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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - protocols with the blood bank for emergency release and massive transfusions, and of course educational programs … The first step to implement such a program is to create a team that includes key obstetricians, nurses … Measuring severe maternal morbidity: validation of potential measures. … Unit-standard, stage-based obstetric hemorrhage emergency management plan with checklists
Support program … Pseudo-obstruction But a Real Perforation
July 1, 2017
Failure to rescue as a process measure
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - incentivize hospitals to comply with
evidence-based measures to prevent complications.(12)
Such programs … The National Surgical Quality Improvement Program in
non-Veterans Administration hospitals: initial … Program: an evaluation of all
participating hospitals. … Paying for quality: providers' incentives for
quality improvement. … The Safety Organizing Scale: development and validation of a behavioral
measure of safety culture in
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - This is a module that can be implemented as a stand-alone program or in combination with the complete … Organizational Health Literacy Quality Improvement Measures . … Using quality measures is another approach. … Cultural Competence Training Cultural competence training programs aim to increase cultural awareness … A reengineered hospital discharge program to decrease rehospitalization: A randomized trial.
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - Hospice programs had a financial interest in avoiding costly interventions for their patients, even measures … This language is now the culture for hospice programs. … Protecting the patient’s safety in this case involved identifying and implementing measures to protect … his comfort and quality of life. … communication and conflict resolution process: Medical Orders for Life-Sustaining Treatment (MOLST) Program
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psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
September 27, 2017 - The extent to which patient reports capture medical errors versus poor service quality remains … September 27, 2017
Development and psychometric testing of a tool to measure missed nursing … Resources
Annual Perspective
Improving Diagnostic Safety and Quality … May 27, 2020
We Want to Know-a mixed methods evaluation of a comprehensive program designed … November 28, 2018
Perspective
Missed Nursing Care: A Key Measure
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psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries
October 16, 2012 - Based on these results, OIG recommends further efforts to accurately measure adverse events, and also … January 23, 2008
View More
Related Resources
National Healthcare Quality … January 9, 2024
Maryland Hospital Patient Safety Program Annual Report. … May 21, 2014
Electronic Health Record Programs: Participation Has Increased, but Action … Needed to Achieve Goals, Including Improved Quality of Care.
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psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant
November 25, 2009 - January 5, 2017
Expert consensus on currently accepted measures of harm. … December 31, 2014
View More
Related Resources
An effective program … 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - Bailey, MPH Program Director, Health Literacy and Learning Program Institute for Healthcare StudiesNorthwestern … UCSF Center for Vulnerable Populations, and Chief of the California Diabetes Prevention and Control Program … So it's been a good enough surrogate measure for the larger construct. … The current measures don't even approach that. … And this can be done at a very low cost to the health care system, particularly as one scales it up.
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - knowledge connects clinical practice with IT data infrastructure so that reports are built correctly to measure … incomplete data. 2 The A-F bundle is complex and challenging to fully implement; there is room for quality … This can be part of building and delivering a structured data literacy training program to engage bedside … Patient Safety Innovations
Risk Mitigation Using the Anesthesia Risk Alert Program … Safety Innovations
Patient and Family Centered I-PASS (Family-Centered Communication Program
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psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
July 02, 2014 - Teamwork in healthcare: Key discoveries enabling safer, high-quality care. … This review summarizes the evidence regarding teamwork, including strategies to measure team performance … Teamwork in healthcare: Key discoveries enabling safer, high-quality care. … 4, 2021
Eight critical factors in creating and implementing a successful simulation program … March 20, 2014
Validation of a teamwork perceptions measure to increase patient safety
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - Medical errors dropped significantly after putting the bundle in place, and process measures improved … grant funding did come through, and we were able to carry out the study with all the robust outcome measures … It is referring to the I-PASS handoff bundle, which is an entire program of several interventions packaged … That was a key reason why we collected balancing measure data through a time-motion study where we assessed … In pediatrics, it's a 3-year program.
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psnet.ahrq.gov/toolkits
March 01, 2025 - This set of quality indicators supports the epidemiological or research program use of billing or claims … data to measure severe maternal morbidity. … As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services … The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators … (QIs) represent quality measures that make use of a hospital's available administrative data to inform
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
April 17, 2025 - This review summarizes the evidence regarding teamwork, including strategies to measure team... … Qualitative analyses identified several themes underscoring the impact of the debriefing program – the … This review summarizes the evidence regarding teamwork, including strategies to measure team performance … measures, which may be insensitive to teamwork improvements in care delivery. … An AHRQ WebM&M perspective describes the Veterans Health Administration's medical team training program
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psnet.ahrq.gov/issue/care-compare
May 26, 2021 - 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. … August 28, 2024
Medicare and Medicaid programs; reform of requirements for long-term … November 23, 2015
Medicaid program; payment adjustment for provider-preventable conditions
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psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal
February 10, 2015 - success of the Keystone ICU project model, this study also implemented a comprehensive unit-based safety program … May 21, 2011
A comprehensive perinatal patient safety program to reduce preventable adverse … May 22, 2019
Failure to rescue as a process measure to evaluate fetal safety during labor … September 12, 2016
Patient Safety and Quality. … March 3, 2010
ProvenCare: quality improvement model for designing highly reliable care
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psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
November 06, 2015 - The extensive three-volume report outlines 290 proposals, including drastic measures to improve patient … July 10, 2013
View More
Related Resources
National Healthcare Quality … January 9, 2024
Promoting Safety and Quality Through Human Resource Practices: Executive … November 20, 2013
Improving America's Hospitals: The Joint Commission's Annual Report on Quality … 2010
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report
November 30, 2016 - Rockville, MD: Agency for Healthcare Research and Quality; March 2016. … Rockville, MD: Agency for Healthcare Research and Quality; March 2016. … A recent PSNet interview discussed AHRQ's efforts to develop patient safety measures and improvement … programs. … Rockville, MD: Agency for Healthcare Research and Quality; March 2016.
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psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
April 04, 2011 - improvement program. … Explaining Michigan: developing an ex post theory of a quality improvement program. … Explaining Michigan: developing an ex post theory of a quality improvement program. … November 7, 2018
A program to prevent catheter-associated urinary tract infection in … programs.
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psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals
January 12, 2022 - This study sought to develop a survey that would measure individual perceptions of just culture in a … Support Tool: validation of an organizational resource for assessing second victim effects and the quality … December 18, 2014
Communication-and-resolution programs: the challenges and lessons learned
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psnet.ahrq.gov/training-catalog/building-safety-culture-and-strengthening-hospital-safety-systems
April 10, 2025 - Copy URL
Organization:
Organization
Hospital Quality … part Webinar Series which will provide a detailed review of each of the five domains of HQI’s flagship program … HQI Cares: BETA HEART®, while drawing explicit links with CMS’ new Patient Safety Structural Measure