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Despite Clues, Failed to Rescue | PSNet

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August 02, 2015 - programs focus primarily on avoiding complications in the first place. … The National Surgical Quality Improvement Program in non-Veterans Administration hospitals: initial demonstration … 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

Education outcomes from a duty-hour flexibility trial in internal medicine. | PSNet

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December 12, 2012 - This study randomized internal medicine residency programs to either standard duty hour rules from the … Interns in flexible duty hour programs reported worse well-being and educational satisfaction compared … As in a prior study of surgical training, program directors of flexible duty hour programs reported … November 26, 2014 Failure-to-rescue: comparing definitions to measure quality of care … Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program

In Conversation With… Didier Pittet, MD, MS | PSNet

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May 01, 2014 - We spoke with him about hand hygiene in health care, including how to implement culture change and measure … 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 … Infection prevention promotion program based on the PRECEDE model: improving hand hygiene behaviors among

Electronic health records in ambulatory care- a national survey of physicians. | PSNet

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February 17, 2011 - electronic health records (EHRs) is considered a high priority in order to improve patient safety and quality … and Delayed Diagnoses of Cancer July 31, 2023 Developing electronic clinical quality … measures to assess the cancer diagnostic process. … July 27, 2018 Electronic health record reviews to measure diagnostic uncertainty in primary … Achieving meaningful use of health information technology: a guide for physicians to the EHR Incentive Programs

Nurse Wellbeing and Patient Safety | PSNet

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August 30, 2023 - The effective engagement of nursing is key to patient safety and care quality improvement. … staffing was the top recommendation to reduce burnout with less emphasis on wellness and resilience programs … integrative review summarizes the importance of organizational safety culture and highlights strategies and programs … and (5) patient satisfaction – and these themes were consistently inversely associated with outcome measures … Increasingly, health care institutions are implementing programs designed to provide emotional support

Engaging patients as vigilant partners in safety: a systematic review. | PSNet

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February 06, 2019 - Overall, patients have a positive attitude toward engaging in safety programs, but some studies have … A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program … March 11, 2020 Repurposing clinical decision support system data to measure dosing errors … and clinician-level quality of care. … September 29, 2021 An in situ simulation program: a quantitative and qualitative prospective

Failure to Rescue | PSNet

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September 15, 2024 - 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 have … quality measure. … measure, controversies about the detailed specifications of these measures continued over the subsequent … October 31, 2014 ICD-11 for quality and safety: overview of the WHO Quality and Safety

Safety culture, safety climate, and safety performance in healthcare facilities: a systematic review. | PSNet

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October 20, 2021 - explored the relationship between safety culture and safety climate dimensions and safety performance measures … January 18, 2023 Combined impact of Medicare's hospital pay for performance programs … on quality and safety outcomes is mixed.

Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? | PSNet

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January 13, 2010 - November 15, 2017 ICD-11 for quality and safety: overview of the WHO Quality and Safety … hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program … October 3, 2012 How best to measure surgical quality? … the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative … Improvement program data.

Patient Safety Improvement Act of 2020. | PSNet

psnet.ahrq.gov/issue/patient-safety-improvement-act-2020

February 12, 2020 - pediatric safety initiatives, care transitions, reporting systems and antimicrobial stewardship programs … November 6, 2019 Do HSMRs really measure patient safety? … October 3, 2017 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease … December 21, 2022 Evaluation of Quality, Safety and Value in Veterans Health Administration … 2016 Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs

Add-on Case and the Missing Checklist | PSNet

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September 01, 2012 - After extensive discussions with the family, the decision was made to focus on comfort measures only. … Quality indicators for EGD. Gastrointest Endosc. 2015;81:17-30. [go to PubMed] 9. … effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program … Comparative evaluation of different medication safety measures for the emergency department: physicians … effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program

Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. | PSNet

psnet.ahrq.gov/issue/using-targeted-solutions-tool-improve-hand-hygiene-compliance-associated-decreased-health

August 18, 2021 - November 21, 2021 Accountability measures—using measurement to promote quality improvement … September 20, 2011 Hospital performance trends on national quality measures and the association … catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality … January 16, 2013 Practically speaking: rethinking hand hygiene improvement programs in

Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. | PSNet

psnet.ahrq.gov/issue/professionalism-lapses-and-adverse-childhood-experiences-reflections-island-last-resort

October 14, 2015 - The author suggests that education and awareness programs to address disrespectful physician behavior … 2014 Physician health and wellbeing provide challenges to patient safety and outcome quality … September 29, 2010 Developing a process to measure actual harm from medication errors … August 21, 2024 Development of patient safety measures to identify inappropriate diagnosis … PhD February 1, 2019 Leveraging the continuum: a novel approach to meeting quality

Nurse-staffing levels and the quality of care in hospitals. | PSNet

psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals

June 25, 2010 - Study Classic Nurse-staffing levels and the quality of … Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-22. … Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-22. … measure for continuity of pharmacotherapy. … October 12, 2015 View More Related Resources Training Program for

Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals. | PSNet

psnet.ahrq.gov/issue/disentangling-quality-and-safety-indicator-data-longitudinal-comparative-study-hand-hygiene

March 23, 2011 - June 19, 2013 Developing a process to measure actual harm from medication errors in paediatric … program. … December 3, 2014 Implementing a national program to reduce catheter-associated urinary … Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program … 2013 Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs

Are Residency Duty Hour Rules Improving Patient Safety? | PSNet

psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety

April 01, 2013 - graduate medical education in the United States, including all accredited residency and fellowship programs … Adverse events are more common, but more labor intensive, to measure since this usually requires detailed … 12 years ago on the issue of duty hours and sleep deprivation as it affects patient safety, in large measure … A series of relatively small studies has been done by programs that implemented these types of changes … RW : Can you talk a little bit about napping and other strategies that may impact a given program or

In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet

psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph

April 01, 2013 - 12 years ago on the issue of duty hours and sleep deprivation as it affects patient safety, in large measure … Insofar as a particular residency program or a particular group of workers is adhering to best practices … RW : Can you talk a little bit about napping and other strategies that may impact a given program or … of the program, the availability of effective information technology, and more) may be just as important … Adverse events are more common, but more labor intensive, to measure since this usually requires detailed

Health Literacy Practices in Primary Care Settings: Examples from the Field. | PSNet

psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field

April 27, 2022 - Related Resources From the Same Author(s) The effect of a transitional pharmaceutical care program … June 30, 2011 Do HSMRs really measure patient safety? … September 28, 2022 Nurse managers' leadership, patient safety, and quality of care: a … January 3, 2017 Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program

Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. | PSNet

psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-critique-postpartum-readmission-rate

September 22, 2021 - Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality … Readmission reduction as an improvement measure has been found to be problematic as a maternal safety … mortality and costs after design and implementation of a nurse-based early recognition and response program … September 21, 2022 Combined impact of Medicare's hospital pay for performance programs … on quality and safety outcomes is mixed.

Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. | PSNet

psnet.ahrq.gov/issue/encouraging-employees-speak-prevent-infections-opportunities-leverage-quality-improvement-and

January 23, 2017 - Encouraging employees to speak up to prevent infections: opportunities to leverage quality … (s) What is the return on investment for implementation of a crew resource management program … 23, 2017 Navigating a ship with a broken compass: evaluating standard algorithms to measure … April 24, 2018 Targeted implementation of the Comprehensive Unit-Based Safety Program … December 3, 2014 Implementing a national program to reduce catheter-associated urinary

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