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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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Related Resources
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/mental-mayhem-peril-multitasking-medicine
October 24, 2012 - This magazine article reports on how multitasking can contribute to surgeon fatigue, burnout , and decreased … national survey. … September 23, 2020
Impact of the Care Quality Commission on Provider Performance: Room … August 13, 2008
Health Care Quality and Disparities: Lessons from the First National … Reports.
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psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting
February 22, 2023 - Book/Report
Meeting the Challenge of Patient Safety in the Ambulatory Care Setting … April 14, 2021
The tradeoffs between safety and alert fatigue: data from a national evaluation … February 9, 2022
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Related Resources
National Healthcare … Quality and Disparities Reports. … January 9, 2024
The Canadian Quality and Patient Safety Framework for Health and Social
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psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust
August 04, 2021 - Book/Report
An Investigation into the Death of Baby J at University Hospitals Bristol … January 31, 2018
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Related Resources
National Healthcare … Quality and Disparities Reports. … May 17, 2023
Final Report of the Ockenden Review. … The Report of the Independent Medicines and Medical Devices Safety Review.
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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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Related Resources
National Healthcare … Quality and Disparities Reports.
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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/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk
January 12, 2022 - or alongside emergency departments: incorporating realist methodology into patient safety incident report … October 20, 2021
Racial disparities in preventable adverse events attributed to poor … July 22, 2020
ISMP medication error report analysis. … March 10, 2010
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See More About The Topic
Hospitals
Home Care … Quality and Safety Professionals
Hospital Pharmacy
Medication Safety
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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/race-ethnicity-and-60-day-outcomes-after-hospitalization-covid-19
January 12, 2022 - The COVID-19 pandemic has exacerbated racial and ethnic disparities in healthcare. … This study used registry data to examine racial and ethnic disparities in post-discharge outcomes among … safety in hospital pediatrics during COVID-19: a national qualitative study. … February 23, 2022
Factors associated with missed nursing care and nurse-assessed quality … of care during the COVID-19 pandemic.
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psnet.ahrq.gov/issue/evaluation-nationally-mandated-drug-use-reviews-improve-patient-safety-nursing-homes-natural
July 20, 2011 - August 3, 2017
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Related Resources
National Healthcare … Quality and Disparities Reports. … November 30, 2022
Health care quality and safety in a correctional system: creating goals … and performance measures for improvement. … August 17, 2022
The National Imperative to Improve Nursing Home Quality: Honoring Our
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psnet.ahrq.gov/issue/universal-screening-methicillin-resistant-staphylococcus-aureus-hospital-admission-and
January 27, 2021 - Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and … 2021
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Related Resources
Patient Safety Authority Annual Reports … April 30, 2024
National Healthcare Quality and Disparities Reports. … January 9, 2014
Impact of a national multimodal intervention to prevent catheter-related … report hand hygiene.
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psnet.ahrq.gov/issue/virtual-ambulatory-cusp-training
June 05, 2024 - health care quality among African American college students in Georgia, USA. … : Final Report. … February 10, 2021
A new index for obstetrics safety and quality of care: integrating … clinician-level quality of care. … April 28, 2021
National Healthcare Quality and Disparities Report Chartbook on Patient
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psnet.ahrq.gov/issue/amendment-medical-care-availability-and-reduction-error-mcare-act
June 03, 2009 - Legislation/Case Law
An Amendment of the Medical Care Availability and Reduction … plan and report hospital-acquired infections. … Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports … 2021
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Related Resources
Patient Safety Authority Annual Reports … April 30, 2024
National Healthcare Quality and Disparities Reports.
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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/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/who-global-report-patient-safety
May 01, 2024 - Book/Report
WHO Global Report on Patient Safety. … Citation Text:
WHO Global Report on Patient Safety. … November 15, 2023
Global Report on the Epidemiology and Burden of Sepsis: Current Evidence … April 24, 2024
2024 National Impact Assessment of the Centers for Medicare & Medicaid … March 20, 2024
Revealing Disparities: Health Care Workers’ Observations of Discrimination
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psnet.ahrq.gov/issue/implementing-national-program-reduce-catheter-associated-urinary-tract-infection-quality
June 08, 2016 - Study
Implementing a national program to reduce catheter-associated urinary tract … catheter-associated infections: results of two national collaboratives. … March 21, 2012
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Related Resources
National Healthcare … Quality and Disparities Reports. … December 9, 2015
Using a logic model to design and evaluate quality and patient safety
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psnet.ahrq.gov/issue/health-care-crossroads-strategies-improving-medical-liability-system-and-preventing-patient
September 07, 2005 - Annual Report 2017. … July 12, 2006
The Joint Commission and National Quality Forum Announce 2022 Eisenberg … Annual Report 2016. … March 6, 2005
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety … December 14, 2022
National Healthcare Quality and Disparities Reports.
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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/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