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Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. | PSNet

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September 04, 2016 - September 15, 2011 Developing and testing a tool to measure nurse/physician communication … January 15, 2020 Bridging leadership roles in quality and patient safety: experience … from a neonatology fellowship program. … March 28, 2018 The effect of workload reduction on the quality of residents' discharge … , 2011 Predicting future staffing needs at teaching hospitals: use of an analytical program

Identifying Safety Events in the Prehospital Setting | PSNet

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May 16, 2022 - evaluate low-risk, high-frequency cases that are not typically reviewed through traditional EMS auditing programs … They have developed a suite of national performance measures; there's 11 measures available on their … rural performance measures. … We see a larger space for improvement with that kind of measure. … Handtevy method 3 which basically precludes complex math, so instead of basing our dosing on ideal body weights

Hospital Survey on Patient Safety Culture 2.0. | PSNet

psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20

October 23, 2019 - Rockville, MD: Agency for Healthcare Research and Quality; 2019. … Participating hospitals will be able to measure patient safety culture in their institutions and compare … Rockville, MD: Agency for Healthcare Research and Quality; 2019. … August 1, 2012 AHRQ's Safety Program for Ambulatory Surgery. … December 18, 2024 AHRQ Quality Indicators.

Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. | PSNet

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May 26, 2021 - March 10, 2021 Hospital-Acquired Condition Reduction Program (HACRP). … December 22, 2014 Medicare and Medicaid programs; reform of requirements for long-term … November 23, 2015 Medicare and Medicaid Programs and the Children’s Health Insurance … Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care … Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs

Improving patient safety in intensive care units in Michigan. | PSNet

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February 17, 2011 - This article discusses implementation of the comprehensive unit-based safety program , which was the … December 15, 2011 Using the opportunity estimator tool to improve engagement in a quality … August 25, 2010 Implementing and validating a comprehensive unit-based safety program … View More See More About The Topic Intensive Care Units Health Care Providers Quality

Striving for diagnostic excellence. | PSNet

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January 09, 2018 - podcast interview shares problem-solving tactics that support diagnostic excellence and how to measure … View More Related Resources AHRQ’s Surveys on Patient Safety Culture® Program … March 6, 2024 Prioritizing Patient Safety Through Quality Measurement.

Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. | PSNet

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September 22, 2021 - Peer support programs can help clinicians cope with the emotional consequences of involvement in … An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures … May 26, 2021 Burnout and its relationship to self-reported quality of patient care and … An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality

Readmissions and Adverse Events After Discharge | PSNet

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April 27, 2022 - 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 effectiveness of care transitions interventions is hindered by the fact that the standard outcome measure … For example, a recent controlled study reduced readmissions through a program that included linkage … Related Patient Safety Primers Post-Acute Transitional Services: Safety in Home-Based Care Programs

Toward a responsible future: recommendations for AI-enabled clinical decision support. | PSNet

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April 03, 2024 - April 24, 2018 Implementation of the I-PASS handoff program in diverse clinical environments … July 19, 2023 Changes in medical errors after implementation of a handoff program. … July 13, 2022 Repurposing clinical decision support system data to measure dosing errors … and clinician-level quality of care.

Emergency Error | PSNet

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January 18, 2013 - Improvement Program (NSQIP) database (including more than 470,000 procedures at 198 hospitals over a … Analysis of the American College of Surgeons National Surgical Quality Improvement Program database. … measures: 2 retrospective database analyses in Washington State hospitals. … August 9, 2017 Implementation of the I-PASS handoff program in diverse clinical environments … December 19, 2018 Association of hospital participation in a quality reporting program

Patient perceptions of missed nursing care. | PSNet

psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care

September 27, 2017 - September 27, 2017 Development and psychometric testing of a tool to measure missed nursing … March 15, 2023 We Want to Know-a mixed methods evaluation of a comprehensive program … June 2, 2019 Perspective Missed Nursing Care: A Key Measure … View More See More About The Topic Hospitals Nurses Nurse Managers Quality

Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? | PSNet

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October 30, 2013 - December 22, 2021 Implementation of the I-PASS handoff program in diverse clinical environments … April 24, 2018 Association of postoperative readmissions with surgical quality using … View More Related Resources Effects of a brief team training program … April 16, 2018 Coaching to improve the quality of communication during briefings and … August 29, 2011 Use of the Safety Attitudes Questionnaire as a measure in patient safety

The Hidden Danger of Unseen Intravenous Catheters | PSNet

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October 04, 2023 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … In 2017, the American College of Surgeons launched a verification program for Levels I, II, and III children … The verification program requires a pediatric anesthesiologist to perform or supervise care for any child … June 2, 2015 Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures.

In Conversation With... Francoise Marvel, MD | PSNet

psnet.ahrq.gov/perspective/conversation-francoise-marvel-md

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.

Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. | PSNet

psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute

August 10, 2022 - October 13, 2018 Alternatives to opioid education and a prescription drug monitoring program … December 16, 2020 State policies for prescription drug monitoring programs and adverse … December 21, 2022 Association of adverse events in opioid addiction treatment with quality … measure for continuity of pharmacotherapy. … September 1, 2021 Opioid stewardship program and postoperative adverse events: a difference-in-differences

Transforming team performance through reimplementation of the surgical safety checklist. | PSNet

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March 09, 2022 - March 9, 2022 CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation … October 25, 2023 CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation … August 12, 2020 The SAGES Fundamental Use of Surgical Energy program (FUSE): history, … More About The Topic Operating Room Surgery Intraoperative Complications Continuous Quality

Outcomes of daytime procedures performed by attending surgeons after night work. | PSNet

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December 18, 2014 - harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality … measure. … February 14, 2017 The Safer Delivery of Surgical Services Program (S3): explaining its … differential effectiveness and exploring implications for improving quality in complex systems. … September 9, 2015 Association of hospital participation in a quality reporting program

Elopement | PSNet

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July 14, 2010 - team communication.( 7 ) Protection of patients from elopement risks requires attention to preventive measures … Such preventive measures may include placing the patient on an observation protocol (special precautions … Debra Gerardi, RN, MPH, JD Chair, Program on Healthcare Collaboration and Conflict Resolution Werner … California Hospital Quality Initiative: reducing serious events. Briefs Focus. … October 19, 2022 Evaluation of a Web-based education program on reducing medication dosing

In Conversation With... Remle P. Crowe, PhD | PSNet

psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd

May 16, 2022 - Many agencies now have a quality improvement department or quality management that looks to prevent errors … They have developed a suite of national performance measures; there's 11 measures available on their … rural performance measures. … Handtevy method 3 which basically precludes complex math, so instead of basing our dosing on ideal body weights … evaluate low-risk, high-frequency cases that are not typically reviewed through traditional EMS auditing programs

Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet

psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery

July 22, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … In a strong safety culture, error prevention and recovery programs are well developed, updated regularly … medication errors. 19 Include outcome assessment, reporting reviews, and risk mitigation into safety programs … Safety programs should integrate pharmacy, perioperative nursing units, and all anesthesia providers … strategy for regular evaluation, including outcomes assessment, review reporting, and risk mitigation measures

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