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New Insights About Team Training From a Decade of TeamSTEPPS | PSNet

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February 01, 2017 - , ways to improve care coordination, and the link between teamwork and clinical process and outcome measures … meta-analysis of 129 studies on team training in health care found a significant association between programs … Opportunity now exists to validate the importance of teamwork by developing measures of how well care … fidelity of the simulation is usually less important than how the simulation scenarios are designed, which measures … His argument was that the program needed to not only be about improving patient safety but also had to

Antibiotic Stewardship in Acute Care: A Practical Playbook. | PSNet

psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook

August 02, 2017 - National Quality Partners. Washington, DC: National Quality Forum; 2016. … Washington, DC: National Quality Forum; 2016. … This report draws from the experience of existing programs to summarize practical strategies for implementing … National Quality Partners. Washington, DC: National Quality Forum; 2016. … August 2, 2017 Identification and Prioritization of Health IT Patient Safety Measures

Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. | PSNet

psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens

July 14, 2010 - Study Relevance of the Agency for Healthcare Research and Quality Patient Safety … July 14, 2010 Exploratory analyses of the "failure to rescue" measure: evaluation through … June 13, 2011 Implementation of the I-PASS handoff program in diverse clinical environments … a quality metric for surgery in children: do they predict adverse outcomes? … measure.

In Conversation With… Tejal K. Gandhi, MD, MPH | PSNet

psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph

February 26, 2025 - So we have a lot of programs around training health care professionals to become expert in patient safety … RW : You've also created a certification program in safety. … That being said, the NPSF programs have targeted both. … Having better programs to measure is important but also having real intervention tools to try to get … Even just with all the measures that need to get measured and the mandates, whether it's from your state

Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet

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November 07, 2018 - relating to anticoagulant therapies and included them as part of the National Patient Safety Goal (NPSG) program … June 5, 2013 Implementation of the I-PASS handoff program in diverse clinical environments … July 9, 2008 Adopting National Quality Forum medication safe practices: progress and … September 29, 2017 Measure twice, cut once.

The Unintended Consequences of Florida Medical Liability Legislation | PSNet

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February 01, 2003 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Florida Patient Safety Corporation, which set up the first voluntary state-wide near miss reporting program … This debate has marginalized moderates and favored extreme political and legal measures. … Measures placed on the ballot by citizen initiatives are by their very nature missing the devil of the … President Signs Patient Safety and Quality Improvement Act of 2005 [news release].

To forgive, divine. | PSNet

psnet.ahrq.gov/issue/forgive-divine

November 11, 2020 - Resources From the Same Author(s) Repurposing clinical decision support system data to measure … dosing errors and clinician-level quality of care. … March 21, 2017 Care quality and safety in long-term aged care settings: a systematic … An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality … May 18, 2022 Building a program of expanded peer support for the entire health care team

TeamSTEPPS Core Curriculum. | PSNet

psnet.ahrq.gov/issue/teamstepps-core-curriculum

August 01, 2012 - Rockville, MD: Agency for Healthcare Research and Quality; July 2023. … Copy URL July 19, 2023 Rockville, MD: Agency for Healthcare Research and Quality … Rockville, MD: Agency for Healthcare Research and Quality; July 2023. … October 23, 2019 AHRQ's Safety Program for Ambulatory Surgery. … October 18, 2017 Fall Prevention in Hospitals Training Program.

In Conversation With… Charles Vincent, MPhil, PhD | PSNet

psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd

July 10, 2024 - it's infections, falls, or central line problems or a lot of things that are measured now in a safety program … On one hand that's good because you can do national programs and you can think nationally about the whole … There are lots more people now who have been involved in safety improvement programs; for instance the … Health Foundation did a major improvement program called the Safer Patients Initiative . … Perspective How Does Infection Prevention Fit Into a Safety Program

Burnout Among Health Professionals and Its Effect on Patient Safety | PSNet

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December 22, 2018 - 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 … outcomes has used self-reported perceptions of patient safety, an important but relatively weak outcome measure … A typical coaching program consists of clarification of values, professional, and personal goals, along … Such programs are generally delivered in hourly sessions every 1–2 weeks for a period of 6–12 months.

A case that shook medicine. | PSNet

psnet.ahrq.gov/issue/case-shook-medicine

October 24, 2012 - raised awareness of the impact that resident duty hours and fatigue could have on patient care and quality … measure. … March 1, 2023 The Safety and Quality of Health Care: Where are We Now? … March 3, 2011 The 80-hour work guidelines and resident survey perceptions of quality. … work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program

Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. | PSNet

psnet.ahrq.gov/issue/improving-resident-education-and-patient-safety-method-balance-initial-caseloads-academic

January 27, 2016 - harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality … measure. … March 25, 2017 Residency training in handoffs: a survey of program directors in psychiatry … View More Related Resources Restructuring of a general surgery residency program … See More About The Topic Ambulatory Clinic or Office Health Care Providers Quality

A blinded, prospective study of error detection during physician chart rounds in radiation oncology. | PSNet

psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds-radiation-oncology

November 16, 2022 - Related Resources From the Same Author(s) Implementation of the I-PASS handoff program … December 16, 2020 Integrating and evaluating the data quality and utility of smart pump … measure. … March 9, 2022 A comprehensive quality assurance program for personnel and procedures … March 9, 2022 Preliminary study of patient safety and quality use cases for ICD-11 MMS

Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork. | PSNet

psnet.ahrq.gov/issue/developing-high-performance-team-training-framework-internal-medicine-residents-abcs-teamwork

June 01, 2011 - Related Resources From the Same Author(s) Developing and testing a tool to measure … May 8, 2017 Demonstrating the value of postgraduate fellowships for physicians in quality … August 30, 2023 Bridging leadership roles in quality and patient safety: experience of … from a neonatology fellowship program. … February 24, 2011 A multidisciplinary teamwork training program: The Triad for Optimal

Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. | PSNet

psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative

August 01, 2012 - Rockville, MD: Agency for Healthcare Research and Quality; July 2013. … preliminary outcome data from a six-cohort collaborative that used the comprehensive unit-based safety program … August 28, 2013 Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program … October 23, 2019 AHRQ's Safety Program for Ambulatory Surgery. … November 30, 2023 AHRQ Safety Program for MRSA Prevention.

Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. | PSNet

psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and

May 19, 2021 - May 6, 2020 Implementation of the I-PASS handoff program in diverse clinical environments … harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality … measure.

Ethical duty of health care systems to address interfacility medical error discovery. | PSNet

psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery

September 11, 2019 - The authors describe a framework to build a culture that draws from quality, holism , collaboration, … September 2, 2020 Developing electronic clinical quality measures to assess the cancer … May 2, 2018 Leadership oversight for patient safety programs: an essential element. … January 24, 2018 Fostering transparency in outcomes, quality, safety, and costs. … September 27, 2017 Time for transparent standards in quality reporting by health care

Emergence of Application-based Healthcare | PSNet

psnet.ahrq.gov/perspective/emergence-application-based-healthcare

August 05, 2022 - You want to think about an app as being a software program. … These software programs can run on just about any device or computer. … use cases for smartphone applications in the cardiology space demonstrating that secondary prevention measures … Two, we make it accessible by having loaner programs that include everyone. … https://tic.jh.edu/programs/hexcite/ . Accessed June 23, 2022. 2. One Drop.

Insert Omission | PSNet

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May 09, 2014 - 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 … sensitive, rapid urine pregnancy tests and waiting for presumed menses are reasonable and adequate measures … July 29, 2009 Quality and patient safety metrics: developing a structured program for … June 19, 2024 Quality measures of clinical pharmacy services during transitions of care

Health Care Data Science for Quality Improvement and Patient Safety | PSNet

psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety

October 01, 2016 - New training programs must be created that blend the technical training of data scientists with particular … As part of that work, I was asked to develop an antimicrobial stewardship program and that led to a general … For the FDA's program called Sentinel , we've built a distributed data network that involves most large … The second is emphasis on surveillance to assess outcomes drive improvement and measure its impact. … detailed information about the prevalence of obesity, smoking, poorly controlled hypertension, and other measures

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