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Global State of Patient Safety 2023. | PSNet

psnet.ahrq.gov/issue/global-state-patient-safety-2023

April 06, 2016 - countries on the defined measures to assist in prioritization and emphasis of efforts that align with … September 6, 2006 Language Barriers in Health Care. … on safety issues in UK mental health services. … January 18, 2023 Improving Safety in Maternity Services: a Toolkit for Teams. … at national VA medical centers.

Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. | PSNet

psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following-childbirth

April 01, 2019 - April 5, 2023 Access to Clinical Information at the Bedside. … Services Research Priorities for Improving Diagnostic Safety and Quality. … April 4, 2018 AHRQ Announces Interest in Health Services Research to Address the Opioids … 2015: Interim Data From National Efforts to Make Health Care Safer. … June 14, 2023 Taking a closer look at medication errors that involve oxytocin.

Broken Trust: Making Patient Safety More than Just a Promise. | PSNet

psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise

October 07, 2020 - May 24, 2023 Safer Services: A Toolkit for Specialist Mental Health Services and Primary … on safety issues in UK mental health services. … April 5, 2023 Access to Clinical Information at the Bedside. … June 21, 2023 Taking a closer look at medication errors that involve oxytocin. … of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona.

How much diagnostic safety can we afford, and how should we decide? A health economics perspective. | PSNet

psnet.ahrq.gov/issue/how-much-diagnostic-safety-can-we-afford-and-how-should-we-decide-health-economics

March 24, 2021 - This commentary uses case examples to demonstrate how economic analysis may help inform efforts to … April 16, 2008 A theoretical framework and competency-based approach to improving handoffs … May 15, 2019 Two-state collaborative study of a multifaceted intervention to decrease … services: a national stakeholder analysis. … July 29, 2020 National trends in the safety performance of electronic health record systems

African Partnerships for Patient Safety: Lessons Learned | PSNet

psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned

December 01, 2014 - World Hospitals and Health Services. May 2014;50(10-13). [Available at] 20. … working with partners in the developing world to look at adverse event rates. … with the National Health Care Report at AHRQ and then again at the OECD afterwards said that variation … But we did have to modify the language. We had to simplify a lot of tools. … in terms of having access to information as well as seeking the correct care at the right time, and taking

In Conversation With… Edward Kelley, PhD | PSNet

psnet.ahrq.gov/perspective/conversation-edward-kelley-phd

December 01, 2014 - working with partners in the developing world to look at adverse event rates. … with the National Health Care Report at AHRQ and then again at the OECD afterwards said that variation … But we did have to modify the language. We had to simplify a lot of tools. … in terms of having access to information as well as seeking the correct care at the right time, and taking … World Hospitals and Health Services. May 2014;50(10-13). [Available at] 20.

In Conversation With... Jack Westfall, MD, MPH | PSNet

psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph

April 24, 2024 - look out over the windowsill, open the door, and look at what’s going on in the community related to … time, we have both a high-level and detailed look at their care. … , local in their hospital, or state, or national efforts to improve patient safety. … Department of Health and Human Services. … Department of Health and Human Services.

Identifying Safety Events in the Prehospital Setting | PSNet

psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting

May 16, 2022 - Fellowship at the Ohio State University, where I got my PhD in epidemiology and transitioned into the … The researcher and the data-gatherer in me would bet, that if we were to go out and look at the number … Department of Health and Human Services. … Department of Health and Human Services. … May 26, 2021 With Safety in Mind: Mental Health Services and Patient Safety.

Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy

October 27, 2021 - Diagnostic error experiences of patients and families with limited English-language health literacy or … Limited English-language health literacy (LEHL) and disadvantaged socioeconomic position (dSEP) have … Diagnostic error experiences of patients and families with limited English-language health literacy or … July 11, 2012 Impact of providing patients access to electronic health records on quality … to 20 hospitals in England during implementation of the 7-day services national health policy.

Making electronic health records both SAFER and SMARTER. | PSNet

psnet.ahrq.gov/issue/making-electronic-health-records-both-safer-and-smarter

September 29, 2021 - May 18, 2022 Impact of providing patients access to electronic health records on quality … a national patient safety collaborative. … language proficiency in the US. … A national prospective cohort study. … improvement efforts in the cardiac catheterization lab.

In Conversation With... Cindy Brach | PSNet

psnet.ahrq.gov/perspective/conversation-cindy-brach

December 27, 2019 - of the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and … me to put them at ease, to ask them about their health beliefs, to access resources, whether it be interpreter … It’s going to look different by necessity but can all result in cultural and linguistic competence. … to tailor health promotion services and messages. … Appropriate Services (CLAS) in Health and Health Care .

A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy. | PSNet

psnet.ahrq.gov/issue/checklist-address-implicit-bias-healthcare-settings-during-covid-19-pandemic-place-strategy

July 07, 2021 - February 23, 2022 Delayed access to care and late presentations in children during the … language proficiency in the US. … in health care: a battle to be heard, believed, and protected. … the National Academies' report Improving Diagnosis in Health Care. … to 20 hospitals in England during implementation of the 7-day services national health policy.

Patient Engagement in Safety | PSNet

psnet.ahrq.gov/perspective/patient-engagement-safety

January 01, 2018 - engagement as a National Patient Safety Goal . … AHRQ's Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families … access or skills, and unmet technical support and training needs. … Department of Health and Human Services. … Department of Health and Human Services.

The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study. | PSNet

psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning

July 09, 2014 - July 22, 2020 Latent safety threats and countermeasures in the operating theater: a national … to prioritize efforts to improve cancer care delivery. … in health care: a battle to be heard, believed, and protected. … standards accelerated integration and expansion of tools and services in the Veterans Health Administration … Facility and Group Administrators Quality and Safety Professionals Allied Health Services

Improving Diagnosis in Health Care. | PSNet

psnet.ahrq.gov/issue/improving-diagnosis-health-care

August 10, 2005 - May 20, 2015 Best Care at Lower Cost: The Path to Continuously Learning Health Care in … May 11, 2005 Engineering a Learning Healthcare System: A Look at the Future: Workshop … National Academies' report Improving Diagnosis in Health Care. … Technology: Improving Care Through Patient Access to Their Records. … National Survey on Drug Use and Health.

Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. | PSNet

psnet.ahrq.gov/issue/variability-collection-and-use-raceethnicity-and-language-data-93-pediatric-hospitals

August 16, 2023 - may hinder efforts to identify and eliminate disparities in care. … common cause analysis of safety events at a pediatric hospital. … to 20 hospitals in England during implementation of the 7-day services national health policy. … in a national patient safety collaborative. … and Quality April 26, 2023 Improving medication safety in a paediatric hospital

Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. | PSNet

psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital

March 27, 2005 - to 20 hospitals in England during implementation of the 7-day services national health policy. … Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system … February 6, 2008 Delayed access to care and late presentations in children during the … the National Academies' report Improving Diagnosis in Health Care. … patient safety efforts in infection prevention: a multi-center qualitative study.

Listening, Learning, Responding to Concerns. | PSNet

psnet.ahrq.gov/issue/listening-learning-responding-concerns

November 20, 2023 - The first report examines an explicit whistleblowing incident in the National Health Service that was … January 23, 2019 Shifting the Mindset: A Closer Look at Hospital Complaints. … April 2, 2014 Improving Safety in Maternity Services: a Toolkit for Teams. … April 8, 2020 Access to Clinical Information at the Bedside. … the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in

Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. | PSNet

psnet.ahrq.gov/issue/sepsis-quality-safety-net-hospitals-analysis-medicares-sep-1-performance-measure

May 05, 2021 - Hospital policies should help guide the quality of care and efforts to prevent harm. … to 20 hospitals in England during implementation of the 7-day services national health policy. … at a safety net hospital. … incidents reported to the National Reporting and Learning System. … October 14, 2020 Unintended consequences of patient online access to health records:

In Conversation with…William B. Weeks, MD, MBA | PSNet

psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba

May 01, 2009 - His research centers on business and economics in health services delivery and how they apply to physician … them with some of the language and the ways that the financial guys look at things. … each other's languages, if you will, and to be able to partner a little better in considering how to … Department of Health and Human Services. … Department of Health and Human Services.

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