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  1. 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 Cite Related Resources NationalHealthcare 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
  2. 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 View More Related Resources National Healthcare Qualityand Disparities Reports. … September 14, 2022 Health care quality and safety in a correctional system: creating … Quality and Safety Professionals Policy Makers Geriatrics View More
  3. 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.
  4. 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.
  5. 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 Related Resources From the Same Author(s) Health Care Qualityand 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.
  6. psnet.ahrq.gov/issue/top-10-patient-safety-concerns
    March 10, 2021 - Book/Report Top 10 Patient Safety Concerns. … Available at Related news article 2024 report 2023 report 2022 report 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
  7. 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 View More Related Resources National HealthcareQuality and Disparities Reports. … 2015 Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report
  8. Psn-Pdf (pdf file)

    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
  9. 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.
  10. 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
  11. 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
  12. 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 View More Related Resources National Healthcare Qualityand Disparities Reports.
  13. 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 View More Related Resources National HealthcareQuality and Disparities Reports.
  14. 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 View More Related Resources National HealthcareQuality and Disparities Reports.
  15. 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
  16. 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.
  17. 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
  18. 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 View More Related Resources National Healthcare Qualityand 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.
  19. 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
  20. 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.

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