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psnet.ahrq.gov/issue/psychological-safety-and-infection-prevention-practices-results-national-survey
September 27, 2023 - results of an ongoing national survey of infection preventionists to assess hospital infection control program … June 21, 2023
A program to prevent catheter-associated urinary tract infection in acute … June 8, 2016
Comparing catheter-associated urinary tract infection prevention programs … Encouraging employees to speak up to prevent infections: opportunities to leverage quality … December 14, 2009
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Hospitals
Quality
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psnet.ahrq.gov/issue/do-patients-and-relatives-have-different-dispositions-when-challenging-healthcare
March 31, 2021 - Results before and after an educational program. … Results before and after an educational program. … Results before and after an educational program. … 2023
Annual Perspective
Improving Diagnostic Safety and Quality … April 26, 2023
Patients' experiences and perspectives of patient-reported outcome measures
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psnet.ahrq.gov/issue/program-prevent-catheter-associated-urinary-tract-infection-acute-care
December 21, 2017 - Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures … May 8, 2019
Comparing catheter-associated urinary tract infection prevention programs … tract infection: a quality improvement collaboration of state hospital associations, academic medical … August 1, 2017
Explaining Michigan: developing an ex post theory of a quality improvement … program.
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psnet.ahrq.gov/primer/falls
October 27, 2021 - There are two overarching considerations in planning a fall prevention program. … First, fall prevention measures must be individualized—there is no "one size fits all" method to preventing … A successful program must include a combination of strategies: environmental measures , such as nonslip … Measures to improve the overall culture of safety in a particular unit may be helpful. … The evidence regarding the efficacy of specific fall prevention programs has been mixed.
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - Deciding on the minimum level of quality, the best programs and procedures to be used to achieve it, … Either process or outcome measures can be valid measures of quality—valid in the sense that they really … So if you're going to use an outcome as a valid measure of quality, you must have a proven relationship … These programs spotlight for organizations exactly where they should deploy their very scarce quality … I have already told you my bias that claims data do not produce highly valid quality measures.
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psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
March 09, 2022 - Review
Electronic health record nudges and health care quality and outcomes in primary … measures—whether the nudge was accepted— not the impact on patient safety. … January 12, 2022
Implementation of the World Health Organization Trauma Care Checklist Program … in 11 centers across multiple economic strata: effect on care process measures. … November 13, 2024
How intervention studies measure the effectiveness of medication safety-related
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psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns
January 27, 2016 - By 2013, the health system reached at least 96% compliance on 6 of 7 targeted measures, with 4 hospitals … Related Resources From the Same Author(s)
Sustaining reliability on accountability measures … January 27, 2016
Demonstrating high reliability on accountability measures at The Johns … November 18, 2016
Sustaining reliability on accountability measures at the Johns Hopkins … October 31, 2014
Implementing a national program to reduce catheter-associated urinary
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - of evidence-based care; led to significant improvements in measures of general health, vitality, social … in measures of general health, vitality, social functioning, and mental health; reduced ED visits, admissions … Compared with the control group, participants exhibited significant improvements in four of eight measures … Information on the Assessing Care of Vulnerable Elders measure set can be found at http://www.rand.org … Information on the Medical Outcomes 36-Item Short Form measure set can be found at https://www.rand.org
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psnet.ahrq.gov/issue/implementing-national-program-reduce-catheter-associated-urinary-tract-infection-quality
June 08, 2016 - Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement … Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement … June 8, 2016
Comparing catheter-associated urinary tract infection prevention programs … Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures … improvement programs.
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - implementation of a “scorecard” that showed residents’ performance in relation to their peers on a measure … , outcome measures, and means of data collection and reporting Reviewing best practices Understanding … Define measures and goals. Establish protocols. Secure resources. … Work with a quality improvement team. … CMS Measures Inventory Tool. Venous Thromboembolism Prophylaxis (eCQM). Accessed March 14, 2022.
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psnet.ahrq.gov/issue/network-patient-safety-databases
December 24, 2008 - Agency for Healthcare Research and Quality. … 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. … July 22, 2015
National Quality Measures Clearinghouse (NQMC).
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psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
April 01, 2024 - Copy Citation
Related Resources From the Same Author(s)
Training Program … April 3, 2019
Patient Safety and Quality Improvement; Final Rule. … July 3, 2013
Request for comments on the proposed measures and 2020 targets for the National … Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse … , 2025
- March 18, 2025
Nurse Staffing Standards for Hospital Patient Safety and Quality
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psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-recommendations-their-measurement
December 09, 2015 - National Quality Measures Clearinghouse: Expert Commentaries; March 10, 2014. … National Quality Measures Clearinghouse: Expert Commentaries; March 10, 2014. … National Quality Measures Clearinghouse: Expert Commentaries; March 10, 2014. … November 30, 2016
Expert consensus on currently accepted measures of harm. … collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program
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psnet.ahrq.gov/issue/adherence-simple-and-effective-measures-reduces-incidence-ventilator-associated-pneumonia
November 16, 2011 - Study
Adherence to simple and effective measures reduces the incidence of ventilator-associated … Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia. … Related Resources From the Same Author(s)
What is the value and impact of quality … What prevents the delivery of effective, high quality, and safe healthcare in England? … September 27, 2016
A program to prevent catheter-associated urinary tract infection in
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - Implementation of this innovation resulted in improved patient safety and quality for patients at high … over the 3.5-year study period. 1
It is important to note that RRT nurse compliance with the process measures … The virtual quality nurse consultant requests prompt evaluation of the patient by the physician. … Ensure appropriate staffing to effectively support program implementation, including virtual quality … to refine the AAM program.
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psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
May 19, 2018 - Study
An electronic health record–based real-time analytics program for patient safety … May 19, 2018
Examining the relationship of an all-cause harm patient safety measure and … critical performance measures at the frontline of care. … 1, 2016
The effect of hospital electronic health record adoption on nurse-assessed quality … View More
See More About The Topic
Hospitals
Nurses
Nurse Managers
Quality
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psnet.ahrq.gov/issue/sex-differences-operating-room-care-giver-perceptions-patient-safety-pilot-study-veterans
June 14, 2011 - perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program … January 4, 2017
Association between implementation of a medical team training program … November 23, 2011
Comparing measures of patient safety for inpatient care provided to … March 21, 2017
Association between implementation of a medical team training program … November 18, 2009
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Operating Room
Quality
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psnet.ahrq.gov/issue/improving-appropriate-use-peripherally-inserted-central-catheters-through-statewide
April 14, 2021 - Quality improvement and patient safety projects can be costly to implement. … April 10, 2024
Development of patient safety measures to identify inappropriate diagnosis … July 17, 2024
Implementation of the I-PASS handoff program in diverse clinical environments … December 21, 2017
Changes in medical errors after implementation of a handoff program … December 21, 2022
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and
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psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures
September 19, 2016 - Psychological impact and recovery after involvement in a patient safety incident: a repeated measures … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures … An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality … 2023
RISE: exploring volunteer retention and sustainability of a second victim support program … Support Tool: validation of an organizational resource for assessing second victim effects and the quality
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psnet.ahrq.gov/issue/evaluating-patient-safety-indicators-how-well-do-they-perform-veterans-health-administration
April 01, 2010 - Improvement program data. … October 21, 2010
Quality improvement for patient safety: project-level versus program-level … February 10, 2012
Hospital performance trends on national quality measures and the association … January 23, 2012
The relationship between patients' perception of care and measures of … hospital quality and safety.