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Rockville, MD: Agency for Healthcare Research and Quality; March 2007.
The Agency for Healthcare Research and Quality announces the 2007–2008 Patient Safety Improvement Corps (PSIC) program. States and organizations participating in the program will select staff members and its hospital partners to train in patient safety improvement. The applications period for this program cycle is now closed.
Journal Article > Study
Use of administrative data to find substandard care: validation of the complications screening program.
Weingart SN, Iezzoni LI, Davis RB, et al. Med Care. 2000;38:796-806.
This AHRQ-funded case-control study used physicians' clinical judgment about flagged complications to generate potential deficiencies in the quality of care. Compiling data for more than 1000 Medicare beneficiaries from acute-care hospitals, investigators captured cases with a documented surgical or medical complication along with matched controls without such complications. The authors report that potential quality problems were identified at much higher rates in the flagged cases, but the judgments made about quality were affected by many circumstances, such as the complexity of a given case. Therefore, while subjectivity in physician case review exists, this study offers a potential strategy for selecting cases that might increase the yield in such interpretations of quality.
Journal Article > Commentary
Clancy CM. Am J Med Qual. 2005;20:277-279.
Agency for Healthcare Research and Quality (AHRQ) Director Carolyn Clancy summarizes the Agency's research and training activities in teamwork, medical error and report analysis, multidisciplinary education, and the Patient Safety Improvement Corps.
Tools/Toolkit > Government Resource
Rockville, MD: Agency for Healthcare Research and Quality; 2017.
Both organizational culture and the physical environment affect the safety of care delivery. This toolkit provides resources to help organizations assess hazards related to the design of their facilities. The toolkit focuses on six areas of safety: infections, falls, medication errors, security, injuries of behavioral health, and patient handling.