common conditions that are often … The authors propose designing and testing diagnosis measures based on this framework. … 16, 2020
Development and usability testing of the Agency for Healthcare Research and Quality … think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program
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psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review
March 27, 2018 - determine if a patient's clinical condition is deteriorating, with vital signs and other objective measures … March 27, 2018
Do HSMRs really measure patient safety? … March 6, 2005
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … May 31, 2023
Nurses' perceptions of simulation-based interprofessional training program … View More
See More About The Topic
Hospitals
Nurses
Nurse Managers
Quality
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psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
December 04, 2016 - Hospitals reported implementing a wide variety of quality improvement interventions to reduce medical … November 11, 2020
Fundamental Use of Surgical Energy (FUSE): an essential educational program … Encouraging employees to speak up to prevent infections: opportunities to leverage quality … November 18, 2016
A program to prevent catheter-associated urinary tract infection in … March 2, 2016
Sustaining reliability on accountability measures at the Johns Hopkins
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psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conferences-past-present-and-future
November 30, 2022 - learning are likely to be more successful for the learner and for the organization supporting the program … June 9, 2021
Associations between national board exam performance and residency program … September 20, 2011
Developing and pilot testing practical measures of preanalytic surgical … Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality … Morbidity and mortality conferences: a narrative review of strategies to prioritize quality
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psnet.ahrq.gov/issue/randomised-controlled-trial-effect-continuous-electronic-physiological-monitoring-adverse
August 04, 2021 - August 4, 2021
Implementation of the I-PASS handoff program in diverse clinical environments … April 24, 2018
Trends in healthcare incident reporting and relationship to safety and quality … potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program … January 20, 2015
The effect of a rapid response team on major clinical outcome measures … October 26, 2010
Validity of unplanned admission to an intensive care unit as a measure
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psnet.ahrq.gov/issue/evaluating-efforts-optimize-teamstepps-implementation-surgical-and-pediatric-intensive-care
April 12, 2014 - Teamwork training programs have resulted in some notable successes , but many other attempts have failed … In this AHRQ-funded study, the TeamSTEPPS training program was introduced in two intensive care units … The program resulted in improvement in directly observed team behaviors and measures of safety culture … and quality of resuscitations. … View More
See More About The Topic
Intensive Care Units
Health Care Providers
Quality
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - As a result, evaluating the effectiveness of safety
programs remains a challenge for most organizations … for use on a national basis (as well as retiring outdated
measures), creating measures of patient safety … The CMS National Quality Strategy emphasizes the ongoing
transition to digital quality measures (such … as electronic clinical quality measures, or eCQMs, based on
information from the electronic health … /Value-Based-Programs/CMS-Quality-Strategy
https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
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psnet.ahrq.gov/issue/case-safety-leadership-team-training-hospital-managers
August 31, 2011 - Active and engaged leadership can improve safety culture and organizational performance on measures … of safety and quality. … September 12, 2016
Association between implementation of a medical team training program … July 3, 2014
Why your TeamSTEPPS program may not be working. … January 19, 2012
A multidisciplinary teamwork training program: The Triad for Optimal
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psnet.ahrq.gov/issue/framework-health-care-organizations-develop-and-evaluate-safety-scorecard
September 17, 2010 - conceptual model to guide organizations in developing their safety scorecard and understanding the measures … A worksheet is provided that focuses on three questions: Is the measure important? … , Is the measure valid?, and Can this measure be used to improve safety in the organization? … Patient Safety Program in ICUs. … February 16, 2011
How to use an article about quality improvement.
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psnet.ahrq.gov/issue/addressing-veteran-health-related-social-needs-how-joint-commission-standards-accelerated
November 24, 2021 - November 24, 2021
Physicians' perspectives regarding prescription drug monitoring program … October 19, 2022
Implementation of the I-PASS handoff program in diverse clinical environments … quality improvement: what is the destination and how do we get there? … of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program … and performance measures for improvement.
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety
Program
July 1, 2006
Whittington JC. … Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. 2006. … What are the key success factors in developing a hospital safety program? … These indicators could be outcome measures such as
risk adjusted mortality, adverse events (measured … evaluated to see if actual harm occurred [5,6]),
incident reports, nosocomial infection rates, and process measures
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psnet.ahrq.gov/node/45825/psn-pdf
March 25, 2017 - psnet.ahrq.gov/issue/patient-safety-dilemma-obesity-surgical-patient
Postoperative complications are key measures … of surgical safety and quality. … psnet.ahrq.gov/issue/use-administrative-data-find-substandard-care-validation-complications-screening-program
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psnet.ahrq.gov/node/46049/psn-pdf
September 13, 2017 - hospitalized-children-and
Research has shown that Joint Commission accreditation is associated with higher quality … department patients before and during implementation of
the Joint Commission International accreditation program … proportion-errors-medical-prescriptions-and-their-executions-among-hospitalized-children-and
https://psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission … perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
https://psnet.ahrq.gov/issue/quality-improvements-decreasing-medication-administration-errors-made-nursing-staff-academic
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psnet.ahrq.gov/issue/bringing-diagnosis-quality-and-safety-equations
October 10, 2018 - Commentary
Bringing diagnosis into the quality and safety equations. … Bringing diagnosis into the quality and safety equations. JAMA. 2012;308(12):1211-2. … Bringing diagnosis into the quality and safety equations. JAMA. 2012;308(12):1211-2. … December 16, 2020
Implementation of the I-PASS handoff program in diverse clinical environments … February 3, 2011
Accountability measures—using measurement to promote quality improvement
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psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence
May 18, 2022 - October 16, 2012
Adverse event rates as measures of hospital performance. … February 9, 2012
Implementation of the I-PASS handoff program in diverse clinical environments … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures … March 4, 2009
View More
See More About The Topic
Hospitals
Quality
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psnet.ahrq.gov/node/866699/psn-pdf
September 11, 2024 - Rockville, MD: Agency for Healthcare Research and Quality; 2024. … ahrq-funded-patient-safety-project-highlights-improving-patient-safety-
enhancing-medication
Medication safety refers to practices and measures … strategies tested in this
work focused on information technology, error reporting and analysis, and quality … use-handheld-computer-application-voluntary-medication-event-reporting-inpatient-nurses-and
https://psnet.ahrq.gov/issue/scaling-equipped-medication-safety-program-traditional-and-hub-and-spoke-implementation