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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - Evaluation of verbal and written handoffs demonstrated significant gains across 14 out of 14 process measures … (p<0.001 for all 14 measures). … A central hallmark of I-PASS and other high-quality handoff communication programs is the emphasis on … An additional benefit of a direct observation program is the opportunity to generate quality improvement … , computerized handoff tools, training programs, and workplace-based assessment.
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psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance
November 17, 2014 - This study aimed to validate a behavioral marker as a measure of teamwork , specifically in the intensive … November 23, 2014
Teamwork in healthcare: key discoveries enabling safer, high-quality … 27, 2014
Eight critical factors in creating and implementing a successful simulation program … June 21, 2015
Creating a Pediatric Joint Council to promote patient safety and quality … January 5, 2012
Nurses' perceptions of simulation-based interprofessional training program
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - As a part of its bundles, the AIM program highlights important data collection resources and measures … I currently work as the Senior Director for Quality Improvement and Programs at the American College … program. … These programs are focused on improving the quality of care and are highly integrated within the health … We can measure screening usually, but often we cannot measure whether a referral was actually followed
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - looking at particular actions, the denominators for
these measures shrink, the ability to measure a … proxy
for a measure with higher quality data. … these measures were ultimately incorporated into the
Hospital Readmissions Reduction Program. … Here you
have a safety or quality measure and an efficiency measure that now influences every hospital … But, we have been awash in measures, and there can be some
measure fatigue.
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psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence
October 28, 2020 - Download Citation
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A program … December 16, 2020
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See More About The Topic
Quality and Safety
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psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
June 26, 2019 - November 10, 2010
An international review of patient safety measures in radiotherapy … July 8, 2009
Implementation of the I-PASS handoff program in diverse clinical environments … August 20, 2018
Changes in medical errors after implementation of a handoff program. … February 10, 2015
The impact of eHealth on the quality and safety of health care: a systematic
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psnet.ahrq.gov/issue/apologies-and-medical-error
November 16, 2022 - Related Resources From the Same Author(s)
Implementation of the I-PASS handoff program … December 19, 2018
Changes in medical errors after implementation of a handoff program … November 12, 2014
Development of patient safety measures to identify inappropriate diagnosis … routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality
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psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes
April 19, 2011 - February 25, 2009
Creating a framework to integrate residency program and medical center … approaches to quality improvement and patient safety training
January 13, 2021
Measures … March 23, 2011
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Comparing VA and Non-VA quality of care: a systematic review. … Improvement Program data.
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psnet.ahrq.gov/issue/hospital-readmission-and-parent-perceptions-their-childs-hospital-discharge
July 03, 2016 - The National Quality Forum has endorsed a set of strategies to prevent adverse events after discharge … December 20, 2020
Implementation of the I-PASS handoff program in diverse clinical environments … November 16, 2022
Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures. … Patients do not always complain when they are dissatisfied: implications for service quality
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psnet.ahrq.gov/issue/intervention-decrease-patient-identification-band-errors-childrens-hospital
October 06, 2016 - In this study, a children's hospital conducted a continuous quality improvement intervention to reduce … October 6, 2016
Changes in medical errors after implementation of a handoff program. … July 19, 2023
Implementation of the I-PASS handoff program in diverse clinical environments … Annual Perspective
Improving Diagnostic Safety and Quality … November 16, 2022
Strength of safety measures introduced by medical practices to
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psnet.ahrq.gov/issue/measuring-rate-manual-transcription-error-outpatient-point-care-testing
August 20, 2018 - November 15, 2017
ICD-11 for quality and safety: overview of the WHO Quality and Safety … December 29, 2014
Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures. … December 12, 2012
Implementation of the I-PASS handoff program in diverse clinical environments
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psnet.ahrq.gov/issue/scene-childrens-hospitals-and-clinics-minnesota
September 24, 2010 - medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program … May 19, 2018
Examining the relationship of an all-cause harm patient safety measure and … critical performance measures at the frontline of care. … February 6, 2019
Quality and patient safety teams in the perioperative setting. … November 9, 2011
Achieving quality improvement in the nursing home: influence of nursing
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psnet.ahrq.gov/node/44993/psn-pdf
April 17, 2017 - This finding demonstrates the importance of quality surgical care in rural hospitals. … AHRQ-funded toolkit
provides resources for small rural hospitals interested in implementing safety measures … //psnet.ahrq.gov/issue/patient-safety-indicators-overview
https://psnet.ahrq.gov/issue/implementing-program-patient-safety-small-rural-hospitals
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psnet.ahrq.gov/issue/effectiveness-information-technology-intervention-improve-prophylactic-antibacterial-use
September 01, 2016 - 18, 2024
Effect of communication errors during calls to an antimicrobial stewardship program … Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures … collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program … November 6, 2013
Identifying opportunities for quality improvement in surgical site infection … View More
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Operating Room
Health Care Providers
Quality
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psnet.ahrq.gov/issue/national-estimates-adverse-events-during-nonpsychiatric-hospitalizations-persons
August 09, 2017 - September 23, 2020
Clinical communities at Johns Hopkins Medicine: an emerging approach to quality … September 2, 2015
Implementation of the I-PASS handoff program in diverse clinical environments … January 7, 2015
Changes in medical errors after implementation of a handoff program. … May 24, 2012
A model for the departmental quality management infrastructure within an … increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures
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psnet.ahrq.gov/issue/surgical-safety-checklist-compliance-job-done-poorly
April 25, 2016 - December 19, 2009
The quality of pharmacologic care for vulnerable older patients. … March 2, 2011
Implementation of the I-PASS handoff program in diverse clinical environments … June 7, 2016
Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures. … View More
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Operating Room
Risk Managers
Quality
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psnet.ahrq.gov/node/44084/psn-pdf
November 03, 2015 - can-staff-and-patient-perspectives-hospital-safety-predict-harm-free-care-
analysis-staff-and
Patient engagement programs … are being widely implemented as means of improving the safety and quality
of hospital care, and prior … perception of safety (measured by the AHRQ Hospital Survey on Patient Safety
Culture), and quantitative measures … The investigators found that both Patient Measure of Safety and Hospital Survey of Patient Safety Culture … results were correlated with objective measures of safety, and they appeared to contribute independently
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psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
March 24, 2019 - September 18, 2019
Developing electronic clinical quality measures to assess the cancer … October 19, 2022
Evaluation of the quality of 'do not use' medication abbreviation audits … March 24, 2021
Clinical data sharing improves quality measurement and patient safety. … Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program … September 2, 2020
Design and impact of a novel surgery-specific second victim peer support program
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psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-behavior-social-exchange-perspective
February 15, 2023 - March 27, 2024
Risk of medication errors and nurses' quality of sleep: a national cross-sectional … September 16, 2020
Medication errors in intensive care units: an umbrella review of control measures … Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program … 2021
RISE: exploring volunteer retention and sustainability of a second victim support program … More
See More About The Topic
Hospitals
Facility and Group Administrators
Quality
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psnet.ahrq.gov/issue/differential-safety-between-top-ranked-cancer-hospitals-and-their-affiliates-complex-cancer
July 24, 2019 - August 4, 2021
Implementation of the I-PASS handoff program in diverse clinical environments … Association between hospital penalty status under the Hospital Readmission Reduction Program … cancer treatment center: prospective characterization of error types and frequency and development of a quality … June 8, 2011
Patient safety measures in burn care: do national reporting systems accurately … reflect quality of burn care?