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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research
January 09, 2024 - 2015
This announcement describes the 19 projects funded by the Agency for Healthcare Research and … Copy URL
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National … Healthcare Quality and Disparities Reports. … , 2024
Annual Perspective
Improving Diagnostic Safety and … July 3, 2015
Health Care Simulation to Advance Safety: Responding to Ebola and Other
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psnet.ahrq.gov/issue/hospital-home-setting-regulatory-course-ensure-safe-high-quality-care
June 30, 2021 - February 2, 2022
Harnessing event report data to identify diagnostic error during the … July 21, 2021
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National Healthcare Quality … and Disparities Reports. … September 14, 2022
Health care quality and safety in a correctional system: creating … Quality and Safety Professionals
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Geriatrics
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psnet.ahrq.gov/issue/state-science-and-future-directions-improve-diagnostic-safety-older-adults
January 22, 2025 - Book/Report
State of the Science and Future Directions to Improve Diagnostic Safety … This issue brief presents the current evidence base, considerations and challenges of studying and improving … September 1, 2017
Awareness of racial and ethnic bias and potential solutions to … and Challenges for Care Delivery. … May 29, 2024
National Healthcare Quality and Disparities Reports.
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psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
June 09, 2011 - The built environment influences the safety and effectiveness of care delivery. … , funding, and policy organizations can support design projects as improvement efforts. … January 16, 2025
National Healthcare Quality and Disparities Reports. … January 9, 2024
Final Report on Prioritization of Patient Safety Practices for a New … December 14, 2009
2009 National Patient Safety Goals.
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psnet.ahrq.gov/issue/va-punished-critics-staff-doctors-assert
June 23, 2009 - This newspaper article reports how a "culture of silence" at Veterans Affairs hospitals discouraged staff … Copy Citation
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Health Care Quality … and Disparities: Lessons from the First National Reports. … June 23, 2009
Report on the Burden of Endemic Health Care–Associated Infection Worldwide … May 1, 2013
Brigham and Women's airing medical mistakes.
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psnet.ahrq.gov/issue/top-10-patient-safety-concerns
March 10, 2021 - Book/Report
Top 10 Patient Safety Concerns. … Available at
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Save … Disparities in Health and Healthcare. … The Evolution of Root Cause Analysis
February 26, 2025
The National … factors considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national
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psnet.ahrq.gov/issue/organizational-climate-determinants-resident-safety-culture-nursing-homes
June 24, 2020 - standards for hospitals: a major step forward toward improved quality and safety. … 2021
Outcomes of concurrent operations: results from the American College of Surgeons' National … January 4, 2021
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National Healthcare … Quality and Disparities Reports. … 2015
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report
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psnet.ahrq.gov/node/33619/psn-pdf
September 01, 2005 - The IOM Report galvanized a lot of public concern and attention, and it galvanized clinicians
and health … outcome measures such as those found in AHRQ's National
Healthcare Quality Report. … and improving health care quality and safety. … https://psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-reports
https://psnet.ahrq.gov … /issue/national-healthcare-quality-and-disparities-reports
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psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
February 28, 2018 - Graber, MD , the American College of Surgeons National Surgical Quality Improvement Program , and North … The awards were presented at the National Quality Forum's annual conference on March 23, 2015, in Washington … May 30, 2012
The Joint Commission and National Quality Forum Announce 2023 Eisenberg … September 11, 2019
The Joint Commission and National Quality Forum Announce 2022 Eisenberg … April 1, 2024
National Healthcare Quality and Disparities Reports.
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psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care
June 16, 2012 - Book/Report
Complexity and the Adoption of Innovation in Health Care. … Washington DC: National Institute for Health Care Management Foundation and National Committee for Quality … Washington DC: National Institute for Health Care Management Foundation and National Committee for Quality … September 23, 2015
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health … October 9, 2013
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative
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psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
March 29, 2023 - Study
Investigating racial and ethnic disparities in maternal care at the system … Investigating racial and ethnic disparities in maternal care at the system level using patient safety … incident reports. … to SMM and racial/ethnic disparities at one hospital. … Investigating racial and ethnic disparities in maternal care at the system level using patient safety
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psnet.ahrq.gov/issue/medicare-and-medicaid-programs-reform-requirements-long-term-care-facilities-proposed-rule
October 21, 2015 - Draft guidance for industry and Food and Drug Administration staff. … for Identifying Harm
July 19, 2023
Adverse Events in Rehabilitation Hospitals: National … Revised Report.
June 29, 2016
Medication Management: Detailed Use Case. … June 18, 2013
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National Healthcare Quality … and Disparities Reports.
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psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
October 21, 2016 - Government Resource
Solicitation for written comments on draft National Action Plan … National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction … April 6, 2022
Corporate Responsibility and Health Care Quality: A Resource for Health … November 23, 2015
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National Healthcare … Quality and Disparities Reports.
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psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
May 20, 2009 - March 6, 2005
Using the AHRQ Quality Indicators to improve health care quality. … January 2, 2017
Improving patient safety—five years after the IOM report. … Research and Quality. … September 29, 2010
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National Healthcare … Quality and Disparities Reports.
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psnet.ahrq.gov/issue/color-care
June 28, 2023 - The COVID-19 pandemic revealed the impact of racial disparities and inequities on patient safety … The cases discussed highlight how missed and dismissed COVID symptoms and inattention to patient and … June 28, 2023
Healthcare Quality and Safety Workforce Report: New Imperatives for Quality … October 18, 2023
CLER Report of Findings 2021: Subprotocol for Operative and Procedural … , 2021
Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National
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psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after-harm-healthcare
April 26, 2012 - March 2, 2010
Using event reports in real-time to identify and mitigate patient safety … August 8, 2014
Health Care Quality and Disparities: Lessons from the First National Reports … August 14, 2019
Apology and unintended harm in global health. … July 17, 2019
Disclosure of medical error: policies and practice. … September 29, 2017
Disclosing medical errors to patients: a status report in 2007.
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - racial and ethnic disparities in maternal morbidity and mortality. … to Improving Safety In order to maximize maternal care quality improvement efforts, the CMQCC and the … for Maternal Safety, facilitate efforts to improve disparities in maternal morbidity and mortality. … National Partnership for Maternal Safety: Consensus Bundle on Obstetric Hemorrhage. … The Joint Commission. [ Available at ] R 3 Report: Provision of Care, Treatment, and Services standards
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psnet.ahrq.gov/issue/health-information-technology-and-its-effects-hospital-costs-outcomes-and-patient-safety
January 29, 2018 - and patient safety. … July 8, 2020
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National Healthcare Quality … and Disparities Reports. … May 7, 2014
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative … October 9, 2013
Eliminating CLABSI: A National Patient Safety Imperative.
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psnet.ahrq.gov/issue/explaining-ethnic-disparities-patient-safety-qualitative-analysis
April 14, 2021 - Study
Explaining ethnic disparities in patient safety: a qualitative analysis. … Explaining ethnic disparities in patient safety: a qualitative analysis. … Explaining ethnic disparities in patient safety: a qualitative analysis. … November 3, 2021
Bias at warp speed: how AI may contribute to the disparities gap in … March 17, 2014
Agency information collection activities: Assessing the Impact of the National
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psnet.ahrq.gov/issue/health-disparities-impact-health-disparities-and-treatment-decision-making-biases-cancer
October 14, 2020 - Commentary
Health disparities: impact of health disparities and treatment decision-making … Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse … Racial and ethnic disparities in healthcare can affect patient safety and contribute to adverse health … Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse … support among U.S. internists: a national study.