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psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-risks
September 15, 2011 - A past Institute of Medicine report highlighted the unique challenges in providing high-quality and … advocate for greater measurement and reporting of these ED provider concerns in future safety benchmarking programs … August 4, 2021
A resident-led institutional patient safety and quality improvement process … July 12, 2017
Development of patient safety measures to identify inappropriate diagnosis … August 19, 2015
The Safe Patient Flow Initiative: a collaborative quality improvement
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psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - The Agency for Healthcare Research and Quality (AHRQ) Communication and Optimal Resolution
(CANDOR) … The CANDOR framework describes three tiers of support when developing a peer support program in
healthcare … intervention, and debriefing and
expedited professional support and guidance from employee assistance programs … Selecting relevant quality measures and ongoing collection, tracking, and evaluation of data to assess … the
effectiveness of improvement efforts is essential for quality assurance and public outreach.
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psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
January 27, 2016 - February 5, 2019
Reframing and addressing horizontal violence as a workplace quality … May 2, 2018
Use of unit-based interventions to improve the quality of care for hospitalized … October 29, 2017
Effect of a hospital-wide measure on the readmissions reduction program
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psnet.ahrq.gov/web-mm/premature-or-overdue
December 23, 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 … the second and third trimesters, estimation of gestational age depends on a calculated composite of measures … amniocentesis to determine fetal lung maturity prior to further attempts to induce labor, or beginning a program … following medical errors: the communication and resolution program certification pilot.
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - Risk mitigation measures, such as urine toxicology screening, patient contracts, and risk assessment … In addition, such measures do not reduce the addictive potential of these products, nor do they change … Physician attitudes and experiences with Maryland's prescription drug monitoring program (PDMP). … very carefully select patients, people who don't have obvious risk factors for addiction; then they measure … of the quality of care you're giving.
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psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
July 01, 2017 - 10, 2018
Navigating a ship with a broken compass: evaluating standard algorithms to measure … April 24, 2018
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator … 2016
What is the return on investment for implementation of a crew resource management program … and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program … View More
See More About The Topic
Hospitals
Health Care Providers
Quality
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psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-cms-nursing-home-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/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group
June 30, 2009 - Assessing the need for organizational second victim support programs. … October 4, 2011
Measures and measurement of high-performance work systems in health care … Annual Perspective
Improving Diagnostic Safety and Quality … See More About The Topic
Ambulatory Clinic or Office
Facility and Group Administrators
Quality
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psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
August 25, 2021 - December 9, 2020
Repurposing clinical decision support system data to measure dosing … errors and clinician-level quality of care. … health care worker satisfaction before vs after implementation of a communication and optimal resolution program … May 8, 2019
Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator … May 25, 2011
View More
See More About The Topic
Hospitals
Quality and
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psnet.ahrq.gov/issue/armstrong-institute-academic-institute-patient-safety-and-quality-improvement-research
September 27, 2017 - Commentary
The Armstrong Institute: an academic institute for patient safety and quality … development of the Armstrong Institute at Johns Hopkins which generated multidisciplinary educational programs … and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program … March 23, 2016
Physician motivation: listening to what pay-for-performance programs and … quality improvement collaboratives are telling us.
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - care is an essential component of preventing or reducing errors
and improving overall health care quality … Specific measures of safety culture, such as teamwork
training, leadership walk rounds, and establishing … safety-culture-and-workforce-well-being-associations-positive-leadership-walkrounds
https://psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety … https://psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
Current Context
The National Quality
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psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units
February 10, 2012 - May 4, 2012
Performance measures in neurosurgical patient care: differing applications … January 2, 2017
Building a highway to quality health care. … September 7, 2016
Sustaining reliability on accountability measures at the Johns Hopkins … January 27, 2016
A resident-led institutional patient safety and quality improvement … March 21, 2012
The power of collaboration with patient safety programs: building safe
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psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
October 21, 2020 - February 20, 2019
Quality framework for remote antenatal care: qualitative study with … January 17, 2018
Quality and reporting of large-scale improvement programmes: a review … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … October 21, 2020
Impact of the Agency for Healthcare Research and Quality's Safety Program
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - In this role, she oversees all quality of care and regulatory programs for the health plan and provider … Helwig is recognized nationally for developing innovative programs in quality, safety, and information … and implementation of national patient safety event reporting and AHRQ’s Patient Safety Organization program … Her experience also includes serving as Program Director for Brigham and Women’s Hospital’s Center for … measures and seminal publications on coordination of care, patient safety and quality improvement strategies
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psnet.ahrq.gov/issue/leapfrog-hospital-survey
June 21, 2023 - entry evaluation, staffing of critical care physicians on intensive care units, and use of tools to measure … Eisenberg Patient Safety and Quality Award Recipients Announced. … June 18, 2014
Improving America's Hospitals: The Joint Commission's Annual Report on Quality … 2013
HospitalInspections.org
March 27, 2013
Does the Leapfrog program … help identify high-quality hospitals?
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psnet.ahrq.gov/issue/clinical-characteristics-and-short-term-outcomes-acute-kidney-injury-missed-diagnosis-older
April 20, 2022 - October 5, 2022
Evaluation of the quality of 'do not use' medication abbreviation audits … harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality … measure. … February 2, 2022
Critical care simulation education program during the COVID-19 pandemic … mortality and costs after design and implementation of a nurse-based early recognition and response program
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … RCA process (which often involves significant time and resources), most organizations are unable to measure … Diagramming, Cause and Effect Diagramming, Five Rules of Causation, Action Hierarchy, Process/Outcome Measures … incident investigation methods such as the Canadian Incident Analysis Framework , the WHO High 5s program … Opioid Medications
January 1, 2016
Developing and deploying a patient safety program
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psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10
December 24, 2008 - Common Formats for Event Reporting - Diagnostic Safety Version 1.0 Agency for Healthcare Research and Quality … Linkedin
Copy URL
June 29, 2022
Agency for Healthcare Research and Quality … August 1, 2012
AHRQ's Safety Program for Ambulatory Surgery. … October 15, 2008
AHRQ Safety Program for Improving Antibiotic Use. … March 11, 2020
View More
See More About The Topic
Researchers
Quality
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psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture
December 24, 2008 - Rockville, MD: Agency for Healthcare Research and Quality; October 2020. … additional resources to help organizations assess their safety culture, including the results of a pilot program … August 1, 2012
AHRQ's Safety Program for Ambulatory Surgery. … March 11, 2020
AHRQ Safety Program for Improving Surgical Care and Recovery. … June 5, 2019
Pediatric Quality Indicators Overview.
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psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
November 18, 2011 - January 27, 2016
Providing Safe, High-Quality Maternity Care in Rural US Hospitals. … 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality … Measures Report. … May 17, 2017
Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize